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Original Sheet No. 117 Original Sheet No. 117 : Superseded

 

 

 

CUSTOMER NOMINATION FORM

 

 

Viking Gas Transmission Company

P. O. Box 2511

Houston, Texas 77252

(713) 757-1500; (800) 544-6449 (outside Texas)

Telefax: (713) 757-5494

 

Shipper: _______________________________

Phone No.: _______________________________

Initial Service: _______________________________

 

Contract No.: _______________________________

Effective Date of Requested Service: ___________

 

 

Receipt Point into Viking

 

 

Previous New

Volume Receipt Receipt Receipt Receipt

Source Meter Company/ Volume Request Volume Request

Description Number Contract Operator Producer MMBTU MMBTU

 

__________ ______ ________ ________ ________ ______________ ______________

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Total ______________

 

 

Viking's Delivery Point

 

Previous New

Delivery Delivery

Delivery Delivery Less Fuel Less Fuel

Meter Delivery Company/ Phone @ 14.73 Psia @ 14.73 Psia

Number Description Contract Number MMBTU MMBTU

 

_________ ___________ ________ ________ _____________ ____________

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_________ ___________ ________ ________ _____________ ____________

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Total ____________