Enbridge Offshore Pipelines (Utos) LLC

FIFTH REVISED VOLUME NO. 1

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Effective Date: 08/01/2009, Docket: RP09-815-000, Status: Effective

First Revised Sheet No. 324 First Revised Sheet No. 324

Superseding: Original Sheet No. 324

 

ENBRIDGE OFFSHORE PIPELINES (UTOS) LLC

NOMINATION REQUEST FORM

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

Time/Date Stamp: _______________________

Service Provider Name: ____________________________

Service Provider ID #: ____________________________

 

Service Requester Name: ____________________________

Service Requester ID#: ____________________________

Representative: ____________________________

Telephone No.: ____________________________

Facsimile No.: ________________________________________

 

Beginning Date: __________________________

Beginning Time: ___________________________

Ending Date: ______________________________

Ending Time: ______________________________

 

Capacity Type Indicator (T, FT,): ___________________________

Service Requester Contract Number: ___________________________

Model Type: _____________________________________

Quantity Type Indicator: ________________________

Transaction Type: _______________________________

 

 

ALWAYS FACSIMILE NOMINATION REQUESTS TO THE FOLLOWING LOCATION:

 

Enbridge Offshore Pipelines (UTOS) LLC

1100 Louisiana, Suite 3300

Houston, Texas 77002

Attn: Volume Management

Facsimile No.: (832) 214-5761

Telephone No.: (713) 821-2167

 

Pipeline Delivery

 

Upstream Upstream Upstream Downstream

Origin. Location Identifier Contract Qty Identifier Qty

Pipeline Code Code Identifier Dth/D Location Code Dth/D

 

 

 

 

 

By signing this Nomination/Schedule, Shipper certifies that Shipper has title

to the Gas or right to deliver the Gas which is to be transported by UTOS.

 

By: __________________________________________

 

Title: __________________________________________