Young Gas Storage Company, Ltd.

Original Volume No. 1

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Effective Date: 08/01/2010, Docket: RP10-921-000, Status: Effective

Sixth Revised Sheet No. 57 Sixth Revised Sheet No. 57

Superseding: Fifth Revised Sheet No. 57

 

GENERAL TERMS AND CONDITIONS

(Continued)

 

4.2 Service Request Form

 

SHIPPER/INFORMATION: TRANSPORTER:

1. Billing Address:

(To Whom Invoices Should be Addressed) Young Gas Storage Company, Ltd.

c/o Colorado Interstate Gas Company

Legal Company Name ______________________ P. O. Box 1087

Street Address ______________ Zip _______ Colorado Springs, CO 80944

P.O. Box ____________________ Zip _______ Attn: Vice President, Marketing

City ____________________ State _________ c/o Customer Service

Attn: __________________________ Representative

Telephone: _____________________ Telephone: (866) 523-4250

Telecopier: _____________________ Telecopier: (719) 520-4878

Dispatcher: ___________ Telephone: ______ Verification: (719) 520-4371

Dun & Bradstreet(DUNS) Number____________

 

Shipper Address

(To Whom Notices Should be Addressed)

 

Legal Company Name ________________________

Street Address ________________ Zip _______

P.O. Box ______________________ Zip _______

City ____________________ State ___________

Attn: _____________ Telephone: ___________

Telecopier: _____________________

 

Requestor Address

(If Different From The Billing Address)

 

Legal Company Name ________________________

Street Address ________________ Zip _______

P.O. Box ______________________ Zip _______

City ____________________ State ___________

Attn: _____________ Telephone: ___________

Telecopier: _____________________

 

2. SHIPPER TYPE: ___ LDC ___ INTERSTATE PIPELINE

__INTRASTATE PIPELINE ___ END USER ___ PRODUCER

__MARKETER/BROKER ___ OTHER (PLEASE SPECIFY) _______