Viking Gas Transmission Company

Original Volume No. 1

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Effective Date: 06/01/1991, Docket: GT91- 25-000, Status: Effective

First Revised Sheet No. 165 First Revised Sheet No. 165 : Superseded

Superseding: Original Sheet No. 165

 

 

TRANSPORTATION SERVICE REQUEST FORM (Continued)

 

 

Viking Gas Transmission Company

Page 6

 

 

 

 

14. For firm transportation only, the name and description of Point(s) of Delivery where

Viking will redeliver the gas and the maximum daily quantities expressed in Dth of gas to

be redelivered by Viking for each point:

 

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

 

(The sum of the maximum daily quantities above must equal the maximum daily quantity set

forth in No. 12 above.)

 

 

15. For firm transportation only, the names of those entities delivering gas into Viking'

system and the names of those entities taking gas off Viking's system:

 

Viking Point of Receipt Name/Delivering Entity

 

_________________________ _________________________

_________________________ _________________________

_________________________ _________________________

_________________________ _________________________

 

Viking Point of Delivery Name/Taking Entity

 

_________________________ _________________________

_________________________ _________________________

_________________________ _________________________

_________________________ _________________________