| MoGas Pipeline, LLC |
|
Original Sheet No. 105 : Pending |
| FERC Gas Tariff |
|
|
| MoGas Pipeline, LLC |
MoGas Pipeline LLC
FORM OF TRANSPORTATION SERVICE CREDIT AGREEMENT
Page 2
Is Parent company responsible for subsidiary's debts? Yes
No
If yes, please furnish documentation.
Billing Address __________________________
___________________________________________
___________________________________________
Contact Person _________________________ Phone
____________________
Amount of Credit Requested $_____________ Net Worth
$________________
Please Furnish One Bank Reference
Name ___________________________________
Phone__________________________
Address ________________________________ Account Types
_________________
_________________________________________ Account
Nos.___________________
_________________________________________
Contact ________________________________
Please Furnish Two Business Credit References
Name____________________________
Name_______________________________
Address__________________________
Address____________________________
_________________________________
__________________________________
_________________________________
__________________________________
Contact__________________________
Contact___________________________
Phone____________________________
Phone_____________________________
Shipper's estimate of activity under all transportation agreement
with
MoGas Pipeline LLC:
Estimated Monthly Transportation Charges $____________________
Is Shipper:
Operating under federal bankruptcy laws? Yes ___
No ___
Subject to liquidation or debt reduction under state laws? Yes
___ No ___
Subject to pending liquidation or regulatory proceedings in state
or federal
courts which could cause a substantial deterioration of Shipper's
financial
condition? Yes ___ No ___
Subject to any collection lawsuits or outstanding judgments which
would affect
Shipper's ability to remain solvent? Yes
___ No ___
| Issued by: David J.Ries, President |
| Issue date: 04/20/07 |
|
Effective date: 10/01/07 |