K N Wattenberg Transmission LLC

Original Volume No. 1

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Effective Date: 04/01/1993, Docket: CP92-203-002, Status: Effective

Original Sheet No. 68 Original Sheet No. 68 : Effective

 

 

Transportation Service Request Form - cont.

 

SERVICE REQUESTED

 

Type of Service requested: ___ Firm ___ Interruptible

___ New ___ Amendment to Agreement dated: _____________

 

Form of Service: Intrastate: ___ Interstate*: ___

 

*"On Behalf of" Entity information (letter required) - Section 311

service will be "on behalf of" pursuant to Subpart B of Part 284 of the

FERC regulations:

 

Legal Name: _______________________________________________. which is an:

 

 

___ LDC ___ Intrastate Pipeline

 

The named "on behalf of" entity will:

 

___ Transport the gas ___ Take title to the gas

 

SERVICE INFORMATION

 

Maximum Daily Transportation Quantity (Total Capacity

Reservation Quantity for firm requests) __________________________

 

Requested term of service: Initial delivery date _______________

 

Termination date ____________________

 

Total contract volume over life of contract

(affiliate transactions only) _____________________

 

Are additional or new facilities required for Transporter to receive

or deliver gas for the transportation service requested herein?

___ Yes ___ No ___ Type