Ozark Gas Transmission, L. L. C.

First Revised Volume No. 1

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Effective Date: 11/16/2009, Docket: RP09-1040-000, Status: Effective

Original Sheet No. 241 Original Sheet No. 241

FORM OF SERVICE AGREEMENT FOR

CAPACITY RELEASE UMBRELLA AGREEMENT UNDER

RATE SCHEDULES FTS AND FSS

(Continued)

Deal No.: __________

Transporter's Addendum Contract No.: __________

Capacity Release Umbrella Agreement No.: __________

Addendum No.____

Capacity Release

Rate Schedule ___

Replacement Shipper: _____________________________________

Releasing Shipper: _______________________________________

Releasing Shipper's Contract No.: _____________________

Begin Date of Release: ___________________

End Date of Release: ___________________

Rates: [Volumetric or Reservation]

Reservation Charge $ _______

Space Charge $ _______

Surcharges: Description Rate

________________________________ $______

________________________________ $______

________________________________ $______

________________________________ $______

Volume Commitment (Dth/Monthly Billing Period)

Maximum Daily Quantity (MDQ): ___________ (Dth)

Maximum Storage Quantity (MSQ): ___________ (Dth)

Maximum Daily Injection Quantity (MDIQ): __ ___________ (Dth)

Maximum Daily Withdrawal Quantity (MDWQ): __ ___________ (Dth)