Midwestern Gas Transmission Company

SECOND REVISED VOLUME NO. 1

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Effective Date: 09/01/1993, Docket: RS92- 41-003, Status: Effective

Original Sheet No. 185 Original Sheet No. 185 : Effective

 

 

 

SERVICE REQUEST FORM

 

 

13. Credit Evaluation - Please provide a copy of Shipper's most recent quarterly

financial statement, which must conform with the specifications set forth in

Article XXV of Transporter's General Terms and Conditions, most recent annual

report and Form 10K and a complete list of all affiliates including parent

and subsidiary companies.

 

14. Is requestor affiliated with Midwestern Gas Transmission Company?

_____ Yes _____ No

 

If yes, what is the percentage of affiliation? _____%

 

15. Is shipper affiliated with Midwestern Gas Transmission Company?

_____ Yes _____ No

If yes, what is the percentage of affiliation? _____%

 

16. Is your supplier affiliated with Midwestern Gas Transmission Company?

_____ Yes _____ No

If yes, what is the percentage of affiliation? _____%