K O Transmission Company

Original Volume No. 1

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

*****************************************************************

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 ___________________