High Island Offshore System, L.L.C.
Third Revised Volume No. 1
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Effective Date: 12/15/2007, Docket: RP08- 65-000, Status: Effective
Third Revised Sheet No. 187 Third Revised Sheet No. 187 : Effective
Superseding: Second Revised Sheet No. 187
HIGH ISLAND OFFSHORE SYSTEM
FIRM SHIPPER
CAPACITY RELEASE FORM
Prearranged Transaction
-----------------------
Send to: High Island Offshore System
P. O. Box 4324
Houston, Texas 77210-4324
Attention: Manager, Contract Administration
Telecopier Number: (713) 381-7996
Verification Number: (713) 381-7940
Information Required for Valid Release Proposal
1. Releasing Shipper's Name and Address (The "Releasing Shipper" is the party
that proposes to reallocate all or part of its firm transportation capacity
rights on HIOS)
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Attention:_________________________________________________________________
Telephone:(_________)________________ Facsimile:(_________)________________
Releasing Shipper's Rate Schedule Number or Contract Number _______________
2. Terms of Service
A. This request is for (check one):
_________ Permanent Capacity Release (remaining term of Releasing
Shipper's existing transportation agreement with HIOS)
_________ Temporary Capacity Release (portion of remaining term of
Releasing Shipper's existing transportation agreement with
HIOS)
_________ Interruption or Recall Capacity Release (If applicable,
complete Item B below -- if more space is required, please
attach separate sheet)