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Home My WebLink AboutStump Lake - Hilcorp Alaska, LLCState of Alaska AOGCC Production Files Year: 2015 Field & Pool: STUMP LAKE Operator: HILCORP STATE OF ALASKA ALASKA OIL AND GAS CONSERVATION COMMISSION MONTHLY PRODUCTION REPORT NET OIL SALES RECEIVED FEB 2 3 2015 A0GCG Hilcorp Alaska, LLC Stump Lake JANUARY 2015 Name of Operator Regulatory Lease Month and Year of Production Total Wells 1 Total Wells Produced 0 Total Pipeline Runs 0 Closing Inventory 0 Opening Inventory 0 Other Adjustments 0 (direct or xylene recovered) Total Net Production 0 1 hereby certify that the foregoing is true and correct to the best of my knowledge. Signed ' ox 0&& 0 0 0 Jacob Owolabi TOTAL OIL WATER GAS Title Production Analvst Date: 2/17/2015 STATE OF ALASKA ALASKA OIL AND GAS CONSERVATION COMMISSION MONTHLY PRODUCTION REPORT 20 AAC 25.230 RECEIVED FEB 2 3 2015 Name of Operator: Field and Pool: Stump Lake, Stump Lake, Undefnded Gas Month and Year: HILCORP ALASKA, LLC JANUARY 2015 1. Well No. 2. API No. 50-XXX-XXXXX-XX-XX 3. Type (see instruct.) 4. Field & Pool Code 5. Method (see instruct.) 6. Days in Oper. 7. Avg. FTP psig (see instruct.) DAILY AVG. PRODUCTION I TOTAL MONTHLY PRODUCTION 8. OIL (BBL) 9. WATER ( BBL) 1 10. GAS (MCF) 1 11. OIL (BBL) 12. WATER 1 (BBL) 13. GAS (MCF) SLU41-33RD 50-283-20055-01-00 1 2 770500 8 0 010 10 10 10 10 10 I hereby certify that the foregoing is true and correct to the best of my knowledge. 14. Printed Name: Jacob Owolabi Title: Production Analyst Signature: 7d:c� oGV-(� Date: 2/17/2015 TOTAL 0 0 0 Form 10-405 Rev. 04/2006 INSTRUCTIONS ON REVERSE SIDE Submit in duplicate STATE OF ALASKA ALASKA OIL AND GAS CONSERVATION COMMISSION MONTHLY PRODUCTION REPORT NET OIL SALES RECEIVED MAR 2 3 2015 ,."trC Hilcorp Alaska, LLC Stump Lake FEBRUARY 2015 Name of Operator Regulatory Lease Month and Year of Production Total Wells 1 Total Wells Produced 0 Total Pipeline Runs 0 Closing Inventory 0 Opening Inventory 0 Other Adjustments 0 (direct or xylene recovered) Total Net Production 0 11 hereby certify that the foregoing is true and correct to the best of my knowledge. Signed za:c G ow-U�0 0 Jacob Owolabi TOTAL OIL WATER Title Production Analyst Date: 3/17/2015 GAS 0 STATE OF ALASKA ALASKA OIL AND GAS CONSERVATION COMMISSION MONTHLY PRODUCTION REPORT 20 AAC 25.230 RECEIVED c 23 2015 Name of Operator: HILCORP ALASKA, LLC Field and Pool: Stump Lake, Stump Lake, Undefinded Gas Month and Year: FEBRUARY 2015 1. Well No. 2. API No. 50-XXX-XXXXX-XX-XX 3. Type (see instruct.) 4. Field & Pool Code 5. Method (see instruct.) 6. Days in Oper. 7. Avg. FTP psig (seeOIL instruct.) DAILY AVG. PRODUCTION TOTAL MONTHLY PRODUCTION (8. BBL) 9. WATER (BBL) 10. GAS (BBL) 11. OIL (BBL) 12. WATER (BBL) 13. GAS (BBL) SLU41-33RD 50-283-20055-01-00 2 770500 8 0 010 0 0 0 0 0 1 hereby certify that the foregoing is true and correct to the best of my knowledge. 14. Printed Name: Jacob Owolabi Title: Production Analyst Signature: "../&CO'b opv-(J'G Date: 3/17/2015 TOTAL 0 0 0 Form 10-405 Rev. 04/2006 INSTRUCTIONS ON REVERSE SIDE Submit in duplicate STATE OF ALASKA {i EC;EIVE® ALASKA OIL AND GAS CONSERVATION COMMISSION MONTHLY PRODUCTION REPORT APR 2 2 2015 NET OIL SALES I 1GQQ Hilcorp Alaska, LLC Stump Lake MARCH 2015 Name of Operator Regulatory Lease Month and Year of Production Total Wells 1 Total Wells Produced 0 Total Pipeline Runs 0 Closing Inventory 0 Opening Inventory 0 Other Adjustments 0 (direct or xylene recovered) Total Net Production 0 I hereby certify that the foregoing is true and correct to the best of my knowledge. Signed 'Jac 6 owcw i 0 0 0 Jacob Owolabi TOTAL OIL WATER GAS Title Production Analyst Date: 4/17/2015 STATE OF ALASKA ALASKA OIL AND GAS CONSERVATION COMMISSION MONTHLY PRODUCTION REPORT 20 AAC 25.230 APR 2 2 2015 vj Name of Operator: Field and Pool: Stump Lake, Stump Lake, Undefinded Gas Month and Year: HILCORP ALASKA, LLC MARCH 2015 1. Well No. 2. API No. 50-XXX-XXXXX-XX-XX 3. Type (see instruct.) 4. Field & Pool Code 5. Method (see instruct.) 6. Days in Oper. 7. Avg. FTP psig (see instruct.) DAILY AVG. PRODUCTION I TOTAL MONTHLY PRODUCTION 8. OIL (BBL) 9. WATER 10. GAS (BBL) (BBL) 11. OIL (BBL) 12. WATER (BBL) 13. GAS (BBL) SLU41-33RD 50-283-20055-01-00 2 770500 8 0 0 0 10 10 10 10 10 I hereby certify that the foregoing is true and correct to the best of my knowledge. 14. Printed Name: Jacob Title: Production Analyst �Owwolabi/n Signature: ;7`"""". " o "��,"��"'""k Date: 4/17/2015 TOTAL 0 0 0 Form 10-405 Rev. 04/2006 INSTRUCTIONS ON REVERSE SIDE Submit in duplicate STATE OF ALASKA ALASKA OIL AND GAS CONSERVATION COMMISSION MONTHLY PRODUCTION REPORT NET OIL SALES RECEIVED MAY 2 1 2015 '� OGCC Hilcorp Alaska, LLC Stump Lake APRIL 2015 Name of Operator Regulatory Lease Month and Year of Production Total Wells 1 Total Wells Produced 0 Total Pipeline Runs 0 Closing Inventory 0 Opening Inventory 0 Other Adjustments 0 (direct or xylene recovered) Total Net Production 0 1 hereby certify that the foregoing is true and correct to the best of my knowledge. Signed JACO-6 owr"(Ajli 0 0 0 Jacob Owolabi TOTAL OIL WATER GAS Title Production Analvst Date: 5/18/2015 STATE OF ALASKA ALASKA OIL AND GAS CONSERVATION COMMISSION MONTHLY PRODUCTION REPORT 20 AAC 25.230 RECEIVED MAY 21 2015 Name of Operator: Field and Pool: Stump Lake, Stump Lake, Undefinded Gas Month and Year: HILCORP ALASKA, LLC APRIL 2015 1. Well No. 2. API No.3. 5D-XXX-XXXXX-XX-XX Type (see instruct.) 4. Field & Pool Code 5. Method (see instruct.) 6. Days in Oper. 7. Avg. FTP psig (see instruct.) DAILY AVG. PRODUCTION TOTAL MONTHLY PRODUCTION 8. OIL (BBL) 9. WATER 10. GAS (BBL) (BBL) 11. OIL (BBL) 12. WATEVF (BBL) 13. GAS (BBL) SLU41-33RD 50-283-20055-01-00 2 770500 8 0 0 0 0 0 0 0 0 I hereby certify that the foregoing is true and correct to the best of my knowledge. Printed Name: Jacob Owolabi!! Title: Production Analyst 14. Signature: ,y7A/� omt'o' .17� Date: 5/18/2015 TOTAL 0 0 0 Form 10-405 Rev. 04/2006 INSTRUCTIONS ON REVERSE SIDE Submit in duplicate STATE OF ALASKA ALASKA OIL AND GAS CONSERVATION COMMISSION MONTHLY PRODUCTION REPORT NET OIL SALES Hilcorp Alaska, LLC Stump Lake MAY 2015 Name of Operator Regulatory Lease Month and Year of Production Total Wells 1 Total Wells Produced 0 Total Pipeline Runs 0 Closing Inventory 0 Opening Inventory 0 Other Adjustments 0 (direct or xylene recovered) Total Net Production 0 1 hereby certify that the foregoing is true and correct to the best of my knowledge. Signed %aG owr` L 0 0 0 Jacob Owolabi TOTAL OIL WATER GAS Title Production Analyst Date: 6/18/2015 STATE OF ALASKA ALASKA OIL AND GAS CONSERVATION COMMISSION MONTHLY PRODUCTION REPORT 20 AAC 25.230 Name of Operator: HILCORP ALASKA, LLC Field and Pool: Stump Lake, Stump Lake, Undefinded Gas Month and Year: MAY 2015 1. Well No. 2. API No. 50-XXX-XXXXX-XX-XX 3. Type (see instruct.) 4. Field & Pool Code 5. Method (see instruct.) 6. Days in Oper. 7. Avg. FTP psig (see instruct.) DAILY AVG. PRODUCTION TOTAL MONTHLY PRODUCTION 8. OIL (BBL) 9. WATER (BBL) 10. GAS (BBL) 11. OIL (BBL) 12. WATER (BBL) 13. GAS (BBL) SLU41-33RD 1 50-283-20055-01-00 1 2 770500 8 01 010 10 0 0 10 10 I hereby certify that the foregoing is true and correct to the best of my knowledge. 14. Printed Name: Jacob Owolabi!! Title: Production Analyst Signature: %arG oxy-(.aU Date: 6/18/2015 TOTAL 0 0 0 Form 10-405 Rev. 04/2006 INSTRUCTIONS ON REVERSE SIDE Submit in duplicate STATE OF ALASKA ALASKA OIL AND GAS CONSERVATION COMMISSION MONTHLY PRODUCTION REPORT NET OIL SALES Hilcorp Alaska, LLC Stump Lake JUNE 2015 Name of Operator Regulatory Lease Month and Year of Production Total Wells 1 Total Wells Produced 0 Total Pipeline Runs 0 Closing Inventory 0 Opening Inventory 0 Other Adjustments 0 (direct or xylene recovered) Total Net Production 0 1 hereby certify that the foregoing is true and correct to the best of my knowledge. Signed 14rGC4 OvvvwC ' 0 0 0 Jacob Owolabi TOTAL OIL WATER GAS Title Production Analyst Date: 7/17/2015 STATE OF ALASKA ALASKA OIL AND GAS CONSERVATION COMMISSION FACILITY REPORT OF PRODUCED GAS DISPOSITION 1. Facility Number 2830000007 2.Facility Name Stump Lake 3. Field Stump Lake 4. Operator I Hilcorp Alaska LLC 5. Month/Year of Disposition I June -15 Disposition Volume MCF 20. For production from multiple pools, list contribution of each pool as a percent of Total Volume. 6. Sold 0 Pool Name Pool Code Percent 7. Reinjected 0 UNDEFINED GAS 770500 8. Flared or vented 1 hour or less 0 9. Flared or vented more than 1 hour (see instr.) 0 10. Pilot and Purge 0 11. Assist Gas 0 12. Fuel gas used in lease operations. 0 13. Other (see instructions) 0 Official Use Only Authorization >1 hr: Safety MCF 14. TOTAL VOLUME (ITEMS 6.13) 0 Lease Use MCF 15. NGL Gas Equivalent 0 Conservation MCF 16. Purchased gas 0 Waste: MCF 17. Transferred from: 0 Commissioner Date 18. Transferred to: (Express as a negative #) 0 19. Remarks: I hereby certify that the foregoing is true and correct to the best of my knowledge. Obi, Signature Title Production Analyst Note: All volumes must be corrected to pressure of 14.65 psia and to a temperature of 60o F. Authority 20 AAC25.235. Printed Name Jacob Owolabi Phone 713-757-5227 Date 7/17/2015 Form 10-422 Rev. 5/2009 INSTRUCTIONS ON REVERSE SIDE Submit in Duplicate . , 'A STATE OF ALASKA ALASKA OIL AND GAS CONSERVATION COMMISSION MONTHLY PRODUCTION REPORT 20 AAC 25.230 Name of Operator: HILCORP ALASKA, LLC Field and Pool: Stump Lake, Stump Lake, Undefinded Gas Month and Year: JUNE 2015 1. Well No. 2. API No. 50-XXX-XXXXX-XX-XX 3. Type (see instruct.) 4. Field & Pool Code 5. Method (see instruct.) 6. Days in Oper. 7. Avg. FTP psig (see instruct.) DAILY AVG. PRODUCTION TOTAL MONTHLY PRODUCTION 8. OIL (BBL) 9. WATER I (BBL) 10. GAS (BBL) 11. OIL 1 (BBL) 12. WATER (BBL) 13. GAS (BBL) SLU41-33RD 1 50-283-20055-01-00 2 770500 8 0 0 0 0 0 0 0 0 I hereby certify that the foregoing is true and correct to the best of my knowledge. 14. Printed Name: Jacob Owolabi Title: Production Analyst Signature: 7Gfi.(X 0/iVy/ 4( Date: 7/17/2015 TOTAL 0 0 0 Form 10-405 Rev. 04/2006 INSTRUCTIONS ON REVERSE SIDE �,uomn in aupucate STATE OF ALASKA ALASKA OIL AND GAS CONSERVATION COMMISSION MONTHLY PRODUCTION REPORT NET OIL SALES Hilcorp Alaska, LLC Stump Lake JULY 2015 Name of Operator Regulatory Lease Month and Year of Production Total Wells 1 Total Wells Produced 0 Total Pipeline Runs 0 Closing Inventory 0 Opening Inventory 0 Other Adjustments 0 (direct or xylene recovered) Total Net Production 0 I hereby certify that the foregoing is true and correct to the best of my knowledge. Signed 74LU owc-i�ak Jacob Owolabi Title Production Analyst Date: 8/14/2015 TOTAL OIL 0 0 WATER GAS STATE OF ALASKA ALASKA OIL AND GAS CONSERVATION COMMISSION MONTHLY PRODUCTION REPORT 20 AAC 25.230 Name of Operator: Field and Pool: Stump Lake, Stump Lake, Undefnded Gas Month and Year: HILCORP ALASKA, LLC JULY 2015 1. Well No. 2. API No. 50-XXX-XXXXX-XX-XX 3. Type (see instruct.) 4. Field & Pool Code 5. Method (see instruct.) 6. Days in Oper. 7. Avg. FTP psig (see instruct.) DAILY AVG. PRODUCTION TOTAL MONTHLY PRODUCTION 8. OIL (BBL) 9. WATER (BBL) 10. GAS (BBL) 11. OIL (BBL) 12. WATER 13. GAS (BBL) (BBL) SLU41-33RD 50-283-20055-01-00 2 770500 8 0 0 0 0 0 0 0 10 I hereby certify that the foregoing is true and correct to the best of my knowledge. 14. Printed Name: Jacob Owolabi Title: Production Analyst �,,,�%� �, Signature: .7� �"""'�""� Date: 8/14/2015 TOTAL 0 0 0 Form 10-405 Rev. 04/2006 INSTRUCTIONS ON REVERSE SIDE Submit in duplicate STATE OF ALASKA ALASKA OIL AND GAS CONSERVATION COMMISSION MONTHLY PRODUCTION REPORT NET OIL SALES Hilcorp Alaska, LLC Stump Lake AUGUST 2015 Name of Operator Regulatory Lease Month and Year of Production Total Wells 1 Total Wells Produced 0 Total Pipeline Runs 0 Closing Inventory 0 Opening Inventory 0 Other Adjustments 0 (direct or xylene recovered) Total Net Production 0 I hereby certify that the foregoing is true and correct to the best of my knowledge. Signed 7ACV-b OkMWA.& Jacob Owolabi Title Production Analvst Date: 9/15/2015 0 0 TOTAL OIL WATER GAS STATE OF ALASKA ALASKA OIL AND GAS CONSERVATION COMMISSION MONTHLY PRODUCTION REPORT 20 AAC 25.230 Name of Operator: Field and Pool: Stump Lake, Stump Lake, Undefnded Gas Month and Year: HILCORP ALASKA, LLC AUGUST 2015 1. Well No. 2. API No. 50-XXX-XXXXX-XX-XX 3. Type (see instruct.) 4. Field & Pool Code 5. Method (see instruct.) 6. Days in Oper. 7. Avg. FTP psig (see instruct.) DAILY AVG. PRODUCTION I TOTAL MONTHLY PRODUCTION 8. OIL (BBL) 9. WATER (BBL) 10. GAS (BBL) 1 11. OIL (BBL) 12. WATER (BBL) 13. GAS (BBL) SLU41-33RD 50-283-20055-01-00 2 770500 8 0 010 0 10 10 10 10 I hereby certify that the foregoing is true and correct to the best of my knowledge. 14. Printed Name: Jacob Owolabi Title: Production Analyst ,, �, Signature: 7� O"�� ," ",,f(A Date: 9/15/2015 TOTAL 0 0 0 Form 10-405 Rev. 04/2006 INSTRUCTIONS ON REVERSE SIDE Submit in duplicate STATE OF ALASKA ALASKA OIL AND GAS CONSERVATION COMMISSION MONTHLY PRODUCTION REPORT NET OIL SALES Hilcorp Alaska, LLC Stump Lake SEPTEMBER 2015 Name of Operator Regulatory Lease Month and Year of Production Total Wells 1 Total Wells Produced 0 Total Pipeline Runs 0 Closing Inventory 0 Opening Inventory 0 Other Adjustments 0 (direct or xylene recovered) Total Net Production 0 I hereby certify that the foregoing is true and correct to the best of my knowledge. Signed CB2�J2P/y Z c� 0 0 Cortney Dyer 61 TOTAL OIL WATER Title Production Analyst Date: 10/21/2015 GAS DECEIVED 00 2 3 2015 AOGCC STATE OF ALASKA ALASKA OIL AND GAS CONSERVATION COMMISSION MONTHLY PRODUCTION REPORT 20 AAC 25.230 Name of Operator: Field and Pool: Stump Lake, Stump Lake, Undefinded Gas Month and Year: HILCORP ALASKA, LLC SEPTEMBER 2015 1. Well No. 2. API No. 50-XXX-XXXXX-XX-XX 3. Type (see T& 4. Field & Pool Code 5. Method (see instruct.) 6. Days in Oper. 7, Avg. FTP psig (see instruct.) DAILY AVG. PRODUCTION TOTAL MONTHLY PRODUCTION 8. OIL (BBL) 9. WATER 10. GAS (BBL) (BBL) 11. OIL (BBL) 12. WATER 13. GAS (BBL) (BBL) SLU41-33RD 50-283-20055-01-00 2 770500 8 0 0 0 0 0 0 0 10 I hereby certify that the foregoing is true and correct to the best of my knowledge. Printed Name: Cortney Dyer Title: Production Analyst 14. Signature: 7��n� y-/''� Date: 10/21/2015 TOTAL 0 0 0 Form 10-405 Rev. 04/2006 INSTRUCTIONS ON REVERSE SIDE Submit in duplicate STATE OF ALASKA ALASKA OIL AND GAS CONSERVATION COMMISSION MONTHLY PRODUCTION REPORT NET OIL SALES Hilcorp Alaska, LLC Stump Lake OCTOBER 2015 Name of Operator Regulatory Lease Month and Year of Production Total Wells 1 Total Wells Produced 0 Total Pipeline Runs 0 Closing Inventory 0 Opening Inventory 0 Other Adjustments 0 (direct or xylene recovered) Total Net Production 0 1 hereby certify that the foregoing is true and correct to the best of my knowledge. Signed �b2�iyQ y! c 0 0 0 Cortney Dyer TOTAL OIL WATER GAS Title Production Analyst Date: 11/18/2015 STATE OF ALASKA ALASKA OIL AND GAS CONSERVATION COMMISSION MONTHLY PRODUCTION REPORT 20 AAC 25.230 Name of Operator: Field and Pool: Stump Lake, Stump Lake, Undefinded Gas Month and Year: HILCORP ALASKA, LLC OCTOBER 2015 1. Well No. 2. API No. 50-XXX-XXXXX-XX-XX 3. Type (see instruct.) 4. Field & Pool Code 5. Method (see instruct.) 6. Days in Oper. 7. Avg. FTP psi,(see instruct.) I DAILY AVG. PRODUCTION I TOTAL MONTHLY PRODUCTION 8.OIL (BBL) 9. WATER (BBL) 10. GAS (BBL) 11. OIL (BBL) 12. WATER (BBL) I 13. GAS (BBL) SLU41-33RD 50-283-20055-01-00 2 770500 8 0 0 0 10 0 10 10 10 I hereby certify that the foregoing is true and correct to the best of my knowledge. 14. Printed Name: Cortney Dyer Title: Production Analyst D Signature: Date: 11/18/2015 61 61 TOTAL o 0 0 Form 10-405 Rev. 04/2006 INSTRUCTIONS ON REVERSE SIDE Submit in duplicate STATE OF ALASKA ALASKA OIL AND GAS CONSERVATION COMMISSION MONTHLY PRODUCTION REPORT NET OIL SALES Hilcorp Alaska, LLC Stump Lake NOVEMBER 2015 Name of Operator Regulatory Lease Month and Year of Production Total Wells 1 Total Wells Produced 0 Total Pipeline Runs 0 Closing Inventory 0 Opening Inventory 0 Other Adjustments 0 (direct or xylene recovered) Total Net Production 0 1 hereby certify that the foregoing is true and correct to the best of my knowledge. Signed L� Dye 0 0 0 Cortney Dyer TOTAL OIL WATER GAS Title Production Analyst Date: 12/16/2015 STATE OF ALASKA ALASKA OIL AND GAS CONSERVATION COMMISSION MONTHLY PRODUCTION REPORT 20 AAC 25.230 Name of Operator: HILCORP ALASKA, LLC Field and Pool: Slump Lake, Stump Lake, Undefinded Gas Month and Year: NOVEMBER 2015 1. Well No. 2. API No. 50-XXX-XXXXX-XX-XX 3. Type (see instruct.) 4. Field 8 Pool Code 5. Method (see instruct.) 6. Days in Oper. 7. Avg. FTP psig (see instruct.) DAILY AVG. PRODUCTION TOTAL MONTHLY PRODUCTION 8. OIL (BBL) 9. WATER I (BBL) 10. GAS 1 (BBL) 11.011- 1 (BBL) 12. WATER (BBL) 13. GAS (BBL) SLU41-33RD 50-283-20055-01-00 1 2 770500 8 0 0 0 0 0 0 0 0 I hereby certify that the foregoing is true and correct to the best of my knowledge. 14. Printed Name: Cortney Dyer Title: Production Analyst �"""""�— Dye' Signature: Date: 12/16/2015 TOTAL 0 0 0 Form 10-405 Rev. 04/2006 INSTRUCTIONS ON REVERSE SIUE Summi ill vuynoaic STATE OF ALASKA ALASKA OIL AND GAS CONSERVATION COMMISSION MONTHLY PRODUCTION REPORT NET OIL SALES Hilcorp Alaska, LLC Stump Lake DECEMBER 2015 Name of Operator Regulatory Lease Month and Year of Production Total Wells 1 Total Wells Produced 0 Total Pipeline Runs 0 Closing Inventory 0 Opening Inventory 0 Other Adjustments 0 (direct or xylene recovered) Total Net Production 0 1 hereby certify that the foregoing is true and correct to the best of my knowledge. Signed r8&Le �� Dom' 0 0 0 Cortney Dyer TOTAL OIL WATER GAS Title Production Analyst Date: 1/18/2016 STATE OF ALASKA ALASKA OIL AND GAS CONSERVATION COMMISSION MONTHLY PRODUCTION REPORT 20 AAC 25.230 Name of Operator: Field and Pool: Stump Lake, Stump Lake, Undefinded Gas Month and Year: HILCORP ALASKA, LLC DECEMBER 2015 1. Well No. 2. API No. 3. Type 4. Field 5. Method 6. Days in Oper. 7. Avg. FTP DAILY AVG. PRODUCTION TOTAL MONTHLY PRODUCTION 8. OIL 9. WATER 10. GAS 11.011- 12. WATER 13. GAS 50-XXX-XXXXX-XX-XX (see & Pool (see psig (see instruct.) Code instruct.) instruct.) (BBL) (BBL) (BBL) (BBL) (BBL) (BBL) SLU41-33RD 50-283-20055-01-00 2 770500 8 0 010 10 0 10 10 10 I hereby certify that the foregoing is true and correct to the best of my knowledge. 14. Printed Name: Cortney Dy�er,y��—N' Title: Production Analyst �y��' Signature: `�" ""'�" % Date: 1/182016 TOTAL 0 0 0 Form 10405 Rev. 04/2006 INSTRUCTIONS ON REVERSE SIDE Submit in duplicate