U S G Pipeline Company

ORIGINAL VOLUME NO. 1

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Effective Date: 04/01/2000, Docket: CP99-211-001, Status: Effective

Original Sheet No. 98 Original Sheet No. 98 : Effective

 

SERVICE REQUEST FORM

 

Shipper understands that this request form, complete and unrevised as to

format, and any required prepayment must be received by Transporter before

the service request will be accepted and processed.

 

Shipper, by its signature, certifies to Transporter (1) that the information

above is correct and accurate and that all necessary transportation

arrangements with the upstream and downstream Transporters have been or will

be secured prior to the commencement of the requested service (2) that Shipper

will have title, or the right to acquire title, to the gas that is to be

delivered to Transporter and (3) that Shipper will advise Transporter of any

changes in the information provided in item 18 five business days prior to the

end of any month for the preceding month's transportation business in which a

change occurred.

 

Submitted this day of , 20

 

Very truly yours,

 

_______________________________

 

By ____________________________

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