MidContinent Express Pipeline LLC

Original Volume No. 1

Effective Date: 04/10/2009, Docket: RP09-136-000, Status: Effective

Original Sheet No. 303 Original Sheet No. 303

EXHIBIT A

DATED ............

Company:

Contract No.:

Receipt Point(s):

[FTS Only]

MDQ

Name / Location County Area State PIN No. (Dth)

-------------------------------- ----------------- ----- ------- ----

PRIMARY RECEIPT POINT(S):

................................ .................. ..... ...... .....

................................

SECONDARY RECEIPT POINT(S):

................................ .................. ..... ...... .....

................................

Receipt Pressure, Assumed Atmospheric Pressure

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Gas to be delivered to MEP at the Receipt Point(s) shall be at the pressure prevailing on

MEP's System at that point, but shall not in excess of the Maximum Allowable Operating

Pressure (MAOP) stated for each Receipt Point in MEP's Catalog of Points. The measuring party

shall use or cause to be used an assumed atmospheric pressure corresponding to the elevation

at such Receipt Point(s).

Rates

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The rates shall be the applicable maximum rate and other applicable lawful charges

except as otherwise provided in a separate written agreement. Such agreement shall be

consistent with Section 34 or 30 of this Tariff (relating to discounts and to negotiated

rates, respectively).

Fuel Gas and Unaccounted For Gas Percentages (%)

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Shipper will be assessed the applicable percentages for Fuel Gas, for Booster

Compression fuel and for Unaccounted For Gas unless MEP and Shipper mutually agree on monetary

reimbursement.