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MoGas Pipeline, LLC   Original Sheet No. 100 : Pending
FERC Gas Tariff
MoGas Pipeline, LLC


   
                       MoGas Pipeline LLC
             FORM OF TRANSPORTATION SERVICE REQUEST
   
SHIPPER INFORMATION
   
Complete legal name of Shipper:
__________________________________________
State of incorporation:
___________________________________________________
   
Address:  _______________________ For Billing:
____________________________
         _________________________
________________________________
         _________________________
________________________________
Phone:   ________________         Phone:    __________________
   
Contact information for Notices:       Contact information for
scheduling and
                                       volume information:
   
Contact Name:         _______________________
______________________________
Address (include      _______________________
______________________________
  street address for  _______________________
______________________________
  hand delivery)      _______________________
______________________________
Phone:                _______________________
______________________________
Email Address:        _______________________
______________________________
   
Shipper is a(n)    ____ Local Distribution Company    ____
Intrastate Pipeline
                   ____ Interstate Pipeline           ____
Producer
                   ____ End User                      ____
Marketer
                   ____ Other (specify)
___________________________________
   
Name and full title of Officer, Managing Partner, or other
authorized person(s) who will execute the written transportation
service agreement with Transporter.  (If signatory person is not
an officer, please provide written authorization for signature.)
   
         Name:     ________________________________
         Title:    ________________________________
   
If person requesting service is an agent of Shipper, please
provide proof of authority to act as agent of Shipper and
complete the following:
   
Legal Name of Principal:  ___________________________________,
which is a(n)
   
              ____ Local Distribution Company    ____ Intrastate
Pipeline
              ____ Interstate Pipeline           ____ Producer
              ____ End User                      ____ Marketer
              ____ Other (specify)
____________________________________







Issued by: David J.Ries, President
Issue date: 04/20/07 Effective date: 10/01/07