K N Wattenberg Transmission LLC

First Revised Volume No. 1

 Contents / Previous / Next / Main Tariff Index

 

 

Effective Date: 05/22/1998, Docket: RP98-192-000, Status: Effective

Original Sheet No. 122 Original Sheet No. 122 : Effective

 

TRANSPORTATION SERVICES CREDIT APPLICATION

 

K N WATTENBERG TRANSMISSION LIMITED LIABILITY CO.

 

Post Office Box 281304

Lakewood, CO. 80228-8304

 

 

 

Customer Name and Address: __________________________________

_____________________________________________________________

 

Type of business: __Corporation __Partnership __Individual

__Other __Specify__________________

 

State incorporated in:____________ Tax ID Number:__________

 

Number of years in business under current name:_______________

 

Has the customer changed its name in the last 5 years?

__ Yes __ No

 

If yes, furnish prior name & address: _______________________

______________________________________________________________

 

List the three principal owners, stockholders, partners, or

officers of the customer:

 

Name ___________ Name ____________ Name _____________

Title ___________ Title ____________ Title _____________

Address ___________ Address ____________ Address ____________

___________ ____________ ____________

Phone ___________ Phone ____________ Phone ____________

 

If a wholly owned subsidiary, name and address of parent:

______________________________________________________________

 

Is Parent company responsible for subs debts? Yes No

If yes, please furnish documentation.

Billing Address ____________________________________________

Contact Person________________________ Phone ______________

 

Amount of Credit Requested: $__________ Net Worth: $_________