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Original Sheet No. 109 Original Sheet No. 109 : Superseded

TRANSPORTATION 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.)

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