Viking Gas Transmission Company

Original Volume No. 1

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

First Revised Sheet No. 166 First Revised Sheet No. 166 : Superseded

Superseding: Original Sheet No. 166

TRANSPORTATION SERVICE REQUEST FORM (Continued)

Viking Gas Transmission Company

Page 7

* 16. If Shipper is purchasing gas, provide the name of producer(s) of the gas, seller (if

different from producer), location (FERC Geographic Area) of the source(s) of supply,

indication of the FERC Geographic Area associated with the anticipated primary source of

supply, contract quantity, and the effective and termination date(s) of executed

Agreement(s) between Shipper and seller(s):

_____________________________________________

* 17. If Shipper is selling gas, provide the name of purchaser(s) of the gas, contract

quantity, and the effective and termination date(s) of executed Agreement(s) between

Shipper and purchaser(s):

_____________________________________________

18. Credit Evaluation - Please provide a copy of Shipper's most recent quarterly financial

statement, most recent annual report and Form 10K and a complete list of all affiliates

including parent and subsidiary companies.

19. Is requestor affiliated with Viking Gas Transmission Company? ______ Yes

______ No

If yes, what is the percentage of affiliation? ______%

* This information is not required at the time of the request but is required at the time

Shipper executes the Gas Transportation Agreement.