Viking Gas Transmission Company
Original Volume No. 1
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Effective Date: 11/01/1993, Docket: RS92- 52-001, Status: Effective
Original Sheet No. 108 Original Sheet No. 108 : Superseded
TRANSPORTATION SERVICE REQUEST FORM (Continued)
Viking Gas Transmission Company
Page 2
4. Name of Shipper's contact, address and telephone number through which correspondence for
the following should be directed:
Contact For Request: _______________________________
_______________________________
_______________________________
_______________________________
Contact for Notices: _______________________________
_______________________________
_______________________________
_______________________________
Contact For Invoices: _______________________________
_______________________________
_______________________________
_______________________________
5. Shipper is seeking transportation by Viking pursuant to:
a) Subpart B of the Commission's Regulations, on behalf of a local distribution
company.
____________________________________________________
Name of Company/Companies
b) Subpart B of the Commission's Regulations, on behalf of an intrastate pipeline.
____________________________________________________
Name of Company/Companies