Western Gas Interstate Company

Third Revised Volume No. 1

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Effective Date: 06/01/1993, Docket: RS92- 53-003, Status: Effective

Revised Original Sheet No. 402 Revised Original Sheet No. 402 : Superseded

TRANSPORTATION REQUEST FORM

(continued)

Contact for Notices:

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Contact for Invoices:

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5. Shipper is seeking transportation by Western pursuant to (check

one):

_______ A. Subpart G of the Commission's Regulations, on

behalf of an interstate pipeline.

_______ B. Subpart G of the Commission's Regulations, on

behalf of Shipper(s) other than an interstate

pipeline.

_______ C. Other. Specify what Commission authorization is

being requested.

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