Mississippi Canyon Gas Pipeline, LLC

First Revised Volume No. 1

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Effective Date: 05/22/2005, Docket: RP05-280-000, Status: Effective

First Revised Sheet No. 318 First Revised Sheet No. 318 : Effective

Superseding: Original Sheet No.318

SHIPPER NOMINATION FORM

Shipper Name:__________________________

Master Contract No.:___________________ Mississippi Canyon Gas Pipeline, LLC

Service Contract No.:__________________ Transportation Services

Type of Service:_______________________ 1100 Louisiana, Suite 3300

Effective Date:________________________ Houston, Texas 77002

End Date:______________________________ Phone:________________

Shipper Contact:_______________________ Telefax:______________

Title:_________________________________

Date:__________________________________

Phone No.:_____________________________

Telefax No.:___________________________

 

Receipt Interest Supplier Receipt Upstream Delivery Delivery

Downstream Make-up

Point Owner Dth Contract Meter Dth Contract Rank Volume

Meter Dth

Code

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