U S G Pipeline Company

ORIGINAL VOLUME NO. 1

 Contents / Previous / Next / Main Tariff Index

 

 

Effective Date: 01/19/2009, Docket: RP09-177-000, Status: Effective

Second Revised Sheet No. 81 Second Revised Sheet No. 81

Superseding: First Revised Sheet No. 81

 

Date:___________

EXHIBIT R-_____

to the

Released Transportation Service Agreement

between USG Pipeline Company (Transporter)

and _________________________________ (Replacement Shipper)

dated _____________

 

 

Additional Conditions of Release:

_________________________________

 

 

 

 

Notices shall be made to:

 

Robert B. Cooper

USG Pipeline Company

550 West Adams Street

Dept. # 143-61

Chicago, Illinois 60661-3676

 

 

 

Replacement Shipper (contact person with address, including email, phone

and fax):

___________________________________

___________________________________

___________________________________

___________________________________

 

 

Releasing Shipper (contact person with address, including email, phone

and fax)::

__________________________________

___________________________________

___________________________________

___________________________________

 

Signature:

 

__________________________

For Replacement Shipper

Name:

Title:

Date: ____________