Sea Robin Pipeline Company

First Revised Volume No. 1

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Effective Date: 12/01/1998, Docket: RP98-365-000, Status: Effective

Third Revised Sheet No. 52 Third Revised Sheet No. 52 : Superseded

Superseding: First Sub. Second Rev. Sheet No. 52

GENERAL TERMS AND CONDITIONS

(Continued)

 

16.1 (continued)

 

(g) As required by the Transportation Service Request Form, the Receipt and

Delivery Point/s at which service is requested.

 

(h) Whether service is firm or interruptible.

 

(i) The state of the ultimate end user of the gas.

 

(j) The transportation rate schedule and transportation rate applicable to the

service.

 

(k) The production profile and technical data applicable to

service under Rate Schedule FTS-2.

 

17. TRANSPORTATION SERVICE REQUEST FORM

 

Upon completion of this form please return to the Transportation Services

Department, Sea Robin Pipeline Company, P.O. Box 2563, Birmingham, Alabama

35202-2563.

 

1. Shipper Name*:_____________________________________________

Dun and Bradstreet No.___________(*Legal name of signatory party to agreement)

State of incorporation:____________________________ (if corporation)

Type of Legal Entity:

 

2. Contact Person:_________________________Phone:______________ Address:

Beeper: Facsimile:

Title:______________________________________________

 

3. Shipper is (Check one of the following):

 

a __ Interstate d __ End User g__ Intrastate

b __ LDC e __ Producer h __ Other_____

c __ Hinshaw f __ Marketer

 

Shipper is affiliated with Sea Robin:

 

_______ No _______ Yes