Portland General Electric Company

Original Volume No. 1

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Effective Date: 12/03/2003, Docket: RP04- 48-000, Status: Effective

Original Sheet No. 122 Original Sheet No. 122 : Effective

 

 

GENERAL TERMS AND CONDITIONS

(Continued)

 

24. FORM OF TRANSPORTATION REQUEST

 

Portland General Electric Company ("Transporter")

Transportation Request

Shipper Information

 

1. Shipper Name: __________________________________________________

(Legal Name of Party who will be signing Agreement)

 

(a) Requester: ________________________________________________

(if other than Shipper)

 

2. Shipper is (Check One)

 

_____ End User _____ Hinshaw Pipeline

_____ LDC _____ Producer

_____ Interstate Pipeline _____ Marketer

_____ Intrastate Pipeline _____ Other_____________________

(please specify)

 

3. Shipper's Contact Person ______________________________________

Phone Number (___)_________________________________

Telecopy Number (___)_________________________________

 

4. Address: Notices to: ______________________________________

P.O. Box & Zip ______________________________________

Street & Zip ______________________________________

City, State ______________________________________

Attention ______________________________________

Email Address: ______________________________________

Invoices to: ______________________________________

P.O. Box & Zip ______________________________________

Street & Zip ______________________________________

City, State ______________________________________

Attention ______________________________________

 

Regulatory/"On Behalf of" Information

 

5. Shipper hereby requests:

 

___ Section 311 transportation pursuant to Section 284.102 for service on

behalf of a local distribution company or an intrastate pipeline.

___ Open access transportation pursuant to Section 284.222 for service on

behalf of an interstate pipeline.

___ Open access transportation pursuant to Section 284.223 for service on

behalf of a shipper other than an interstate pipeline.

___ Not Applicable

 

6. If service is requested pursuant to Section 284.102 above, identify the

"on behalf of" party associated with the transportation service requested:

 

Legal Name: ____________________________________________________