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. 104 Original Sheet No. 104 : Pending

 

 

MoGas Pipeline LLC

FORM OF TRANSPORTATION SERVICE CREDIT AGREEMENT

 

Page 2

 

Is Parent company responsible for subsidiary's debts? Yes No

If yes, please furnish documentation.

 

Billing Address __________________________

___________________________________________

___________________________________________

Contact Person _________________________ Phone ____________________

 

Amount of Credit Requested $_____________ Net Worth $________________

 

Please Furnish One Bank Reference

 

Name ___________________________________

Phone__________________________

Address ________________________________ Account Types _________________

_________________________________________ Account Nos.___________________

_________________________________________

Contact ________________________________

 

Please Furnish Two Business Credit References

 

Name____________________________ Name____________________________

Address_________________________ Address____________________________

_________________________________ __________________________________

_________________________________ __________________________________

Contact__________________________ Contact___________________________

Phone____________________________ Phone_____________________________

 

Shipper's estimate of activity under all transportation agreement with

MoGas Pipeline LLC:

 

Estimated Monthly Transportation Charges $____________________

Is Shipper:

Operating under federal bankruptcy laws? Yes ___No ___

 

Subject to liquidation or debt reduction under state laws? Yes ___ No ___

 

Subject to pending liquidation or regulatory proceedings in state

or federal courts which could cause a substantial deterioration of Shipper's

financial condition? Yes ___ No ___

 

Subject to any collection lawsuits or outstanding judgments which

would affect Shipper's ability to remain solvent? Yes ___ No ___