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. 365 Original Sheet No. 365

 

TRANSPORTATION SERVICE REQUEST FORM

 

Enbridge Pipelines (Midla) L.L.C.

Attention: Contract Administration

1100 Louisiana, Suite 3300

Houston, Texas 77002

 

Telephone No. (713) 350-8900

Fax No. (713) 821-3313

 

Re: New Service _ Interruptible Service

or or

Amendment Firm Service

 

(Contract # _______________)

 

(Description of existing service to be amended):

__________

 

Sir or Madam:

 

(Customer) hereby requests

transportation service from Enbridge Pipelines (Midla) L.L.C. (Pipeline) and

concurrently provides the following information in connection with this

request:

 

1. Complete legal name of Customer: ________________________________________

 

2. Duns Number: __________________________Fed Tax ID:______________________

3. Type of legal entity and State of Incorporation or Formation:

 

Type of company:

End User LDC

Hinshaw Marketer

Interstate Producer

Intrastate Other (fill in)

___________________________

 

 

5. Contact, address and telephone number for Notices:

_____

Contact, address and telephone number for Invoices: