Kinder Morgan Interstate Gas Transmission LLC

Second Revised Volume No. 1-C

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Effective Date: 12/28/1999, Docket: GT00- 19-000, Status: Effective

Original Sheet No. 29 Original Sheet No. 29 : Superseded

TRANSPORTATION SERVICE REQUEST FORM - continued

If person requesting service is an agent of Shipper, please provide

proof of authority to act as agent of Shipper and complete the

following:

Legal Name of Principal: _______________________________, which is

a(n):

___ Local Distribution Company ___ Intrastate Pipeline

___ Interstate Pipeline ___ Producer

___ End User ___ Marketer

___ Other (specify) ______________________________________________

SERVICE REQUESTED

Type of Service requested: ____ 284G ____ 284B

____ Firm ____ Interruptible

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 the gas ____ Take title to the gas

SERVICE INFORMATION

Maximum Daily Transportation Quantity (Total Capacity Reservation

Quantity for firm requests) ____________

Requested term of service:

Initial delivery date: _____________