APPENDIX A:  EXTENSION SURCHARGE AGREEMENT
   EXTENSION SURCHARGE AGREEMENT
The undersigned promises to pay to ARKLA a monthly surcharge on his/her/their/its gas usage in consideration of the company’s extension of its facilities into the surcharge area in which the undersigned resides.  The surcharge amount will be as provided by a fee schedule maintained by the City Secretary that is adopted by the City Council from time to time per Mcf.  The surcharge will be applied to all gas consumed by the undersigned until                     , 20__, or until the company recovers its Above Threshold Investment for the surcharge area, whichever comes first.  The surcharge amount will appear as a separate line item on the undersigned’s bill.
The terms of this Extension Surcharge Agreement shall be subject to the provisions of the company’s rate schedules and Rule VII (Connections and Extensions) of the company’s Standard Rules and Regulations.
                                                              
                                                              
Accepted this                     day of                     , 20    .
ARKLA
a division of NORAM ENERGY CORP.
By                                         
(Ord. 2-95, passed 5-8-1995)