Nora Transmission Company

First Revised Volume No. 1

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Effective Date: 04/01/1994, Docket: CP93-568-002, Status: Effective

Original Sheet No. 304 Original Sheet No. 304 : Superseded

Service Request Form (continued)

Internal Use Only

1. Date and Time Request received______________________________________

2. Sufficient Data (Y/N)_______________________________________________

If no, date letter sent:____________________________________________

3. Agreement Date:_____________________________________________________

4. Agreement No.:______________________________________________________

5. Nature, if any, of Customer's affiliation with Nora Transmission

Company ____________________________________________________________