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. 171 Original Sheet No. 171 : Effective

 

 

REQUEST FOR SERVICE (continued)

 

 

 

12.Delivery Point(s)

 

Delivery point(s) and estimate of gas quantities (MMBtu @

14.73 dry):

 

Estimate of

Delivery Point Gas Quantities

Meter No. & Name (MMBtu)

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

 

Through signature hereunder, the party requesting

transportation service states that the information herein is

complete and accurate to the best of its knowledge,

information and belief.

 

_____________________________________

Company Name

 

By: ________________________________________

Name and Title

 

 

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FOR TRANSPORTER USE ONLY

 

Transporter Log Number: _______________

 

Date Request Received _______________

 

Date Requestor Notified of Incomplete Status __________

 

Date Request Accepted as Complete & Valid ____________

 

Related Docket Number ___________________

 

Credit Application ___________________

 

Representative ___________________