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. 186 Original Sheet No. 186 : Effective
SERVICE REQUEST FORM
17. For marketing affiliates of Midwestern Gas Transmission Company only, does
the cost of gas exceed the sales price, less associated costs including
transportation, i.e. is the gas being sold at a loss? _____ Yes _____ No
If so, by how much? __________
If applicable, Shipper agrees by its signature below to provide this
information within twenty-five calendar days after the month in which the
transportation service occurred.
Shipper understands that this request form, complete and unrevised as to format, must
be received by Midwestern before the service request will be accepted and processed.
Shipper, by its signature, certifies to Midwestern (1) that the information above is
correct and accurate and that all necessary transportation arrangements with the
upstream and downstream Transporters have been or will be secured prior to the
commencement of the requested transportation service (2) that Shipper will have title,
or the right to acquire title, to the gas that is to be delivered to Midwestern and (3)
that Shipper will advise Midwestern on any changes in the information provided in item
16 five business days prior to the end of any month for the preceding month's
transportation business in which a change occurred.
Very truly yours,