Riverside Pipeline Company, L. P.

First Revised Volume No. 1

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Effective Date: 10/01/1993, Docket: RS92- 48-001, Status: Effective

Original Sheet No. 128 Original Sheet No. 128 : Effective

 

 

GENERAL TERMS AND CONDITIONS

APPENDIX A

 

SERVICE REQUEST FORM

(cont'd)

 

17. If any marketer affiliated with Riverside is buying and reselling any of

the gas requested to be transported, does the cost of the gas to the

affiliated marketer exceed the price received for the sale of the gas by

the affiliated marketer, after deducting associated costs, including

those incurred for transportation?

 

_____ Yes _____ No _____ Not Known

 

If yes, by how much? $___________ per MMBtu.

 

If this information is not known, it must be provided as soon as known.

 

Shipper understands that this request form, complete and unrevised as to

format, must be received by Riverside before the transportation request will

be accepted and processed.

 

Shipper, by its signature, represents that the information above is correct

and accurate and that all necessary transportation, gas purchase and gas sales

arrangements have been or will be secured prior to the execution of the

Riverside transportation service agreement.

 

Very truly yours,

 

____________________________________

Signature

 

____________________________________

Typed Name and Title

Telephone No._______________________

Telecopy No. _______________________

 

Note: All initial requests for firm service shall be accompanied by an earnest

money payment equal to the lesser of $5,000 or the amount of the

Reservation Charge for one year.

 

Note: If the agreement is executed by person other than an Officer of the

company, documentation confirming that person's authorization to sign

must be provided at the time Shipper returns agreement.