National Fuel Gas Supply Corporation

Third Revised Volume No. 1

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Effective Date: 06/18/1994, Docket: RP94- 80-003, Status: Effective

First Revised Sheet No. 257A First Revised Sheet No. 257A : Superseded

Superseding: Original Sheet No. 257A

NATIONAL FUEL GAS SUPPLY CORPORATION

HUB NOMINATION FORM

For Transportation and Storage Services

I. GENERAL INFORMATION DATE OF NOMINATION: ________________________

EFFECTIVE DATE: ________________________

NFGSC SHIPPER NAME __________________________ __ Check here for ONE DAY nomination only

CONTRACT NO. __________________________

CONTACT (1) __________________________ NOMINATIONS SHOULD BE SENT TO:

CONTACT (2) __________________________

TELEPHONE # __________________________ National Fuel Gas Supply Corporation

TELECOPY # __________________________ c/o Gas Supply Department

10 Lafayette Square

SIGNED __________________________ Buffalo, New York 14203

Phone (716) 857-7233 Fax (716) 857-7823

II. RECEIPT POINT ON NFGSC (Pipeline, Production Meter, or Storage Service)

COLUMN:

(1) (2) (3) (4) (5) (6) (7)

Meter Number Upstream Upstream Upstream Pipeline Previous Current

(or Meter Pipeline/Entity Producer/Marketer Shipper's Contract No. Nominations Nominations

Name) (If Applicable) (If Applicable) (If Applicable) (MMBtu/Day) (MMBtu/Day) Change

1. __________ ________________ _________________ _____________________ ____________ ___________ ______

2. __________ ________________ _________________ _____________________ ____________ ___________ ______

3. __________ ________________ _________________ _____________________ ____________ ___________ ______

4. __________ ________________ _________________ _____________________ ____________ ___________ ______

5. __________ ________________ _________________ _____________________ ____________ ___________ ______

6. USE EXTRA SHEETS IF NECESSARY. (8) TOTAL RECEIPTS __________________________________

FUEL RETAINED - (0.02 x RECEIPT NOMINATION) __________________________________

IF APPLICABLE, Storage Surface

Operating Allowance (0.014 x Receipt Nominations) _________________________________

(9) TOTAL DELIVERED _________________________________

III. DELIVERY POINT (one per form)

(9) (10) (11) (12)

Meter Number

or Name if Downstream Downstream Downstream Shipper

Not Applicable Pipeline/Entity Shipper Contract No.

________________ _______________ ___________ ___________________