National Fuel Gas Supply Corporation

Third Revised Volume No. 1

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Effective Date: 06/01/1995, Docket: RP95-286-000, Status: Effective

First Revised Sheet No. 256 First Revised Sheet No. 256 : Superseded

Superseding: Original Sheet No. 256

 

 

 

SERVICE REQUEST FORM - PAGE 4

 

 

18. CREDIT EVALUATION: Shipper has provided National with a copy of its

most recent audited financial statement, annual report, and form

10K, and a complete list of affiliates including parent and

subsidiary companies.

 

___ YES ___ NO

 

If No OR if above financial statement does not meet National's

credit worthiness standards, Shipper agrees to provide an

alternative demonstration of credit worthiness.

 

For FT, FSS, and incremental EFT and ESS service only, a prepayment

is required in an amount equal to the lesser of $10,000 or the total

Reservation Charge applicable to the proposed service for a two-

month period, but in no event less than $5,000.

 

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

format, must be received by National before the request will be "logged

in". Shipper hereby agrees to pay National's currently effective rate

applicable to this service. Shipper understands that National will not

file for FERC authorization to perform service on Shipper's behalf until

it receives the required filing fee from Shipper.

 

 

Very truly yours,

 

 

__________________________

(Shipper)

 

By: _______________________

 

Title: ____________________

 

Date: ____________________