Viking Gas Transmission Company

First Revised Volume No. 1

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Effective Date: 09/01/1999, Docket: RP99-489-000, Status: Effective

Third Revised Sheet No. 117 Third Revised Sheet No. 117 : Superseded

Superseding: Second Sub Second Revised Sheet No. 1

 

CUSTOMER NOMINATION FORM

Viking Gas Transmission Company for

825 Rice Street Viking Gas Transmission

St. Paul, MN 55117

Telefax: (651) 229-2434

 

Service Number: _________________________________________ Type of Service: _______________________________

 

Customer Name: __________________________________________ Effective Date/Time: ______________________/________

 

Upstream Payback Downstream Payback

Meter Service No. MMBTU P/S Code Fuel Meter Service No. MMBTU P/S Code Rank

---------- --------------- ---------- -------- --------- ------- -------- ------------- --------- ----- --------- ------

__________ _______________ __________ ________ _________ _______ ________ _____________ _________ _____ _________ ______

__________ _______________ __________ ________ _________ _______ ________ _____________ _________ _____ _________ ______

__________ _______________ __________ ________ _________ _______ ________ _____________ _________ _____ _________ ______

__________ _______________ __________ ________ _________ _______ ________ _____________ _________ _____ _________ ______

 

 

Customer Contact: __________________________________________________

Title: __________________________________________________

Date: __________________________________________________

Phone #: __________________________________________________

Fax #: __________________________________________________

*Payback Code P/S Meter Indicator

0=None P=Primary I authorize Viking to act on my behalf for

1=Pre-Order 636 prior period S=Secondary (please check appropriate box)

2=Post-Order 636 prior period ____ Nominations

3=Current Month ____ Confirmations