B-R Pipeline Company

Original Volume No. 1

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Effective Date: 05/01/2004, Docket: RP04-224-000, Status: Effective

Original Sheet No. 125 Original Sheet No. 125 : Effective

GENERAL TERMS AND CONDITIONS

(Continued)

24. FORM OF TRANSPORTATION REQUEST (Continued)

EXHIBIT "A"

to the

Transportation Request of

___________________________________(Shipper)

to

B-R Pipeline Company (Transporter)

Dated ______________________________________

Receipt Points

Receipt Point Name Maximum Daily Quantity

(Dth)

(For Firm Service Only)

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