Viking Gas Transmission Company

Original Volume No. 1

 Contents / Previous / Next / Main Tariff Index

Effective Date: 11/01/1993, Docket: RS92- 52-001, Status: Effective

Original Sheet No. 116 Original Sheet No. 116 : Superseded

TRANSPORTATION SERVICE REQUEST FORM (Continued)

Viking Gas Transmission Company

Page 10

On Behalf of Entities

Exhibit

METER Name On Behalf of Entity*

*Local Distribution Company or Intrastate Pipeline for service under Subpart B, Part 284.