Stingray Pipeline Company, L. L. C.

Third Revised Volume No. 1

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Effective Date: 11/01/2008, Docket: RP08-436-000, Status: Effective

Original Sheet No. 312B Original Sheet No. 312B

 

_____ Submit Confirmations, PDAs

Employee / Agent (circle one)

_____ Submit Nominations

Employee / Agent (circle one)

_____ View-only access to Interactive Internet Website screens, e-mail,

web page and reports for SHIPPER will be available to SHIPPER'S

Authorized Employee(s) and Agent(s)

 

Signed by SHIPPER'S Authorized Employee:

 

__________________________________________________ Date: ________________

 

Approved by Shipper:____________________________________________

 

Title: ___________________________________________ Date: ___________________

 

Signed by SHIPPER'S Authorized Agent:

 

__________________________________________________ Date: ________________

 

Approved by Shipper:____________________________________________

 

Title: ___________________________________________ Date: ___________________

 

FOR INTERNAL USE ONLY

Stingray Pipeline Company L.L.C. Officer Signature:__________________________

 

Printed Name: _____________________________________________________________

 

Title: ________________________________ Date:______________________________

 

 

USER ID: ______________________________ Shipper# (if no DUNS): ______________

 

Security approved by:___________________ Date: _____________________________

 

PLEASE FAX COMPLETED FORM TO (832) 214-5791