Western Gas Interstate Company

Fourth Revised Volume No. 1

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

Original Sheet No. 350 Original Sheet No. 350 : Effective

TRANSPORTATION REQUEST FORM

(continued)

15.* 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, contract quantity, and the

effective and termination date(s) of executed

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

__________________________________________________

16.* 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):

__________________________________________________