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:

_________________________________________________________________

_________________________________________________________________