Mississippi River Transmission Corp.

Original Volume No. 1-A

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Effective Date: 04/20/1991, Docket: RP91-121-000, Status: Effective

Second Revised Sheet No. 75 Second Revised Sheet No. 75 : Effective

Superseding: First Revised Sheet No. 75

FORM OF REQUEST FOR TRANSPORTATION

(Continued)

 

III. REQUESTED FORM OF SERVICE

 

*NGPA SECTION 311 (Subpart B) * SECTION 284 (Subpart

G)

*

Annual volume to be transported *Average Daily volume to be transported

MMBtu/D * MMBtu

*

Estimated total volume to be transported over * Annual volume to be

transported

life of contract * MMBtu

MMBtu *

*Peak Day volume to be transported

* If LDC/Intrastate pipeline company * MMBtu

will not be executing the Service *

Agreement, Shipper must provide an * Estimated total volume to be

acceptable "On-Behalf-Of" certifica- * transported over life of contract

tion for each "On-Behalf-Of" Entity * MMBtu

to MRT consistent with current *

regulatory requirements. *

 

 

IV. OTHER REQUIRED INFORMATION

 

1.Area in which gas originates. (See FERC Area Geographic Names in

DOE/EIA 0370 Oil and Gas Field Code Master List.) Please complete as

appropriate.

Codes:

 

 

 

 

2.Is Shipper or any other party (i.e. supplier, requestor, etc.) involved in this

service affiliated with MRT?

 

Yes No

 

If yes, please identify the affiliated entity, its role and the % of ownership:

/ / %

(Affiliated Entity) Role

 

If any marketer affiliated with Transporter 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 If yes, by how much? $ per MMBtu.

 

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