Viking Gas Transmission Company

First Revised Volume No. 1

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

Second Revised Sheet No. 112 Second Revised Sheet No. 112 : Superseded

Superseding: First Revised Sheet No. 112

SERVICE REQUEST FORM (Continued)

Viking Gas Transmission Company

Page 6

14. For firm transportation only, the name and description of Point(s)

of Delivery where Viking will redeliver the gas and the maximum

daily quantities expressed in Dth of gas to be redelivered by

Viking for each point:

_________________________________________________________________

(The sum of the maximum daily quantities above must equal the maximum

daily quantity set forth in No. 12 above.)

15. For firm transportation only, the names of those entities delivering

gas into Viking's system and the names of those entities taking gas

off Viking's system:

Viking Point of Receipt Name/Delivering Entity

_________________________ _________________________

Viking Point of Delivery Name/Taking Entity

_________________________ _________________________