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Revised Original Sheet No. 407 Revised Original Sheet No. 407 : Superseded

 

 

TRANSPORTATION REQUEST FORM

(continued)

 

 

17. Credit Evaluation - Please provide a copy of Shipper's most

 

recent quarterly financial statement, most recent annual report

 

and Form 10K and a complete list of all affiliates including

 

parent and subsidiary companies.

 

 

18. Is any party to the transaction affiliated with Western or

 

Southern Union Gas Company? _____ Yes _____ No

 

If yes, which party or parties?

 

__________________________________________________

 

__________________________________________________

 

 

If yes, what is the percentage of affiliation?

 

____________%

 

 

19. Is any of the gas to be transported subject to take-or-pay

 

crediting? _____ Yes _____ No

 

 

If yes, what percentage of total contract quantity to be

 

transported is subject to take-or-pay crediting?

 

____________%