Oktex Pipeline Company

Original Volume No. 1

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Effective Date: 05/20/1993, Docket: RS92- 70-001, Status: Effective

Original Sheet No. 43 Original Sheet No. 43 : Effective

 

(3) Date service is proposed to terminate (which shall

not be earlier than one (1) month from the date

service is to commence):

_____________________________________________

 

(j) (1) The source(s) of gas supply (to be provided upon

execution of the transportation contract by the

parties thereto):

 

_______________________________________

_______________________________________

 

(2) The state of the ultimate end user of the gas (to be

provided upon execution of the transportation

contract by the parties thereto):

 

 

____________________________________________________________________

 

(k) (1) a copy of Requesting Shipper's most recent audited

financial statements:

 

(2) a copy of Requesting Shipper's most recent Annual

Report and 10-K Form, if applicable, and any other

information demonstrating credit worthiness as

provided for in Article XXVI of the General Terms and Conditions of OkTex

Pipeline Company's FERC Gas Tariff; and

 

(3) a list of Requesting Shipper's affiliates, including

parent and subsidiaries, if applicable, including

the specific affiliation of the requesting Shipper with

OkTex Pipeline Company, and the extent of OkTex Pipeline Company's

affiliation, if any, with the person to be provided

transportation service, and the extent of the

supplier's affiliation with OkTex Pipeline Company.

 

(l) (1) Certificaion by Requesting Shipper that Requesting

Shipper has good title to, or a current contractual

right to acquire such title to, the gas to be transported

by OkTex Pipeline Company.

 

(2) Certification by Requesting Shipper that prior to

the commencement of service by OkTex Pipeline

Company, Requesting Shipper has or will enter into all

necessary third party transportation agreements to transport the gas to OkTex

Pipeline Company and to the party ultimately

receiving the gas.

 

(3) Certification by Requesting Shipper that Requesting

Shipper has a sales contract or will enter into such

sales contract with the party ultimately receiving

the gas, prior to the commencement of service by OkTex Pipeline

Company.

 

(m) Whether any of the gas being transported is subject to take-

or-pay relief for OkTex Pipeline Company and, if so, how much,

 

(n) Whether and by how much the cost of the gas to ONEOK Products

Company exceeds the price received for the sale of the gas by ONEOK Products

Company, after deducting associated costs, including those incurred for

transportation.

 

Requesting Shipper understands that this Service Request Form, complete and

unrevised as to format, must by received by OkTex Pipeline Company before the

transportation request will be accepted and processed. Requesting Shipper

further understands that OkTex Pipeline Company is an interstate pipeline

subject