Form Approved OMB
No.
1902-0253 Expires
on: XX-XX-XXXX
Respondent Header Information |
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1 |
Filing Company - Legal Name of Intrastate/ Hinshaw Company |
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10 |
Filing Company - Contact E-Mail Address |
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2 |
FERC designated "Company Identifier" |
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11 |
Filing Company - Street Address |
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3 |
Report is Original or Resubmission |
Select... |
12 |
Filing Company - City |
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3a |
Explanation for Resubmission |
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13 |
Filing Company - State |
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4 |
Submission Date |
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14 |
Filing Company - Zip |
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5 |
Filing Company performed transportation of natural gas this quarter |
Select... |
15 |
Filing Company - Country Name |
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6 |
Filing Calendar Year & Quarter |
Select |
16 |
Signing Official Title |
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7 |
Filing Company - Contact Name |
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17 |
Signing Official Signature |
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8 |
Filing Company - Contact Title |
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18 |
Date Signed |
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9 |
Filing Company - Contact Phone No. |
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Shipper & Contract Information (Receiving Service): |
Add Delete Shipper Shipper |
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19 |
Shipper Name: |
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20 |
Shipper ID #: |
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21 |
Affiliate (Yes/No): |
Select... |
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22 |
Contract ID #: |
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23 |
Service Type: |
Select... |
24 |
Begin date: |
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25 |
End date (if Firm): |
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Add Delete Contract Contract |
Service Information |
Add Delete Service Service |
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26 |
Type of Service Performed |
Select... |
30 |
Primary Receipt Point Industry Common Code |
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26a |
Other (Specify) |
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30a |
Primary Receipt Point Industry Common Codes - Additional Points |
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27 |
Rate Schedule Designation |
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31 |
Primary Delivery Point Name |
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28 |
Docket where rates were approved |
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31a |
Primary Delivery Point Names - Additional Points |
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29 |
Primary Receipt Point Name |
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32 |
Primary Delivery Point Industry Common Code |
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29a |
Primary Receipt Point Names - Additional Points |
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32a |
Primary Delivery Point Industry Common Codes - Additional Points |
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Rates Data |
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33 |
Contract Reservation Rate - Peak Day |
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44 |
Contract Usage Rate - Injected (Rate Units) |
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34 |
Contract Reservation Rate - Peak Day (List of Rates) |
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45 |
Contract Usage Rate - Withdrawn |
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35 |
Contract Reservation Rate - Peak Day (Rate Units) |
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46 |
Contract Usage Rate - Withdrawn (List of Rates) |
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36 |
Contract Reservation Rate - Annual Volume |
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47 |
Contract Usage Rate - Withdrawn (Rate Units) |
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37 |
Contract Reservation Rate - Annual Volume (List of Rates) |
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48 |
Contract Usage Rate – Storage (Parking) /Lending Service [Initial Day or Single One-Part Rate] |
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38 |
Contract Reservation Rate - Annual Volume (Rate Units) |
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49 |
Contract Usage Rate – Storage (Parking) /Lending Service [Initial Day or Single One-Part Rate] (List of Rates) |
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39 |
Contract Usage Rate - Transported |
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50 |
Contract Usage Rate – Storage (Parking) /Lending Service [Consecutive Days] |
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40 |
Contract Usage Rate - Transported (List of Rates) |
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51 |
Contract Usage Rate – Storage (Parking) /Lending Service [Consecutive Days] (List of Rates) |
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41 |
Contract Usage Rate - Transported (Rate Units) |
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52 |
Contract Usage Rate – Storage (Parking) / Lending Service (Rate Units) |
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42 |
Contract Usage Rate - Injected |
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53 |
Other Contract Charges |
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43 |
Contract Usage Rate - Injected (List of Rates) |
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Shipper & Contract Information (continued from previous page): |
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19 |
Shipper Name: |
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22 |
Contract ID #: |
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Billing Units Data |
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54 |
Contract Reservation Quantity - Peak Day Delivery |
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61 |
Usage Quantity - Volumes Injected (Billing Units) |
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55 |
Contract Reservation Quantity - Peak Day Delivery (Billing Units) |
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62 |
Usage Quantity - Volumes Withdrawn |
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56 |
Contract Reservation Quantity - Annual Volume |
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63 |
Usage Quantity - Volumes Withdrawn (Billing Units) |
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57 |
Contract Reservation Quantity - Annual Volume (Billing Units) |
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64 |
Usage Quantity - Storage (Parking)/ Lending Service for Initial Day or Total for Service with Single One-Part Rate |
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58 |
Usage Quantity - Volumes Transported |
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65 |
Usage Quantity - Storage (Parking)/ Lending Service for Consecutive Days of Service |
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59 |
Usage Quantity - Volumes Transported (Billing Units) |
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66 |
Usage Quantity - Storage (Parking)/ Lending Service (Billing Units) |
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60 |
Usage Quantity - Volumes Injected |
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67 |
Usage Quantity for Other Charges |
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Annual Revenue Data (not including storage) |
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68 |
Reservation Revenues related to Peak Day Delivery |
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71 |
Revenues related to Other transportation services |
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69 |
Reservation Revenues related to Annual Volume |
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72 |
Total Revenues |
0 |
70 |
Usage Revenues related to Volumes Transported |
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Miller, Sofie E. EOP/OMB |
File Modified | 0000-00-00 |
File Created | 2022-02-24 |