Midwestern Gas Transmission Company
Third Revised Volume No. 1
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Effective Date: 01/01/2002, Docket: RP02- 72-000, Status: Effective
Original Sheet No. 491 Original Sheet No. 491 : Effective
FORM OF RELEASE REQUEST
Releasing Shipper understands that Company reserves the right to invalidate any Release
Request subsequent to its posting on the System to the extent it is incomplete or fails to
conform in any manner to the requirements of Company's Tariff.
Releasing Shipper, by the signature of its authorized representative, represents and
certifies to Company that (i) the individual signing below is authorized to sign this
Release Request for Releasing Shipper; (ii) the information above is true, complete and
correct; and iii) if this Release Request includes a Prearranged Bidder, the Prearranged
Bidder has agreed irrevocably to accept the transportation rights described herein on the
terms and conditions set forth herein.
Submitted this ______ day of ________________, _______.