Pinnacle Pipeline Company

ORIGINAL VOLUME NO. 1

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Effective Date: 10/08/2003, Docket: RP04-102-001, Status: Effective

Original Sheet No. 200 Original Sheet No. 200 : Effective

SHIPPER INQUIRY FORM

Name of inquirer:

Identification of contract under question:

Designation of time period involved:

Nature of inquiry or complaint:

Signature:

Title: