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Revised Original Sheet No. 406 Revised Original Sheet No. 406 : Superseded

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):

__________________________________________________

__________________________________________________

__________________________________________________

__________________________________________________