ANR Storage Company

Original Volume No. 1

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Effective Date: 11/01/2007, Docket: RP08- 16-000, Status: Effective

First Revised Sheet No. 158 First Revised Sheet No. 158 : Effective

Superseding: Original Sheet No. 158

13. Rate Information:

Does Customer agree to pay the applicable Maximum Rate(s) for the

service?

_________Yes _________No

If no, provide rate Customer will agree to pay for service

requested, which shall not be less than the applicable Minimum

Rate(s).

FIRM

Deliverability - Monthly ________

Capacity - Monthly ________

Injection ________

Withdrawal ________

INTERRUPTIBLE

Commodity Rate ________

14. Certified Statement:

By submitting this request, Customer certifies that Customer has

or will have by the time of execution of an Agreement with Seller,

title to, or the legal right to cause to be delivered to Seller,

for Storage, the Gas which is to be stored and facilities or

contractual rights which will cause such Gas to be delivered to

and received from Seller.

15. Credit Evaluation: as required by Section 2.2(j) of the General

Terms and Conditions of Seller's Tariff.

THIS STORAGE SERVICE REQUEST IS HEREBY SUBMITTED

this _____ day of ____________________, _____.

By ____________________________________________

Telephone Number ( )_______________________