White River Hub, LLC

Original Volume No. 1

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Effective Date: 11/01/2008, Docket: RP08-645-000, Status: Effective

Original Sheet No. 250 Original Sheet No. 250

SHIPPER INQUIRY FORM

Name of inquirer __________________________________________________________

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___________________________________________________________________________

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Identification of contract

under question ____________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Designation of time period

Involved __________________________________________________________________

Nature of inquiry or complaint ____________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Signature___________________________

Title __________________________

Date and time received by White River:

__________________________________________

White River's Representative:

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