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Revised Original Sheet No. 405 Revised Original Sheet No. 405 : Superseded

 

 

TRANSPORTATION REQUEST FORM

(continued)

 

 

13. Name and description of Delivery Point(s) where Western will

 

redeliver the gas and the Maximum Daily Quantities expressed in

 

MMBTU to be redelivered by Western for each point:

 

__________________________________________________

 

__________________________________________________

 

__________________________________________________

 

__________________________________________________

 

__________________________________________________

 

 

14. The name of the entity delivering gas into Western's system and

 

the name of the entity taking gas off Western's system;

 

 

Western Receipt Point Name/Delivering Entity

 

________________________ ________________________

 

________________________ ________________________

 

________________________ ________________________

 

 

Western Delivery Point Name/Taking Entity

 

________________________ ________________________

 

________________________ ________________________

 

________________________ ________________________