| MoGas Pipeline, LLC |
|
Original Sheet No. 103 : Pending |
| FERC Gas Tariff |
|
|
| MoGas Pipeline, LLC |
MoGas Pipeline LLC
FORM OF TRANSPORTATION SERVICE CREDIT AGREEMENT
Shipper Name and Address
___________________________________
___________________________________
___________________________________
___________________________________
Type of business __ Corporation __ Partnership __
Individual
__ Other (specify)
_________________________________
State in which Shipper is incorporated
_________________________________
Tax ID Number _________________________________
Number of years in business under current name _________
Has the Shipper changed its name in the last 5 years Yes
No
If yes, furnish prior name and address:
____________________________________
____________________________________
____________________________________
____________________________________
List the three principal owners, stockholders, partners, or
officers of the
Shipper
Name_____________________Name ___________________
Name______________________
Title ___________________Title ___________________Title
____________________
Address__________________Address__________________Address________
___________
_________________________ ________________________
________________________
_________________________ ________________________
________________________
Phone___________________ Phone____________________
Phone____________________
Email___________________
Email_____________________Email____________________
If a wholly owned subsidiary, name and address of parent
______________________________________
______________________________________
______________________________________
______________________________________
| Issued by: David J.Ries, President |
| Issue date: 04/20/07 |
|
Effective date: 10/01/07 |