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. 366 Original Sheet No. 366

 

6. If the service requested is "on behalf" of a 311 entity, please complete

the following as it pertains to the 311 Party:

 

Name:________________________________________________________________

 

Address:_____________________________________________________________

_____________________________________________________________

Telephone Number:___________________________________________________

 

311 Party Status: _____ Hinshaw _____ LDC _____ Interstate

 

Location (by State) of 311 Party's Facilities:_________________________

 

(Pipeline reserves the right to require proof that Customer's request

meets the requirements of the applicable Commission Regulations)

 

7. If Customer is not a local distribution company and is requesting

service be performed by Pipeline for Customer acting as agent for

another entity, please specify the full legal name of such entity.

_______________________________________________________________________

 

8. Date service is proposed to commence:__________________________________

 

9. Maximum Daily Transportation Quantity (MMBtu/Day):_____________________

 

10. Term of service: years months

 

11. Transportation Rate Requested:

 

Demand $ _____________

Commodity $ _____________

 

12. Identity of Upstream and Downstream Pipelines involved in the

transaction:

Upstream: __________________________________________________

Downstream: __________________________________________________

 

13. Midla Receipt Point(s): ______________________________________

 

14. Midla Delivery Point(s):______________________________________

(if request is for firm transportation service, the sum of these maximum

quantities must equal the maximum transportation quantity in #9 above.)

 

15. If additional or new facilities are required to receive or deliver gas

for the transportation service requested herein, please provide

description of facilities required, location, and requested in-service

date.

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________