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. 102 Original Sheet No. 102 : Pending
MoGas Pipeline LLC
FORM OF TRANSPORTATION SERVICE REQUEST
Page 3
If Shipper is a marketing affiliate of Transporter, does the cost
of gas to the Shipper exceed the price received for the sale of
gas by the affiliated marketer after deducting associated costs,
including those incurred for transportation (i.e., is the gas
being sold at a loss?):
Yes____ No____
If so, by what amount? _____________________________ per Dth
If this information is not known, it must be supplied as soon as
possible.
Shipper understands that this request form, complete and
unrevised as to format, and a credit application must be received
by Transporter before the request will be accepted and processed.
Shipper further understands that Transporter is an interstate
pipeline subject to the regulations of the Federal Energy
Regulatory Commission ("FERC"), and that Shipper's request will
become part of a log available for public inspection. Shipper
hereby agrees to pay Transporter's currently effective
transportation rate applicable for this service and to comply
with all applicable terms of Transporter's Tariff. Shipper agrees
that it will reimburse Transporter for filing fees upon receipt
of an invoice therefore.
Shipper, by its signature, represents to Transporter that the
information above is correct and accurate.
By:____________________________________
Signature
_______________________________________
Typed Name and Title
Telephone Number ____________________
Facsimile Number ____________________