K O Transmission Company

Original Volume No. 1

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Effective Date: 04/22/1996, Docket: CP95-149-001, Status: Effective

Original Sheet No. 167 Original Sheet No. 167 : Effective

REQUEST FOR SERVICE (continued)

TO BE COMPLETED ONLY IF AGENT IS USED

V. Notices

Attention: _______________________________

Company: _______________________________

Street Address: _______________________________

City: _______________________________

State: _______________________________

Zip: _______________________________

Telephone: _______________________________

Fax: _______________________________

VI.Dispatching and Nominations

Attention: _______________________________

Company: _______________________________

Street Address: _______________________________

City: _______________________________

State: _______________________________

Zip: _______________________________

Telephone: _______________________________

Fax: _______________________________

VII. Billing Invoices and Imbalance Statements

Attention: _______________________________

Company: _______________________________

Street Address: _______________________________

City: _______________________________

State: _______________________________

Zip: _______________________________

Telephone: _______________________________

Fax: _______________________________

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TRANSPORTER USE ONLY

Vendor Code __________

Company Abbrev. __________

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