Midwestern Gas Transmission Company

Third Revised Volume No. 1

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Effective Date: 01/01/2003, Docket: RP03-196-000, Status: Effective

First Revised Sheet No. 489 First Revised Sheet No. 489 : Effective

Superseding: Original Sheet No. 489

 

FORM OF RELEASE REQUEST

 

 

Midwestern Gas Transmission Company FOR COMPANY'S USE:

P.O. Box 542500 RELEASE REQUEST NO. _____

Omaha, Nebraska 68154-8500

(402) 492-7430 or (402) 492-7431

 

Attention: Marketing

 

Re: Request to Release Rights to

Firm Transportation Service

 

 

_____________________________ ("Releasing Shipper") hereby submits its request to release

transportation rights held by Releasing Shipper under its Firm Transportation Service

Agreement ("Service Agreement") with Midwestern Gas Transmission Company ("Company").

Releasing Shipper proposes to release such rights pursuant to the General Terms and

Conditions of Company's Tariff on file with the Federal Energy Regulatory Commission. The

terms of the proposed release are as follows:

 

1. Releasing Shipper's Service Agreement number and responsible contact person for this

Release Request:

 

______________________________________________________________________________

 

______________________________________________________________________________

 

2. Maximum Daily Quantity of firm service rights to be released (may be stated as

minimum/maximum range):

 

3. Commencement Date and term of release (may be stated as range of acceptable terms):

 

4. Primary Receipt and Delivery Points for Transportation Service:

 

Firm Rights To Be Released

Primary Receipt Points DRN At Such Point(s)

 

______________________ ___________ __________________________

 

______________________ ___________ __________________________

 

______________________ ___________ __________________________

 

 

 

Firm Rights To Be Released

Primary Delivery Points DRN At Such Point(s)

 

_______________________ ___________ __________________________

 

_______________________ ___________ __________________________

 

_______________________ ___________ __________________________

 

 

5. All applicable rates, charges and surcharges for the release (including any minimum

acceptable rates):