White River Hub, LLC

Original Volume No. 1

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Effective Date: 10/01/2009, Docket: RP09-1027-000, Status: Effective

First Revised Sheet No. 222 First Revised Sheet No. 222

Superseding: Original Sheet No. 222

 

Contract No. ________

Amendment No. ________

 

INTERRUPTIBLE TRANSPORTATION SERVICE AMENDMENT FORM

Rate Schedule IT

 

Amended Terms

 

1. SHIPPER'S NAME AND ADDRESS:

_____________________________

_____________________________

_____________________________

 

2. QUANTITY TO BE TRANSPORTED:

 

________ Dth/day

 

3. TERM OF AGREEMENT:

 

_________________ through _________________

 

4. RENEWAL TERM:

 

________ None

________ Month to month

________ Year to year

________ Other

This Agreement may be terminated by either party by giving

written notice:

________ days before the expiration of its primary term.

________ days before the expiration of any renewal term.

 

5. USAGE CHARGE:

________ The systemwide rate on White River's Statement of Rates.

________ See additional terms

 

 

Receipt Pt. Delivery Pt. Type of Usage Rate

MAP No. MAP No. Charge $/Dth

________ ________ ________ ________