Kinder Morgan Interstate Gas Transmission LLC

Fourth Revised Volume No. 1-A

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Effective Date: 06/01/2004, Docket: CP03- 39-001, Status: Effective

First Revised Sheet No. 143 First Revised Sheet No. 143 : Effective

Superseding: Original Sheet No. 143

TRANSPORTATION SERVICE REQUEST FORM - continued

Legal Name of Principal: ,

which is a(n):

Local Distribution Intrastate Pipeline

Company

Interstate Pipeline Producer

End User Marketer

Other (specify)

SERVICE REQUESTED

Type of Service

requested: 284G 284B

Firm Interruptible

Transportation Transportation

Firm Storage Interruptible Storage

No-Notice Service

CMC-1 CMC-2

284B INFORMATION

*"On behalf of" Entity information (letter required) - Section 311

service will be "on behalf of" pursuant to Subpart B of Part 284 of the

FERC regulations:

Legal Name: , which is

an: LDC Intrastate Pipeline

The named "on behalf of" entity will:

Transport Take title to the gas

the gas