ANR Pipeline Company
FERC Gas TariffFourth Revised Sheet No. 76
Second Revised Volume No. 1Superseding
Third Revised Sheet No. 76
ANR PIPELINE COMPANY
TRANSPORTATION SERVICE REQUEST FORM
Send:a)Electronically through ANR Pipeline website
b)Fax Telecopy No. (248) 994-4301
Verification No. (248) 994-4035
c)Mail Transportation Services
ANR Pipeline Company
1001 Louisiana Street
Houston, Texas 77002
INFORMATION REQUIRED FOR VALID TRANSPORTATION REQUEST
1.SHIPPER
Full Legal Name: ______
Entity ID (DUNs #): ______
Contact Name: ______
Contact Phone: ______
Contact E-Mail: ______
Is Requestor affiliated with ANR?
_____ NO_____ YES_____ ANR
_____ ANR Affiliate
_____ % Ownership of or ______% Owned By ANR or ANR Affiliate
Is Shipper affiliated with ANR?
_____ NO_____ YES_____ ANR
_____ ANR Affiliate
_____ % Ownership of or ______% Owned By ANR or ANR Affiliate
2.TYPE OF REQUEST
_____ New Service
_____ Amended Service ______(Contract #)
Amendment Reason:_____Change Primary Point(s) (Must extend through term of Agreement)
_____Elevation of Secondary Point to Primary
_____Other (Reason)______
Issued by: Byron S. Wright, Vice President
Issued on: August 23, 2004Effective on: September 23, 2004
ANR Pipeline Company
FERC Gas TariffSixth Revised Sheet No. 77
Second Revised Volume No. 1Superseding
Fifth Revised Sheet No. 77
ANR PIPELINE COMPANY
TRANSPORTATION SERVICE REQUEST FORM
(Continued)
If Amended Service Request is from a Capacity Release Replacement Shipper:
Replacement Shipper Contract #: ______
Releasing Shipper Contract #: ______
3.CONTRACT TERM From: ______To: ______
Amendment Effective Date: ______
(Agreements for Rate Schedule FSS of at least twelve (12) consecutive months and for Rate Schedule STS must end on March 31)
4.RATE SCHEDULE
_____ ETS _____ FSS _____ ITS _____ PTS-1
_____ STS _____ DDS _____ ITS-3 _____ PTS-2
_____ FTS-1 _____ MBS _____ IPLS _____ PTS-3
_____ FTS-2 _____ NNS _____ IWS
_____ FTS-3 _____ MSA (Master Service Agreement for
Capacity Release)
Associated Gathering Contract? _____ Yes _____ No
Issued by: Jake Hiatt, Vice President
Issued on: January 26, 2004Effective on: March 1, 2004
ANR Pipeline Company
FERC Gas TariffFirst Revised Sheet No. 78
Second Revised Volume No. 1Superseding
Original Sheet No. 78
ANR PIPELINE COMPANY
TRANSPORTATION SERVICE REQUEST FORM
(Continued)
5.CONTRACT QUANTITIES
(A)Primary routes for Rate Schedules ETS, FTS-1, FTS-2, STS and FTS-3
Receipt Point Delivery Point MDQ MHQ
Start Date End Date No. Name No. Name Dth/Day Dth/Hour
______
______
______
______
______
______
______
______
______
______
See ANR point catalog for compete description. If a point that is not in ANR's point catalog is being requested, please provide a complete description.
Issued by: Jake Hiatt, Vice President
Issued on: January 26, 2004Effective on: March 1, 2004
ANR Pipeline Company
FERC Gas TariffThird Revised Sheet No. 79
Second Revised Volume No. 1Superseding
Second Revised Sheet No. 79
ANR PIPELINE COMPANY
TRANSPORTATION SERVICE REQUEST FORM
(Continued)
5.CONTRACT QUANTITIES (Continued)
(B)Rate Schedule ETS Options:_____Aggregation of Delivery Points
_____MHQ
(C)Rate Schedule FTS-3 Options: _____Variation of Deliveries
(Enhanced Balancing)
_____Short Notice Startup
& Shutdown
(D)Rate Schedule FSS
Maximum Storage Quantity (MSQ) ______Dekatherms
Base Maximum Daily Withdrawal Quantity (MDWQ) ______
Dekatherms/day
Rate Schedule FSS Options: ______Winter Period Only
______Flexible Entitlements (Annual)
______With Ratchets
______Without Ratchets
(Agreements for Rate Schedule FSS of at least twelve (12) consecutive Months and for Rate Schedule STS must end on March 31)
(E)Rate Schedule DDS
Maximum Storage Quantity Dekatherms ______
(F)Rate Schedule NNS
Delivery Location # ______Delivery Location Name: ______
No-Notice Entitlements (NNE) Dekatherms ______
Designated Storage Account and NNS Storage Transportation
______FSS Agreement No.
______ETS, FTS-1, or FTS-3 Agreement No.
6.FURTHER AGREEMENT
(Write None or specify the agreement.)
Issued by: Jake Hiatt, Vice President
Issued on: January 26, 2004Effective on: March 1, 2004
ANR Pipeline Company
FERC Gas TariffSixth Revised Sheet No. 80
Second Revised Volume No. 1Superseding
Fifth Revised Sheet No. 80
ANR PIPELINE COMPANY
TRANSPORTATION SERVICE REQUEST FORM
(Continued)
7.NOTICES
(A)Shipper Notices
Address:______
______
City, State Zip:______
Attn:______
E-mail:______
Phone:______
Fax:______
(B)Invoices and Statements______Same as above
Address:______
______
City, State Zip:______
Attn:______
E-mail:______
Phone:______
Fax:______
THIS TRANSPORTATION SERVICE REQUEST IS HEREBY SUBMITTED.
REQUESTOR:
______(Name)
______(Address)
______(City, State Zip)
By:______
Title:______
Date:______
Phone:______Fax: ______
Issued by: Jake Hiatt, Vice President
Issued on: January 26, 2004Effective on: March 1, 2004
ANR Pipeline Company
FERC Gas TariffFirst Revised Sheet No. 81
Second Revised Volume No. 1Superseding
Original Sheet No. 81
Sheet No. 81 is Reserved for Future Use.
Issued by: Jake Hiatt, Vice President
Issued on: January 26, 2004Effective on: March 1, 2004
ANR Pipeline Company
FERC Gas TariffSecond Revised Sheet No. 82
Second Revised Volume No. 1Superseding
First Revised Sheet No. 82
Sheet No. 82 is Reserved for Future Use.
Issued by: Jake Hiatt, Vice President
Issued on: January 26, 2004Effective on: March 1, 2004
ANR Pipeline Company
FERC Gas TariffFirst Revised Sheet No. 83
Second Revised Volume No. 1Superseding
Original Sheet No. 83
Sheet No. 83 is Reserved for Future Use.
Issued by: Jake Hiatt, Vice President
Issued on: January 26, 2004Effective on: March 1, 2004