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: _________________________