Enbriidge Pipelines (Midla) L. L. C.

FIFTH REVISED VOLUME NO. 1

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Effective Date: 10/01/2009, Docket: RP09-980-000, Status: Effective

Original Sheet No. 364 Original Sheet No. 364

 

_____ Submit Confirmations, PDAs

Employee / Agent (circle one)

_____ Submit Nominations

Employee / Agent (circle one)

_____ View-only access to Interactive Internet Website screens, e-mail,

web page and reports for SHIPPER will be available to Customer's

Authorized Employee(s) and Agent(s)

 

Signed by CUSTOMER'S Authorized Employee:

 

__________________________________________________ Date: ________________

 

Approved by Customer:____________________________________________

 

Title: ___________________________________________ Date: ___________________

 

Signed by CUSTOMER'S Authorized Agent:

 

__________________________________________________ Date: ________________

 

Approved by Customer:____________________________________________

 

Title: ___________________________________________ Date: ___________________

 

FOR INTERNAL USE ONLY

Enbridge Pipelines (Midla) L.L.C. Officer Signature:__________________________

 

Printed Name: _____________________________________________________________

 

Title: ________________________________ Date:______________________________

 

 

USER ID: ______________________________ Customer# (if no DUNS): ______________

 

Security approved by:___________________ Date: _____________________________

 

PLEASE FAX COMPLETED FORM TO (832) 214-5791