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Revised Original Sheet No. 404 Revised Original Sheet No. 404 : Superseded

TRANSPORTATION REQUEST FORM

(continued)

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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11. The Maximum Daily Transportation Quantity to be transported is

________________ MMBTU.

12. Name and description of Receipt Point(s) into Western's system

and the Maximum Daily Quantities expressed in MMBTU to be

delivered by Shipper for each point:

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