Western Gas Interstate Company

Fourth Revised Volume No. 1

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Effective Date: 04/01/1996, Docket: CP96- 81-006, Status: Effective

Original Sheet No. 347 Original Sheet No. 347 : Effective

 

 

TRANSPORTATION REQUEST FORM

(continued)

 

7.* The intended use of the gas is:

 

________ system supply

 

________ end use by industry or commerce

 

________ other (fill in)

 

 

________________________________________

 

8. Date service is proposed to commence:

 

________________________________

 

9. Expiration Date:

 

________________________________

 

10. If additional or new facilities are required to receive

or deliver gas for the transportation service requested

herein, please provide description of facilities

required, location, and requested in-service date.

__________________________________________________

 

__________________________________________________

 

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