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Sales Commission Form

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					TEST TYPE                                                         OKLAHOMA CORPORATION COMMISSION                                                                                   Form 1017
   Initial                                                              Oil & Gas Conservation Division                                                                             Rev. 2001
   Annual                                                                    Post Office Box 52000
   Retest                                                            Oklahoma City, Oklahoma 73152-2000
                                                                                                                                                       Test Year
Date of First Sales                                                        DELIVERABILITY GAS TEST
                                                                              (Guymon-Hugoton Field                                                    Alternate Year
Effective Date                                                                January 1 thru August 31                                           (Check one; see explanation at bottom)
                                                                              (Order #17867 & 99440)

OTC PRODUCTION UNIT NO.:                                                                  API NO.:
                                        139-                                                              139-
Operator Name                                                                                                                         OCC/OTC Operator No.

Address                                                                                                                               Phone No.

City                                                                           State                                                  Zip

Lease Name/Well No.

Location in Sec.
                                                              Sec.                             Twp.                              (N) Rge.                                                 (ECM)
Gas Measurer                                                                                                                         OCC/OTC Measurer No.




Well Shut-in Date                                             Time                             Pressure Taken Date                                                 Time


Shut-in Pressure (Pc) (96 hrs)                                psig + 14.4 =                               psia                                                                            psia2



                                           REQUIRED FOR TEST YEAR ONLY; ALTERNATE YEAR SKIP THIS SECTION

Well Opened Date                                              Time                             Test Completion Date                                                Time


Working Pressure (Pw)                                         psig + 14.4 =                               psia                                                                            psia2

Meter Pressure (Pm)                                           psig        H2O Differential (hw)                                                                    Inches                 Roots

Meter Spring Size                                                                              Acreage

Size Run                                                      Size Orifice                                                       Type Connections (F/P)


                                                                           FOR COMMISSION USE ONLY


24 HR COEFF (C)                                               Pc2 - Pd2                                                          Pc2 - Pw2

C x ûhwPm                                                     F                                                                  Fn

RATE (Q)                                                      DELIVERABILITY




Corporation Commission Representative                                                          Operator Representative


TEST YEAR:                   Even numbered sections in even numbered years; odd numbered sections in odd numbered years. All initial tests on new wells, regardless of section or
                             year.

ALTERNATE YEAR:              Even numbered sections in odd numbered years; odd numbered sections in even numbered years. Annual-status tests only.

				
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