Rockies Express Pipeline LLC (Entrega)
Second Revised Volume No. 1
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Effective Date: 09/01/2007, Docket: CP06-354-002, Status: Effective
Original Sheet No. 422 Original Sheet No. 422 : Effective
PALS REQUEST ORDER FORM
Shipper: Type of Service: Park
Initiation Point Name(s) and PIN(s): MAQ RO: (Dth)
Completion Point Name(s) and PIN(s) Minimum Aggregate Quantity
Term: Start End PALS Agreement #:
Date(s) Service to be Provided Daily Quantity (Dth)
(May Reflect a Range of Dates) (May Reflect a Range of Volumes)
From Through Park or Loan Payback Loan or Park Withdrawal
Minimum Maximum Minimum Maximum Maximum Minimum
Rates: Rates may vary based on volume, time period, etc., as set out in
the Pro Forma Service Agreement.
Park or Loan Payback = volumes which Transporter RECEIVES from Shipper.
Park or Loan Withdrawal = volumes which Transporter DELIVERS to Shipper.
Park/Loan Balance Rate:
Service will be ON BEHALF OF:
Shipper [ ] or Other [ ] , a
SHIPPER'S CONTACT AND ADDRESS
Other Conditions (if any):
Agreed to by: