Viking Gas Transmission Company

First Revised Volume No. 1

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Effective Date: 01/01/2000, Docket: RP00-110-000, Status: Effective

Second Revised Sheet No. 109 Second Revised Sheet No. 109 : Superseded

Superseding: First Revised Sheet No. 109

SERVICE REQUEST FORM (Continued)

Viking Gas Transmission Company

Page 3

c) Subpart G of the Commission's Regulations, on behalf of an

interstate pipeline.

____________________________________________________

Name of Company/Companies

d) Subpart G of the Commission's Regulations, on behalf of

Shipper(s) other than interstate pipeline.

____________________________________________________

Name of Company/Companies

e) Other. Specify what Commission authorization is being

requested.

____________________________________________________

(Viking reserves the right to require proof that Shipper's request meets

the requirements of the applicable Commission Regulations at the time

Shipper executes the Gas Transportation Agreement or Gas Park and Loan

Agreement.)

6. a) Has NEB export authorization been applied for?

_______ Yes

_______ No

If NEB authorization has been applied for, please state:

i. Date of Application ____________________________

ii. Volume to be Exported ____________________________

iii. Current Status ____________________________

b) Has DOE import authorization been applied for?:

______ Yes

______ No