Mogas Pipeline LLC (Fomerly Missouri Interstate Gas)
First Revised Volume No. 1
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Effective Date: 06/01/2008, Docket: CP06-407-002, Status: Effective
Original Sheet No. 101 Original Sheet No. 101 : Pending
MoGas Pipeline LLC
FORM OF TRANSPORTATION SERVICE REQUEST
Page 2
SERVICE REQUESTED
Type of Service requested: ____ Firm ____ Interruptible
____ New ____ Amendment to Service Agreement dated:_____________
SERVICE INFORMATION
Maximum Daily Quantity __________________ Dekatherms
Requested term of service:
Initial delivery date __________________
Termination date __________________
Total contract volume over life of contract
(affiliate transactions only) __________________ Dekatherms
Are additional or new facilities required for Transporter to
receive or deliver gas for the transportation service requested
herein?
____ Yes ____ No
If yes, state type of additional or new facilities:_______________________
Provide the identity of:
any immediate upstream Transporters of the gas to the Receipt Point:
__________________________________
__________________________________
any immediate downstream Transporters of the gas from the Delivery
Point:
___________________________________
___________________________________
The name(s) of End User(s) (must be provided at time of execution
of service agreement):
State any affiliation between Transporter and any of the
following entities:
Yes No If yes, name affiliate:
Shipper ____ ____ ___________________________________
End User ____ ____ ___________________________________
Supplier ____ ____ ___________________________________
Other* ____ ____ ___________________________________
*Describe involvement of any "Other" affiliate of Transporter in this
transaction:
_________________________________________________________________
_________________________________________________________________