PetroLogistics Natural Gas Storage LLC

Original Volume No. 1

 Contents / Previous / Next / Main Tariff Index

 

 

Effective Date: 06/03/2009, Docket: RP09-577-000, Status: Effective

Original Sheet No. 210 Original Sheet No. 210

 

Revision No. _________

Exhibit A to Service Agreement No. _________

Under Rate Schedule ISS

Between

PetroLogistics Natural Gas Storage LLC

And

___________________________ (Shipper)

 

RECEIPT POINT(S)

Flow

Pipeline Name

Location Meter Name &

Volume

Shipper's Name

Shipper's

Date

Meter Number (Dth/d)

Contract

Number

__________________ ______________________

________________________________

____ ______________

______________________

_______________________

_____________ ______________

______________________

_______________________________

Maximum Daily Receipt Quantity _______Dth (as applicable)

DELIVERY POINT(S)

Flow

Pipeline Name

Location Meter Name &

Volume

Shipper's Name

Shipper's

Date

Meter Number

(Dth/d)

Contract

Number

____ ______________ _________________________

_______________________________ ______________

__________________________________________

______________ ______________ ____________________

________________________________