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First Revised Sheet No. 256 First Revised Sheet No. 256 : Superseded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