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

Third Revised Volume No. 1

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Effective Date: 06/01/1997, Docket: RP97-146-001, Status: Effective

Second Revised Sheet No. 135 Second Revised Sheet No. 135 : Superseded

Superseding: First Revised Sheet No. 135

U-T OFFSHORE SYSTEM

NOMINATION REQUEST FORM

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Time/Date Stamp: _______________

Service Provider Name: _____________________________

Service Provider ID #: _____________________________

 

Service Requester Name: _____________________________ Beginning Date: ______________________

Service Requester ID#: _____________________________ Beginning Time: ______________________

Representative: ______________________________________ Ending Date: ______________________

Telephone No.: _________________________________ Ending Time: ______________________

Facsimile No.: _________________________________

 

Capacity Type Indicator (T, FT, I, IT): ___________ Model Type: ______________________

Service Requester Contract Number: _______________ Quantity Type Indicator: __________

Transaction Type: ________________

 

ALWAYS FACSIMILE NOMINATION REQUESTS TO THE FOLLOWING LOCATION:

U-T Offshore System

P. O. Box 428

Sabine Pass, TX 77655

Attn: Manager, Gas Supply

Facsimile No.: (409) 971-2458

Pipeline Delivery

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Upstream Upstream Upstream Downstream

Originating Location Identifier Contract Quantity Identifier Quantity

Pipeline Code Code Identifier Dth/D Location Code Dth/D

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By signing this Nomination/Schedule, Shipper certifies that Shipper has title to the gas or right to deliver the gas which is to be transported by U-TOS.

 

By: ________________________________

Title: _____________________________