Scg Pipeline Inc.

Original Volume No. 1

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Effective Date: 11/01/2003, Docket: RP03-611-000, Status: Effective

Original Sheet No.216 Original Sheet No.216 : Superseded

FORM OF SERVICE AGREEMENT

FOR RATE SCHEDULE IT

(continued)

EXHIBIT A

to

SERVICE AGREEMENT UNDER

RATE SCHEDULE IT

BETWEEN

SCG PIPELINE, INC.

AND

_______________________("Shipper")

DATED _________________

RECEIPT POINTS

RECEIPT POINT MDRQ

(plus applicable fuel (Dt)

retainage quantities)