Kinder Morgan Interstate Gas Transmission LLC

Fourth Revised Volume No. 1-A

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Effective Date: 03/01/2003, Docket: RP03-245-000, Status: Effective

Original Sheet No. 148U.19 Original Sheet No. 148U.19 : Effective

 

RO No.:

 

S-PALS REQUEST ORDER FORM

DATED

Shipper: Type of Service: Park Loan

 

Initiation Point Name(s) and PIN(s): MAQ RO: (Dth)

 

Completion Point Name(s) and PIN(s) Minimum Aggregate Quantity

 

Term: Start End S-PALS Agreement #:

 

Schedule:

 

Date(s) Service to be Provided Daily Quantity (Dth)

(May Reflect a Range of Dates) (May Reflect a Range of Volumes)

------------------------------- -----------------------------------------

From Through Park or Loan Payback Loan or Park Withdrawal

Minimum Maximum Minimum Maximum

----------- ----------- -------- --------- --------- ---------

 

 

 

 

 

 

 

 

 

Rates: Rates may vary based on volume, time period, etc., as set out in the Pro Forma Service

Agreement.

Park or Loan Payback = volumes which Transporter RECEIVES from Shipper.

Park or Loan Withdrawal = volumes which Transporter DELIVERS to Shipper.

 

Inital Rate:

 

Completion Rate:

 

Park/Loan Balance Rate:

 

 

Service will be ON BEHALF OF:

Shipper [ ] or Other [ ] , a

 

SHIPPER'S CONTACT AND ADDRESS

 

 

 

 

 

Phone: Fax:

 

Other Conditions (if any):

 

Agreed to by:

TRANSPORTER SHIPPER

 

BY: BY:

 

NAME: NAME:

 

TITLE: TITLE: