Arlington Storage Company, LLC

First Revised Volume No. 1

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Effective Date: 11/08/2009, Docket: RP10-67-000, Status: Effective

Original Sheet No. 244 Original Sheet No. 244

 

Exhibit A

to the Hub Services Agreement

between ASC and________________ (Customer)

 

CUSTOMER: ___________________, pursuant to the Hub Services Agreement executed by Customer

and ASC, hereby directs and requests ASC, as Hub Administrator, to do the following:

 

Title Transfer: (from)

Company Name: ___________________________

Address____________________________________

____________________________________

Phone:______________ Fax:__________________

 

 

Title Transfer: (from)

Company Name: ___________________________

Address____________________________________

____________________________________

Phone:______________ Fax:__________________

 

 

POINT(S) OF RECEIPT FOR TITLE TRANSFERS

 

Flow Date:______________________________________________________

Pipeline Name:__________________________________________________

Location - Meter Name & Meter Number:___________________________

Volume (Dth/d):_________________________________________________

 

Shipper's Name:_________________________________

Shipper's Contract Number:______________________

 

 

POINT(S) OF DELIVERY FOR TITLE TRANSFERS

 

Flow Date:______________________________________________________

Pipeline Name:__________________________________________________

Location - Meter Name & Meter Number:___________________________

Volume (Dth/d):_________________________________________________

 

Shipper's Name:_________________________________

Shipper's Contract Number:______________________

 

 

Comments:________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________