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First Revised Sheet No. 167 First Revised Sheet No. 167 : Superseded

Superseding: Original Sheet No. 167

 

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 Number: ________ 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

------------------- ---------- ---------- ---------- ---------- ---------------- ----------------

(14.73) (14.73)

 

------------------- ---------- ---------- ---------- ---------- ---------------- ----------------

 

------------------- ---------- ---------- ---------- ---------- ---------------- ----------------

 

------------------- ---------- ---------- ---------- ---------- ---------------- ----------------

 

------------------- ---------- ---------- ---------- ---------- ---------------- ----------------

 

Total ________________

 

Viking's Delivery Point

 

Previous New

Delivery Delivery

Delivery Less Fuel Less Fuel

Meter Delivery Phone @ 14.73 Psia @ 14.73 Psia

Number Delivery Description Company/Contract Number MMBTU MMBTU

--------- --------------------- --------------------- ---------- ---------------- ----------------

 

--------- --------------------- --------------------- ---------- ---------------- ----------------

 

--------- --------------------- --------------------- ---------- ---------------- ----------------

 

--------- --------------------- --------------------- ---------- ---------------- ----------------

 

Total ________________

 

 

Note: 1. Please confirm changes with Viking's Gas Analysts at (713) 757-1500; (800) 544-6449 (outside

Texas).

2. All information must be furnished to Viking 24 hours prior to the effective date before

a nomination can be processed.

 

 

Shipper Contact: ______________________

Title: ______________________

Date: ______________________

Telefax Number: ______________________