Department of Commerce, Community, and Economic Development
Alaska Oil and Gas Conservation Commission
Loading...
HomeMy WebLinkAboutKenai Gas DispositionState of Alaska AOGCC
Gas Disposition Files
Year: 2014
Facility: Kenai
Operator: HILCORP
STATE OF ALASKA
ALASKA OIL AND GAS CONSERVATION COMMISSION
FACILITY REPORT OF PRODUCED GAS DISPOSITION
1. Facility Number2.
1330000012
Facility Name
Kenai
3. Field
Kenai
4. Operator
Hilcorp Alaska LLC
5. Monlh/Year of Disposition
January -14
Disposition
Volume MCF
20. For production from multiple pools, list contribution of each pool as a percent of Total
Volume.
6. Sold
1071171
Pool Name Pool Code Percent
7. Reinjected
0
TYONEK BELUGA 448571 72.27%
STERLING POOL 5.1 448564
8. Flared or vented 1 hour or less
89
STERLING POOL 5.2 448566 7.88%
STERLING POOL 6 448568 1.05%
9. Flared or vented more than 1 hour (see instr.)
0
STERLING POOL 3 448560 4.43%
STERLING POOL 4 448562 6.40%
10. Pilot and Purge
Q1
TYONEK POOL 1 448570 7.97%
STERLING UNDEFINED GAS 448555
11. Assist Gas
p
12. Fuel gas used in lease operations.
75854
13. Other (see instructions)
0
Official Use Only
Authorization -1 hr.
Safety
MCF
14. TOTAL VOLUME (ITEMS 6.13)
1147114
Lease Use
MCF
15. NGL Gas Equivalent
0
Conservation
MCF
16. Purchased gas
0
Waste:
MCF
17. Transferred from:
281683
Commissioner Date
18. Transferred to: (Express as a negative #)
g
19. Remarks:
17: Amount transferred from Cannery Loop for compression and sale: 281,683
Amount injected into Kenai Gas Storage: 318,057
Sterling Pool 6 Production Sold: 8,214
1 hereby certify that the foregoing is true and correct to the best of my knowledge.
Jac� oN/� tt Note: All volumes must be corrected
Signature Title Production Analyst to pressure of 14.65 psia and to a
temperature of 60o F. Authority 20
Printed Name Jacob Owolabi Phone 713-757-5227 Date 1/20/2014 AAC25.235.
Form 10-422 Rev. 5/2009 INSTRUCTIONS ON REVERSE SIDE Submit in Duplicate
� (ne j
STATE OF ALASKA
ALASKA OIL AND GAS CONSERVATION COMMISSION
FACILITY REPORT OF PRODUCED GAS DISPOSITION
1. Facility Number
1330000012
2. Facility Name
Kenai
3. Field
Kenai
4. Operator
Hilcerp Alaska LLC
5. MonthNear of Disposition
February -14
Disposition
Volume MCF
20. For production from multiple pools, list contribution of each pool as a percent of Total
Volume.
6. Sold
1129184
Pool Name Pool Code Percent
7. Reinjected
0
TYONEK BELUGA 448571 59.93%
STERLING POOL 5.1 448564
8. Flared or vented 1 hour or less
98
STERLING POOL 5.2 448566 6.93%
STERLING POOL 6 448568 17.10%
9. Flared or vented more than 1 hour (see instr.)
0
STERLING POOL 3 448560 2.38 7/6
STERLING POOL 4 448562 5.43%
10. Pilot and Purge
0
TYONEK POOL 1 448570 8.24%
STERLING UNDEFINED GAS 448555
11. Assist Gas
0
12. Fuel gas used in lease operations.
66561
13. Other (see instructions)
0
Official Use Only
Authorization >1 hr.
Safety
MCF
14. TOTAL VOLUME (ITEMS 6.13)
1195842
Lease Use
MCF
15. NGL Gas Equivalent
0
Conservation
MCF
16. Purchased gas
0
Waste:
MCF
17. Transferred from:
251982
Commissioner Date
18. Transferred to: (Express as a negative #)
0
19. Remarks:
17: Amount transferred from Cannery Loop for compression and sale: 251,982
Amount injected into Kenai Gas Storage: 35,395
Sterling Pool Production Sold: 151,869
1 hereby certify that the foregoing is true and correct to the best of my knowledge.
atxf (Ti/ pG1/ l�iL Note: All volumes must be corrected
Signature Title Production Analyst to pressure of 14.65 psia and to a
temperature of 60o F. Authority 20
Printed Name Jacob Owolabi Phone 713-757-5227 Date 3/2512014 AAC25.235.
Form 10-422 Rev. 5/2009 INSTRUCTIONS ON REVERSE SIDE Submit in Duplicate
STATE OF ALASKA
ALASKA OIL AND GAS CONSERVATION COMMISSION
FACILITY REPORT OF PRODUCED GAS DISPOSITION
1. Facility Number
1330000012
2. Facility Name
Kenai
3. Field
Kenai
4. Operator
Hilcorp Alaska LLC
5. Month/Year of Disposition
I March -114
Disposition
Volume MCF
20. For production from multiple pools, list contribution of each pool as a percent of Total
Volume.
6. Sold
1121275
Pool Name Pool Code Percent
7. Reinjected
0
TYONEK BELUGA 448571 75.35%
STERLING POOL 5.1 448564
8. Flared or vented 1 hour or less
38
STERLING POOL 5.2 448566 2.850/
STERLING POOL 448568 4.10%
9. Flared or vented more than 1 hour (see instr.)
O
STERLING POOL 3 448560 2.827.
STERLING POOL 448562 6.42%
10. Pilot and Purge
0
TYONEK POOL 1 448570 8.45
STERLING UNDEFINED GAS 448555
11. Assist Gas
0
12. Fuel gas used in lease operations.
81383
13. Other (see instructions)
0
Official Use Only
Authorization >1 hr.
Safety
MCF
14. TOTAL VOLUME (ITEMS 6-13)
1202696
Lease Use
MCF
15. NGL Gas Equivalent
0
Conservation
MCF
16. Purchased gas
p
Waste:
MCF
17. Transferred from:
289505
Commissioner Date
18. Transferred to: (Express as a negative #)
0
19. Remarks:
17: Amount transferred from Cannery Loop for compression and sale: 289,505
Amount injected into Kenai Gas Storage: 354,844
Sterling Pool 6 Production Sold: 34,372
1 hereby certify that the foregoing is true and correct to the best of my knowledge.
f���j Q�AjU Note: All volumes must be corrected
Signature J' Title Production Analyst to pressure of 14.65 psia and to a
temperature of 60o F. Authority 20
Printed Name Jacob Owolabi Phone 713-757-5227 Date 4/1612014 AAC25.235.
Form 30-422 Rev. 5/2009 INSTRUCTIONS ON REVERSE SIDE Submit in Duplicate
STATE OF ALASKA
ALASKA OIL AND GAS CONSERVATION COMMISSION
FACILITY REPORT OF PRODUCED GAS DISPOSITION
1. Facility Number2.
1330000012
Facility Name
Kenai
3. Field
Kenai
4. Operator
Hilcerp Alaska LLC
5. Month/Year of Disposition
April -14
Disposition
Volume MCF
20. For production from multiple pools, list contribution of each pool as a percent of
Total Volume.
6. Sold
1074506
Pool Name Pool Code Percent
7. Reinjected
0
TYONEK BELUGA 448571 74.41
STERLING POOL 5.1 448564
8. Flared or vented 1 hour or less
12
STERLING POOL 5.2 448566 3.42%
STERLING POOL 6 448568 0.49%
9. Flared or vented more than 1 hour (see instr.)
0
STERLING POOL 3 448560 0.07%
STERLING POOL 448562 4.75%
10. Pilot and Purge
0
LONEK POOL 1 448570 16.86%
STERLING UNDEFINED GAS 448555
11. Assist Gas
0
12. Fuel gas used in lease operations.
72353
13. Other (see instructions)
0
Official Use Only
Authorization>1 hr
Safety
MCF
14. TOTAL VOLUME (ITEMS 6-13)
1146871
Lease Use
MCF
15. NGL Gas Equivalent
0
Conservation
MCF
16. Purchased gas
0
Waste
MCF
17. Transferred from:
276841
Commissioner Date
18. Transferred to: (Express as a negative #)
0
19. Remarks:
17: Amount transferred from Cannery Loop for compression and sale: 276,841
Amount injected into Kenai Gas Storage: 642,231
Sterling Pool 6 Production Sold: 3,971
1 hereby certify that the foregoing is true and correct to the best of my knowledge.
,acini o vL & Note: All volumes must be corrected
Signature Title Production Analvst to pressure of 14.65 psia and to a
temperature of 60o F. Authority 20
Printed Name Jacob Owolabi Phone 713-757-5227 Date 5/19/2014 AAC25.235.
Form 10-422 Rev. 5/2009 INSTRUCTIONS ON REVERSE SIDE Submit in Duplicate
STATE OF ALASKA
ALASKA OIL AND GAS CONSERVATION COMMISSION
FACILITY REPORT OF PRODUCED GAS DISPOSITION
1. Facility Number
1330000012
2. Facility Name
Kenai
3. Field
Kenai
4. Operator
Hilcorp Alaska LLC
5. Month/Year of Disposition
May -14
Disposition
Volume MCF
20. For production from multiple pools, list contribution of each pool as a percent of Total
Volume.
6. Sold
1367714
Pool Name Pool Code Percent
7. Reinjected
0
TYONEK BELUGA 448571 55.70%
STERLING POOL 5.1 448564
8. Flared or vented 1 hour or less
22
STERLING POOL 5.2 448566 3.40%
STERLING POOL 6 448568 7.31%
9. Flared or vented more than 1 hour (see instr.)
0
STERLING POOL 3 448560 0.00%
STERLING POOL 4 448562 3.127/6
10. Pilot and Purge
0
TYONEK POOL 1 448570 30.47
STERLING UNDEFINED GAS 448555
11. Assist Gas
0
12. Fuel gas used in lease operations.
74835
13. Other (see instructions)
0
Official Use Only
Authorization>1 hr:
Safety
MCF
14. TOTAL VOLUME (ITEMS 6.13)
1442571
Lease Use
MCF
15. NGL Gas Equivalent
0
Conservation
MCF
16. Purchased gas
0
Waste:
MCF
17. Transferred from:
284749
Commissioner Date
18. Transferred to: (Express as a negative #)
0
19. Remarks:
17: Amount transferred from Cannery Loop for compression and sale: 284,749
Amount injected into Kenai Gas Storage: 607,617
Sterling Pool 6 Production Sold: 79,481
1 hereby certify that the foregoing is true and correct to the best of my knowledge.
JacobQ�L Note: All volumes must be corrected
Signature Title Production Analvst to pressure of 14.65 psia and to a
temperature of 60o F. Authority 20
Printed Name Jacob Owolabi Phone 713-757-5227 Date 6/17/2014 AAC25.235.
Form 10-422 Rev. 5/2009 INSTRUCTIONS ON REVERSE S10E Submit in Duplicate
STATE OF ALASKA
ALASKA OIL AND GAS CONSERVATION COMMISSION
FACILITY REPORT OF PRODUCED GAS DISPOSITION
1. Facility Number
1330000012
2. Facility Name
Kenai
3. Field
Kenai
4. Operator
Hilcorp Alaska LLC
5. MonthNear of Disposition
June -14
Disposition
Volume MCF
20. For production from multiple pools, list contribution of each pool as a percent of Total
Volume.
6. Sold
1224666
Pool Name Pool Code Percent
7. Reinjected
0
TYONEK BELUGA 448571 59.99%
STERLING POOL 5.1 448564
8. Flared or vented 1 hour or less
60
STERLING POOL 5.2448566 2.94%
STERLING POOL 448568 0.00%
9. Flared or vented more than 1 hour (see instr.)
0
STERLING POOL 3 448560
STERLING POOL 4 448562
10. Pilot and Purge
0
TYONEK POOL 1 448570 37.077/o
STERLING UNDEFINED GAS 448555
11. Assist Gas
0
12. Fuel gas used in lease operations.
72678
13. Other (see instructions)
0
- Official Use Only
Authorization>l hr:
Safety
MCF
14. TOTAL VOLUME (ITEMS 6-13)
1297404
Lease Use
MCF
15. NGL Gas Equivalent
0
Conservation
MCF
16. Purchased gas
0
Wast
MCFe:
17. Transferred from:
280155
Commissioner Date
18. Transferred to: (Express as a negative #)
0
19. Remarks:
17: Amount transferred from Cannery Loop for compression and sale: 280,155
Amount injected into Kenai Gas Storage: 1,102,783
Sterling Pool Production Sold: 0
1 hereby certify that the foregoing is true and correct to the best of my knowledge.
7"'&b 0h� Note: All volumes must be corrected
Signature Title Production Analyst to pressure of 14.65 psia and to a
temperature of 60o F. Authority 20
Printed Name Jacob Owolabi Phone 713-757-5227 Date 7/17/20141 AAC25.235.
Form 10-422 Rev. 5/2009 INSTRUCTIONS ON REVERSE SIDE Submit in Duplicate
STATE OF ALASKA
ALASKA OIL AND GAS CONSERVATION COMMISSION
FACILITY REPORT OF PRODUCED GAS DISPOSITION
A �
b �
AUG 2 2 2014
AOGCC
1. Facility Number
1330000012
2. Facility Name
Kenai
3. Field
Kenai
4. Operator
Hilcorp Alaska LLC
5. MonthNear of Disposition
July -14
Disposition
Volume MCF
20. For production from multiple pools, list contribution of each pool as a percent of
Total Volume.
6. Sold
2077882
Pool Name Pool Code Percent
7. Reinjected
0
TYONEK BELUGA 448571 57.07%
STERLING POOL 5.1 448564
8. Flared or vented 1 hour or less
76
STERLING POOL 5.2 448566 0.81%
STERLING POOL 6 448568 16.66%
9. Flared or vented more than 1 hour (see instr.)
0
STERLING POOL 3 448560
STERLING POOL 448562 0.93%
10. Pilot and Purge
0
TYONEK POOL 1 448570 24.53%
STERLING UNDEFINED GAS 448555
11. Assist Gas
0
12. Fuel gas used in lease operations.
112551
13. Other (see instructions)
0
Official Use Only
Authorization 11 hr:
Safety
MCF
14. TOTAL VOLUME (ITEMS 6-13)
2190518
Lease Use
MCF
15. NGL Gas Equivalent
0
Conservation
MCF
16. Purchased gas
0
Waste:
MCF
17. Transferred from:
287935
Commissioner Date
18. Transferred to: (Express as a negative #)
0
19. Remarks:
17: Amount transferred from Cannery Loop for compression and sale: 287,935
Amount injected into Kenai Gas Storage: 65,984
Sterling Pool 6 Production Sold: 299,414
1 hereby certify that the foregoing is true and correct to the best of my knowledge.
'7acob UG�(r Note: All volumes must be corrected
Signature Title Production Analyst to pressure of 14.65 Asia and to a
temperature of 60o F. Authority 20
Printed Name Jacob Owolabi Phone 713-757-5227 Date 8/12/20141 AAC25.235.
Form 10-422 Rev. 5/2009 INSTRUCTIONS ON REVERSE SIDE Submit in Duplicate
STATE OF ALASKA
ALASKA OIL AND GAS CONSERVATION COMMISSION
FACILITY REPORT OF PRODUCED GAS DISPOSITION
RECEIVED
SEP 19 2014
AOGCiCi
1. Facility Number 2. Facility Name
1330000012 Kenai
Disposition
3. Field
Kenai
Volume MCF
4. Operator 5. Month/Year of Disposition
Hilcorp Alaska LLC I August -14
20. For production from multiple pools, list contribution of each pool as a percent of Total
Volume.
6. Sold
1963173
Pool Name Pool Code Percent
7. Reinjected
0
TYONEK BELUGA 448571 69.34%
STERLING POOL 5.1 448564
8. Flared or vented 1 hour or less
204
STERLING POOL 5.2 448566
STERLING POOL 6 448568 2.74%
9. Flared or vented more than 1 hour (see instr.)
181
STERLING POOL 3 448560
STERLING POOL 4 448562 0.53%
10. Pilot and Purge
0
TYONEK POOL 1 448570 27.38%
STERLING UNDEFINED GAS 448555
11. Assist Gas
0
12. Fuel gas used in lease operations.
100399
13. Other (see instructions)
0
Use Only
AuthorizationOfficial
>1 hr:
Safety
MCF
14. TOTAL VOLUME (ITEMS 6-13)
2063956
Lease Use
MCF
15. NGL Gas Equivalent
0
Conservation
`� (
MCF
16. Purchased gas
0
Wast/e:
MCF
17. Transferred from:
278963
Commissioner Date
18. Transferred to: (Express as a negative #)
0
19. Remarks:
17: Amount transferred from Cannery Loop for compression and sale: 278,963
Amount injected into Kenai Gas Storage: 156,571
Sterling Pool 6 Production Sold: 45,516
1 hereby certify that the foregoing is true and correct to the best of my knowledge.
�&C Q li Note: All volumes must be corrected
Signature Title Production Analyst to pressure of 14.65 psia and to a
temperature of 60o F. Authority 20
Printed Name Jacob Owolabi Phone 713-757-5227 Date 9/12/2014 AAC25.235.
Form 10-422 Rev. 5/2009 INSTRUCTIONS ON REVERSE SIDE Submit in Duplicate
Vt-
l6A1*
Kenai Gas
August -14
RECEIVED
SEP 19 2014
181
EXCESS VENTING DUE TO
EXCESS VENTING NECESSARY
8/1/2014
124250
1330000012
8/4/2014
8:15:00
9:30:00
8/4/2014
U
102
LIQUIDS UNLOADING OF
W ELL 32-08 ON PAD 41-08.
UNTIL LIQUIDS UNLOADING
COULD BE COMPLETED AND
WELL 32-08 BROUGHT BACK
8/1/2014
124250
1330000012
8/14/2014
0:01:00
13:10:00
8/14/2014
U
79
EXCESS VENTING DUE TO
BLOW DOWN OF WELL 43-
EXCESS VENTING NECESSARY
UNTIL LIQUIDS UNLOADING
6XRD2 ON PAD KGF 41-7.
COULD BE COMPLETED AND
.L BE01 IGHT BACK ON, INF I
181
STATE OF ALASKA
ALASKA OIL AND GAS CONSERVATION COMMISSION
FACILITY REPORT OF PRODUCED GAS DISPOSITION
RECEIVED
OCT 2 1 2014
AOGCC
1. Facility Number2.
1330000012
Facility Name
Kenai
3. Field
Kenai
4. Operator
Hilco Alaska LLC
5. MonthNear of Disposition
September -1
Disposition
Volume MCF
20. For production from multiple pools, list contribution of each pool as a percent of Total
Volume.
6. Sold
1942140
Pool Name Pool Code Percent
7. Reinjected
0
TYONEK BELUGA 448571 69.47%
STERLING POOL 5.1 448564
8. Flared or vented 1 hour or less
127
STERLING POOL 5.2 448566
STERLING POOL 6 448568 1.32%
9. Flared or vented more than 1 hour (see instr.)
0
STERLING POOL 3 448560
STERLING POOL 4 448562 0.24%
10. Pilot and Purge
0
TYONEK POOL 1 448570 28.960/
STERLING UNDEFINED GAS 448555
11. Assist Gas
0
12. Fuel gas used in lease operations.
86350
13. Other (see instructions)
0
Official Use Only
Authorization >1 hr
Safety
MCF
14. TOTAL VOLUME (ITEMS 6-13)
2028617
Lease Use
MCF
15. NGL Gas Equivalent
0
Conservation
MCF
16. Purchased gas
0
Waste
MCF
17. Transferred from:
267039
Commissioner Date
18. Transferred to: (Express as a negative #)
p
19. Remarks:
17: Amount transferred from Cannery Loop for compression and sale: 267,039
Amount injected into Kenai Gas Storage: 113,933
Sterling Pool 6 Production Sold: 21,632
1 hereby certify that the foregoing is true and correct to the best of my knowledge.
-/ owa&& G� DL Note: All volumes must be corrected
Signature_ ✓ Title Production Analyst to pressure of 14.65 psia and to a
temperature of 60o F. Authority 20
Printed Name Jacob Owolabi Phone 713-757-5227 Date 10/16/2014 AAC25.235.
Form 10-422 Rev. 5/2009 INSTRUCTIONS ON REVERSE SIDE Submit in Duplicate
RECEIVED
STATE OF ALASKA NOV 18 2014
ALASKA OIL AND GAS CONSERVATION COMMISSION
FACILITY REPORT OF panni if-cn r-wc r%10n^C-1-r1^w1 AnP%f%f%
Form 10-422 Rev. 5/2009 INSTRUCTIONS ON REVERSE SIDE
Submit in Duplicate
STATE OF ALASKA
ALASKA OIL AND GAS CONSERVATION COMMISSION
FACILITY REPORT OF PRODUCED GAS DISPOSITION
RECEIVE®
DEC 24 2014
AOGCC
1.
Facility Number 2. Facility Name
3. Field
1330000012 Kenai Kenai
4. Operator
5. MonthfYear of Disposition
I
Disposition Volume MCF
Hilcorp Alaska LLC November -14
20. Forproduction from multiple pools, list contribution of each pool as a percent of Total
6.
Sold
1604477
Volume,
Pool Name
Pool Code Percent
7.
Reinjected
0
TYONEK BELUGA
448571 43.81%
STERLING POOL 5.1
448564
8.
Flared or vented 1 hour or less
404
STERLING POOL 5.2
448566
STERLING POOL 6
448568 0.00%
9.
Flared or vented more than 1 hour (see instr.)
0
STERLING POOL 3
448560
STERLING POOL
448562 0.20%
10.
Pilot and Purge
0
aONEK POOL 1
448570 55.99%
STERLING UNDEFINED GAS
448555
11.
Assist Gas
0
12.
Fuel gas used in lease operations.
73708
13.
Other (see instructions)
0
Official Use Only
Authorization>1 hr:
MCF
14.
TOTAL VOLUME (ITEMS 6.13)
Safety
1678589
15.
NGL Gas Equivalent
Lease Use
MCF
0
16.
Purchased gas
Conservation MCF0
Waste:
MCF
17.
Transferred from:
239102
18.
Transferred to: (Express as a negative #)
0
Commissioner
Date
19.
Remarks:
17: Amount transferred from Cannery Loop for compression and sale:
239,102
Amount injected into Kenai Gas Storage:
725,575
Sterling Pool 6 Production Sold:
0
1 hereby certify that the foregoing is true and correct to the best of my knowledge.
�RGfTp OG
Note: All volumes must be corrected
Signature Title Production Analyst
t0 pressure Of 14.65 ps%a and t0 a
Printed
Name Jacob Owolabi
temperature of 60o F. Authority 20
Phone 713-757-5227
Date 12/16/2014
AAC25.235.
Form 10-422 Rev. 5/2009 INSTRUCTIONS ON REVERSE SIDE Submit in Duplicate
STATE OF ALASKA
ALASKA OIL AND GAS CONSERVATION COMMISSION
FACILITY REPORT OF PRODUCED GAS DiSPORITinN
1. Facility Number2.
1330000012
Facility Name
Kenai
3. Field
Kenai
4. Operator
Hilcorp Alaska LLC
ear of Disposition
5. Month/YDecember-14
Disposition
Volume MCF
20. For production from multiple pools, list contribution of each pool as a percent of Total
Volume -
6. Sold
2032050
Pool Name Pool Code Percent
7. Reinjected
0
TYONEK BELUGA 448571 35.00
STERLING POOL 5.1 448564
8. Flared or vented 1 hour or less
186
STERLING POOL 5.2 448566
STERLING POOL 6 448568 0.00-
9. Flared or vented more than 1 hour (see instr.)
0
STERLING POOL 3 448560 0.00
STERLING POOL 448562 0.19%
10. Pilot and Purge
0
EKPOO1 448570 64.81
REM
STERLING UNDEFINED GAS 448555
11. Assist Gas
0
12. Fuel gas used in lease operations.
76473
13. Other (see instructions)
0
Official Use Only
Authorizations hr:
Safety
MCF
14. TOTAL VOLUME (ITEMS 6-13)
2108709
Lease Use
MCF
15. NGL Gas Equivalent
0
Conservation
MCF
16. Purchased gas
0
Waste.
MCF
17. Transferred from:
241325
Commissioner Date
18. Transferred to: (Express as a negative #)
0
19. Remarks:
17: Amount transferred from Cannery Loop for compression and sale: 241,325
Amount injected into Kenai Gas Storage: 1,058,487
Sterling Pool 6 Production Sold: 0
1 hereby certify that the foregoing is true and correct to the best of my knowledge.
�A f omHdA ,j Note: All volumes must be corrected
Signature Title Production Analyst to pressure of 14.65 psia and to a
temperature of 60o F. Authority 20
Printed Name Jacob Owolabi Phone 713-757-5227 Date 1/19/2015 AAC25.235.
Form 10-422 Rev. 5/2009 INSTRUCTIONS ON REVERSE SIDE Submit in Duplicate