Fors IODIA

1141m l to Coryorotloe Comml ul m O1WAo mu City OY lohomo )

FOBMAlIOM RECORD
OKLAHOMA CORPORATION COMMISSIO N
Give dH mled deacnp M1On an d tAmloro of n ll Inr mahont d nlled through m o lroLL of said

we w e«.
OI L AND GAS CONSERVATION DFYAflTM EN T
O 112629 waler D il er qm
. whether dry

d
N COUNTY
Steohenss~ 1~,~ ~ WE"
7Wp 1S A~S,~' Farmu4o v rov aone. F.mslr L_." •!n 1

5 Le3 ~ 0 I'd Z s and , o il she

C O MPANY OPRFIA7ING 'p'

OFFICE AD D
ss 620 Flales bldg, O1cIa[1ity, 0{la8ral e 21 100 s and , o il she 2716 2 7j1
FARM HwE
Ptcott-TaliaferrolTA71K,
ELL NO
6 s hale & sand loo . 595 s .`a12~4x lime 2731 2 771
DRII7.i NC STARTED " ^ls 1 9 4AR~ipl11NG' FINISHED ~.~Z3g Lj9
shale 6: sand 5 95 975 shale ~: -he lls 2']?1 2776
11-22-49 shale 975 1122
DATE or 11 PSY P aopurnoN 11 - i~l-/L~ MPLETCD
; y, ac, & ehells 112 Z 1 245
F WELL LOCA TEiY*' YK it. SE V. 8201 Worth of s outn of If 1245 1401 TL2775 1
lm* m d Z14 7 t ft East ol Wtit I+n . of O u aner S e e t,on shale & sand 147 J 153 D
Elevation (As labm s to wa le.el) DE PRICK FLOOR GR OU N D 51781 8
153) 1684
1684 l M
CHARACTER OF WELL (Oil gas or dryhole) Oil i t
U 0
OIL OR GAS SANDS OR ZONES Sg RCI 1720 1738
N . From To Nante F rom To shal
e 1733 18~5 0
2198 1 2216 4 011 san3 2710 2731 shale B sand 1805 1903 ~
oii sana ,4Q5 ~545 5 shal e is~3 2017
oil she 2 624 26 59 6 sh :,.le ~ snat za ) j 2102 0
* iiN°owb0 2. U Any 3 ►.1 a....a atal e uoz 2198
Pormai. From To No vlS h a, FormaUOn From To SveolSMt
san3,oi1 sh o zi9a 2216 CD
- shale & 611 6~.ZS zz16 223 5
- L iAe, odo r ~
~~ eYA ll 1 - sand, wY,i t e
CAS I NG RECORD - chal e
/lmount Set /lmount Pu1Md Pac ke t Record - ). lA E ~

[S
-u1 ~
1 TEds Make Fl In Ft I n S uu Length Depth S e t Mo! ~ san l 2 32 9 2339 ~.i
~ :~ 2 s a nd & shale 2339 2345
Shal e z3ay 2415
lime , san3 & shale 24'J S z43 3
~ .
yN r .- d Ton A011n..
b r tt , san3, o il sh o -' 438 2445
CEMEN7I NG AND MUDDIN G li me e h ale, san3 Z4$5 2495
~ or
S. Sack. Ch- ~l YeNod of Mudding Pa Wt ~
Oi l can s 2495 25 D g v C vyJ

Gmsol ~1 C am entuq y ety d ($q NW e) 53rid, OSZ sho

Mata Amount 2503 ~2 545
- lime s andy
- sandy li me & shale
Nota WEvt Oad was used to protM emd. d o u br stn vp, were ~ san d
sha l e
NOTE rd
' ' 1' e
W .I. hep e m h ol e Dlu qe u. .d7 II w~ 1a u ! m d de pi A of and n~ vlr ~ oblm ned
~~ lime sand
oo USED
~rq
Rotary Toob N' . used ~.~m 0 --Joe, ~ vp ~Caple lo o b were used 1
san3, oil she
hiiil to
fw l and 1. ~ ~wl 1 MI and l r.=L----------- l N I
s::al e
Typ v Fig - £ 1:3 1C ,1 S W2 st :'FS'C ~

'i-
i1R7fAL F10DOCiION TEST
Descnba mi Ud test whether by flow Ih rovqh tubing or eos iny or by pumpup0
I the uade rsvned bemy hnf du l wom u pon ooth slo~t~ e;~
tbfa
' t ,this )o11 semtd in tru e euten and
comDb to occotduq to the r etord , of t~ olh ca and to the l~ledq behd. ,
?umain,~ 50 bbls da v
'n. ._. . J .... . . .. ~
If~( ~--
Amauet of Oil f ,ad -n lib lit S iu o l chcke It mY ~ -n4 1A a l CRazne vaid n1M ol r . ` ta s d com1im7
h"

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