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. 192 Third Revised Sheet No. 192 : Effective
Superseding: Second Revised Sheet No. 192
HIGH ISLAND OFFSHORE SYSTEM
CAPACITY RELEASE REQUEST FORM
Prospective Replacement
-----------------------
Send to: High Island Offshore System (HIOS)
P. O. Box 4324
Houston, Texas 77210-4324 Date Received ________________
Attention: Manager, Contract Administration
Telecopier Number: (713) 381-7996
Verification: (713) 381-7940
NOTE: A check, if required by Section 2.1 or Section 17.9 of the General Terms and
Conditions of this tariff, must accompany each request, for the request to be
valid.
INFORMATION REQUIRED FOR VALID REQUEST
1. Requester's Name and Address (Do not complete if same as Shipper, see No. 2
below):
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Requester's Affiliation With HIOS or any Partner in HIOS:
____________________________________________________________________________
2. Replacement Shipper's Name and Address (The "Replacement Shipper" listed below
may not necessarily become the holder of Releasing Shipper's capacity. The
Replacement Shipper must equal the best offer or the available capacity in
order to receive the capacity.)
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Attention: _________________________________________________________________
Telephone:(_______)__________________ Facsimile:(_______)__________________
3. Term of Service
Date of proposed commencement of capacity release: _________________________
Date of proposed termination of capacity release: _________________________