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Original Sheet No.220 Original Sheet No.220 : Superseded

TRANSPORTATION REQUEST FORM

(continued)

General Notices and Correspondence:

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Dispatching Notices:

Nominations/Confirmations

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Curtailments/OFO/Capacity Allocation

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Invoices: ____________________________________

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Emergency Contact Persons and their Email Addresses:

1. _____________________________________

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2. _____________________________________

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3. _____________________________________

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Emergency Telephone No: _______________________________

Facsimile Machine No: _________________________

3. Whether Shipper is affiliated with Pipeline:

___ No ___Yes