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 ________________, _______.

 

 

 

 

______________________________________________________

(Shipper)

 

By____________________________________________________

 

Title_________________________________________________