Questar Southern Trails Pipeline Company

Original Volume No. 1

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Effective Date: 10/14/2008, Docket: CP99-163-004, Status: Effective

First Revised Sheet No. 124 First Revised Sheet No. 124

Superseding: Original Sheet No. 124

Contract No. _____

Amendment No. _____

FIRM TRANSPORTATION SERVICE AMENDMENT FORM

Rate Schedule FT

Amended Terms

1. SHIPPER'S NAME AND ADDRESS:

____________________________________

____________________________________

____________________________________

2. RATE SCHEDULE FT RESERVED DAILY CAPACITY:

____________ Dth/day

3. TERM OF AGREEMENT:

____________ to ____________

4. RENEWAL TERM:

________ None

________ Month to month

________ Other: ____________________

5. PRIMARY RECEIPT POINTS:

________ Add

________ Permanently Release

Meter No. Capacity

__________ __________

__________ __________

__________ __________

6. PRIMARY DELIVERY POINTS:

________ Add

________ Permanently Release

Meter No. Capacity

__________ __________

__________ __________

__________ __________