Mississippi Canyon Gas Pipeline, LLC
First Revised Volume No. 1
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Effective Date: 09/07/2006, Docket: RP06-468-000, Status: Effective
Third Revised Sheet No. 315 Third Revised Sheet No. 315 : Effective
Superseding: Second Revised Sheet No. 315
SERVICE REQUEST FORM (Continued)
Shipper, by its signature, certifies to Transporter (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
and (2) that Shipper will have title to the gas that is to
be delivered to Transporter and (3) that Shipper will advise
Transporter of any changes in the information provided.
XII. Requested by:_____________________________(signature)
Name:___________________________________
Title:__________________________________
Telephone: _____________________________
E-mail Address: ________________________