Norteño Pipeline Company

First Revised Volume No. 1

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Effective Date: 04/01/1996, Docket: CP96- 81-007, Status: Effective

Original Sheet No. 384 Original Sheet No. 384 : Superseded

TRANSPORTATION REQUEST FORM

(continued)

14. The name of the entity delivering gas into Norte¤o's

system and the name of the entity taking gas off

Norte¤o's system;

Norte¤o Receipt Point Name/Delivering Entity

________________________ ________________________

________________________ ________________________

________________________ ________________________

Norte¤o Delivery Point Name/Taking Entity

________________________ ________________________

________________________ ________________________

________________________ ________________________