STATEMENT OF NEGOTIATED RATES 1/
   
Customer Name:
   
   
Contract Number:
   
   
Rate Schedule:
   
   
Maximum Daily Quantity:
   
   
Reservation Rate:
   
   
Commodity Rate:
   
   
Primary Receipt Point(s):
     Name
   
   
Primary Delivery Point(s):
     Name
   
   
Term of Agreement:
   
   
Notes:
   
1/  The negotiated rate agreement does not deviate in any material aspect from the form of agreement in the
tariff for the applicable rate schedule.