U-T Offshore System, L.L.C.

Third Revised Volume No. 1

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Effective Date: 11/01/1993, Docket: RS92- 88-006, Status: Effective

Original Sheet No. 121 Original Sheet No. 121 : Superseded

U-T OFFSHORE SYSTEM

QUALIFIED BID FORM

(Continued)

THIS QUALIFIED BID IS HEREBY SUBMITTED

This ________ day of ________________________, 19____.

By____________________________________________________

Title ________________________________________________

Telephone: (________) _______________________________