TransColorado Gas Transmission Company

Original Volume No. 1

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Effective Date: 12/05/1996, Docket: CP90-1777-009, Status: Effective

Original Sheet No. 106 Original Sheet No. 106 : Superseded

 

Contract No. __________

Amendment No. __________

 

INTERRUPTIBLE TRANSPORTATION AMENDMENT FORM

Rate Schedule IT

Amended Terms

1. SHIPPER'S NAME AND ADDRESS:

____________________________________

____________________________________

____________________________________

 

2. QUANTITY TO BE TRANSPORTED:

________ Dth/day

 

3. TERM OF THE AGREEMENT:

________ to ________

 

4. RENEWAL TERM:

________ None

________ Month to month

________ Other: ________

 

5. USAGE CHARGE:

________ The maximum rate on TransColorado's Statement of Rates.

________ A discounted rate of $________/Dth

 

6. EFFECTIVE DATE OF CHANGES:

________, 199__

 

7. ADDITIONAL TERMS AND CONDITIONS:

 

This Agreement includes all the terms and conditions of TransColorado's

FERC Gas Tariff, Original Volume No. 1 and the terms, conditions and

signatures of Shipper's Access Agreement with TransColorado.

 

Shipper Approval _______________________________

(Signature Code)

 

Date: __________ Time __________

 

Transcolorado Gas Transmission Company Approval _______________________

(Signature Code)

Date: __________ Time __________