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: ________________________