T.W. Phillips Pipeline Corp.

Original Volume No. 1

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Effective Date: 01/01/2010, Docket: RP10-141-000, Status: Effective

Original Sheet No. 6 Original Sheet No. 6

STATEMENT OF NEGOTIATED RATES

Customer Name:

Contract Number:

Rate Schedule:

Maximum Daily Quantity:

Reservation Rate:

Commodity Rate:

Firm Quantity Charge:

Primary Receipt Point(s):

Name

Primary Delivery Point(s):

Name

Term of Agreement:

Notes: