Department of Commerce, Community, and Economic Development
Alaska Oil and Gas Conservation Commission
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HomeMy WebLinkAboutWolf Lake - Hilcorp Alaska, LLCSTATE OF ALASKA
ALASKA OIL AND GAS CONSERVATION COMMISSION
MONTHLY PRODUCTION REPORT
NET OIL SALES
Hilcorp Alaska, LLC Wolf Lake JANUARY 2020
Name of Operator Regulatory Lease Month and Year of Production
Total Wells 2
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 0 0 0
Beth Farouse TOTAL OIL WATER GAS
Title Production Analyst Date:2/20/2020
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: Wolf Lake, Wolf Lake, Bel-Tyon Undef Gas Month and Year:
JANUARY 2020
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.)
8. OIL
(BBL)
9. WATER
(BBL)
10. GAS
(MCF)
11. OIL
(BBL)
12. WATER
(BBL)
13. GAS
(MCF)
TOTAL MONTHLY PRODUCTIONDAILY AVG. PRODUCTION
WL 01RD 50-133-20362-01-00 2 951500 8 0 0 0 0 0 0 0 0
WL 02S 50-133-20375-90-00 2 951500 8 0 0 0 0 0 0 0 0
000
14.
TOTAL
I hereby certify that the foregoing is true and correct to the best of my knowledge.
Printed Name:
Signature:
Beth Farouse Title:
Date:
Production Analyst
2/20/2020
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 Wolf Lake FEBRUARY 2020
Name of Operator Regulatory Lease Month and Year of Production
Total Wells 2
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 0 0 0
Sheila Denton TOTAL OIL WATER GAS
Title Production Analyst Date:3/18/2020
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: Wolf Lake, Wolf Lake, Bel-Tyon Undef Gas Month and Year:
FEBRUARY 2020
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.)
8. OIL
(BBL)
9. WATER
(BBL)
10. GAS
(MCF)
11. OIL
(BBL)
12. WATER
(BBL)
13. GAS
(MCF)
TOTAL MONTHLY PRODUCTIONDAILY AVG. PRODUCTION
WL 01RD 50-133-20362-01-00 2 951500 8 0 0 0 0 0 0 0 0
WL 02S 50-133-20375-90-00 2 951500 8 0 0 0 0 0 0 0 0
000
14.
TOTAL
I hereby certify that the foregoing is true and correct to the best of my knowledge.
Printed Name:
Signature:
Sheila Denton Title:
Date:
Production Analyst
3/18/2020
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 Wolf Lake MARCH 2020
Name of Operator Regulatory Lease Month and Year of Production
Total Wells 2
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 0 0 0
Sheila Denton TOTAL OIL WATER GAS
Title Production Analyst Date:4/17/2020
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: Wolf Lake, Wolf Lake, Bel-Tyon Undef Gas Month and Year:
MARCH 2020
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.)
8. OIL
(BBL)
9. WATER
(BBL)
10. GAS
(MCF)
11. OIL
(BBL)
12. WATER
(BBL)
13. GAS
(MCF)
TOTAL MONTHLY PRODUCTIONDAILY AVG. PRODUCTION
WL 01RD 50-133-20362-01-00 2 951500 8 0 0 0 0 0 0 0 0
WL 02S 50-133-20375-90-00 2 951500 8 0 0 0 0 0 0 0 0
000
14.
TOTAL
I hereby certify that the foregoing is true and correct to the best of my knowledge.
Printed Name:
Signature:
Sheila Denton Title:
Date:
Production Analyst
4/17/2020
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 Wolf Lake APRIL 2020
Name of Operator Regulatory Lease Month and Year of Production
Total Wells 2
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 0 0 0
Sheila Denton TOTAL OIL WATER GAS
Title Production Analyst Date:5/18/2020
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: Wolf Lake, Wolf Lake, Bel-Tyon Undef Gas Month and Year:
APRIL 2020
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.)
8. OIL
(BBL)
9. WATER
(BBL)
10. GAS
(MCF)
11. OIL
(BBL)
12. WATER
(BBL)
13. GAS
(MCF)
TOTAL MONTHLY PRODUCTIONDAILY AVG. PRODUCTION
WL 01RD 50-133-20362-01-00 2 951500 8 0 0 0 0 0 0 0 0
WL 02S 50-133-20375-90-00 2 951500 8 0 0 0 0 0 0 0 0
000
14.
TOTAL
I hereby certify that the foregoing is true and correct to the best of my knowledge.
Printed Name:
Signature:
Sheila Denton Title:
Date:
Production Analyst
5/18/2020
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 Wolf Lake MAY 2020
Name of Operator Regulatory Lease Month and Year of Production
Total Wells 2
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 0 0 0
Sheila Denton TOTAL OIL WATER GAS
Title Production Analyst Date:6/18/2020
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: Wolf Lake, Wolf Lake, Bel-Tyon Undef Gas Month and Year:
MAY 2020
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.)
8. OIL
(BBL)
9. WATER
(BBL)
10. GAS
(MCF)
11. OIL
(BBL)
12. WATER
(BBL)
13. GAS
(MCF)
TOTAL MONTHLY PRODUCTIONDAILY AVG. PRODUCTION
WL 01RD 50-133-20362-01-00 2 951500 8 0 0 0 0 0 0 0 0
WL 02S 50-133-20375-90-00 2 951500 8 0 0 0 0 0 0 0 0
000
14.
TOTAL
I hereby certify that the foregoing is true and correct to the best of my knowledge.
Name:
Certified Signature:
Sheila Denton
Title:Production Analyst Contact Phone:(713) 289-2981
Contact Email:sdenton@hilcorp.com
Revision?
Date:
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 Wolf Lake JUNE 2020
Name of Operator Regulatory Lease Month and Year of Production
Total Wells 2
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 0 0 0
Sheila Denton TOTAL OIL WATER GAS
Title Production Analyst Date:7/17/2020
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: Wolf Lake, Wolf Lake, Bel-Tyon Undef Gas Month and Year:
JUNE 2020
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.)
8. OIL
(BBL)
9. WATER
(BBL)
10. GAS
(MCF)
11. OIL
(BBL)
12. WATER
(BBL)
13. GAS
(MCF)
TOTAL MONTHLY PRODUCTIONDAILY AVG. PRODUCTION
WL 01RD 50-133-20362-01-00 2 951500 8 0 0 0 0 0 0 0 0
WL 02S 50-133-20375-90-00 2 951500 8 0 0 0 0 0 0 0 0
000
14.
TOTAL
I hereby certify that the foregoing is true and correct to the best of my knowledge.
Name:
Certified Signature:
Sheila Denton
Title:Production Analyst Contact Phone:(713) 289-2981
Contact Email:sdenton@hilcorp.com
Revision?
Date:
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 Wolf Lake JULY 2020
Name of Operator Regulatory Lease Month and Year of Production
Total Wells 2
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 0 0 0
Sheila Denton TOTAL OIL WATER GAS
Title Production Analyst Date:8/17/2020
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: Wolf Lake, Wolf Lake, Bel-Tyon Undef Gas Month and Year:
JULY 2020
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.)
8. OIL
(BBL)
9. WATER
(BBL)
10. GAS
(MCF)
11. OIL
(BBL)
12. WATER
(BBL)
13. GAS
(MCF)
TOTAL MONTHLY PRODUCTIONDAILY AVG. PRODUCTION
WL 01RD 50-133-20362-01-00 2 951500 8 0 0 0 0 0 0 0 0
WL 02S 50-133-20375-90-00 2 951500 8 0 0 0 0 0 0 0 0
000
14.
TOTAL
I hereby certify that the foregoing is true and correct to the best of my knowledge.
Name:
Certified Signature:
Sheila Denton
Title:Production Analyst Contact Phone:(713) 289-2981
Contact Email:sdenton@hilcorp.com
Revision?
Date:
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 Wolf Lake AUGUST 2020
Name of Operator Regulatory Lease Month and Year of Production
Total Wells 2
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 0 0 0
Sheila Denton TOTAL OIL WATER GAS
Title Production Analyst Date:9/17/2020
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: Wolf Lake, Wolf Lake, Bel-Tyon Undef Gas Month and Year:
AUGUST 2020
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.)
8. OIL
(BBL)
9. WATER
(BBL)
10. GAS
(MCF)
11. OIL
(BBL)
12. WATER
(BBL)
13. GAS
(MCF)
TOTAL MONTHLY PRODUCTIONDAILY AVG. PRODUCTION
WL 01RD 50-133-20362-01-00 2 951500 8 0 0 0 0 0 0 0 0
WL 02S 50-133-20375-90-00 2 951500 8 0 0 0 0 0 0 0 0
000
14.
TOTAL
I hereby certify that the foregoing is true and correct to the best of my knowledge.
Name:
Certified Signature:
Sheila Denton
Title:Production Analyst Contact Phone:(713) 289-2981
Contact Email:sdenton@hilcorp.com
Revision?
Date:
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 Wolf Lake SEPTEMBER 2020
Name of Operator Regulatory Lease Month and Year of Production
Total Wells 2
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 0 0 0
Sheila Denton TOTAL OIL WATER GAS
Title Production Analyst Date:10/16/2020
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: Wolf Lake, Wolf Lake, Bel-Tyon Undef Gas Month and Year:
SEPTEMBER 2020
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.)
8. OIL
(BBL)
9. WATER
(BBL)
10. GAS
(MCF)
11. OIL
(BBL)
12. WATER
(BBL)
13. GAS
(MCF)
TOTAL MONTHLY PRODUCTIONDAILY AVG. PRODUCTION
WL 01RD 50-133-20362-01-00 2 951500 8 0 0 0 0 0 0 0 0
WL 02S 50-133-20375-90-00 2 951500 8 0 0 0 0 0 0 0 0
000
14.
TOTAL
I hereby certify that the foregoing is true and correct to the best of my knowledge.
Name:
Certified Signature:
Sheila Denton
Title:Production Analyst Contact Phone:(713) 289-2981
Contact Email:sdenton@hilcorp.com
Revision?
Date:
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 Wolf Lake OCTOBER 2020
Name of Operator Regulatory Lease Month and Year of Production
Total Wells 2
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 0 0 0
Ashley Culver TOTAL OIL WATER GAS
Title Production Analyst Date:11/16/2020
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: Wolf Lake, Wolf Lake, Bel-Tyon Undef Gas Month and Year:
OCTOBER 2020
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.)
8. OIL
(BBL)
9. WATER
(BBL)
10. GAS
(MCF)
11. OIL
(BBL)
12. WATER
(BBL)
13. GAS
(MCF)
TOTAL MONTHLY PRODUCTIONDAILY AVG. PRODUCTION
WL 01RD 50-133-20362-01-00 2 951500 8 0 0 0 0 0 0 0 0
WL 02S 50-133-20375-90-00 2 951500 8 0 0 0 0 0 0 0 0
000
14.
TOTAL
I hereby certify that the foregoing is true and correct to the best of my knowledge.
Name:
Certified Signature:
Ashley Culver
Title:Production Analyst Contact Phone:337-276-1248
Contact Email:aculver@hilcorp.com
Revision?
Date:
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 Wolf Lake NOVEMBER 2020
Name of Operator Regulatory Lease Month and Year of Production
Total Wells 2
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 0 0 0
Ashley Culver TOTAL OIL WATER GAS
Title Production Analyst Date:12/17/2020
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: Wolf Lake, Wolf Lake, Bel-Tyon Undef Gas Month and Year:
NOVEMBER 2020
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.)
8. OIL
(BBL)
9. WATER
(BBL)
10. GAS
(MCF)
11. OIL
(BBL)
12. WATER
(BBL)
13. GAS
(MCF)
TOTAL MONTHLY PRODUCTIONDAILY AVG. PRODUCTION
WL 01RD 50-133-20362-01-00 2 951500 8 0 0 0 0 0 0 0 0
WL 02S 50-133-20375-90-00 2 951500 8 0 0 0 0 0 0 0 0
000
14.
TOTAL
I hereby certify that the foregoing is true and correct to the best of my knowledge.
Name:
Certified Signature:
Ashley Culver
Title:Production Analyst Contact Phone:(337)276-1248
Contact Email:aculver@hilcorp.com
Revision?
Date:
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 Wolf Lake DECEMBER 2020
Name of Operator Regulatory Lease Month and Year of Production
Total Wells 2
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 0 0 0
Ashley Culver TOTAL OIL WATER GAS
Title Production Analyst Date: 1/19/2021
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: Wolf Lake, Wolf Lake, Bel-Tyon Undef Gas Month and Year:
DECEMBER 2020
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.)
8. OIL
(BBL)
9. WATER
(BBL)
10. GAS
(MCF)
11. OIL
(BBL)
12. WATER
(BBL)
13. GAS
(MCF)
TOTAL MONTHLY PRODUCTIONDAILY AVG. PRODUCTION
WL 01RD 50-133-20362-01-00 2 951500 8 0 0 0 0 0 0 0 0
WL 02S 50-133-20375-90-00 2 951500 8 0 0 0 0 0 0 0 0
000
14.
TOTAL
I hereby certify that the foregoing is true and correct to the best of my knowledge.
Name:
Certified Signature:
Ashley Culver
Title:Production Analyst Contact Phone:(337)276-1248
Contact Email:aculver@hilcorp.com
Revision?*Date:
Form 10-405 Rev. 04/2006 INSTRUCTIONS ON REVERSE SIDE Submit in duplicate
