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. 376 Original Sheet No. 376

EXHIBIT R-__

TO

RELEASED TRANSPORTATION CONTRACT

DATED _____________

BETWEEN

ENBRIDGE PIPELINES (MIDLA) L.L.C.

AND

_____________________________________

CONTRACT NO.: _________

RELEASING NUMBER: ____

Releasing Shipper: _________________________________________

Releasing Contract: ________________________________________

Releasing MDQ: _____________________________________________

Term of Release: ___________________________________________

Applicable Rate: ___________________________________________

Recall Conditions: _________________________________________

Refund Information: ________________________________________

Other Conditions: __________________________________________

Approved by: _______________________________________________

By: ____________________________________________

Date: __________________________________________