Annual Report Of Unit Operations - Form 24

Annual Report of Unit Operations - Form 24 Department of Mineral Resources Oil and Gas Division 600 East Boulevard Dept 474 Bismark, N.D 58505 to 0614 S.F.N 54260 (09 to 2004)

Field: For Year

Please Read Instructions Before Filling Out Form.

Please Submit the Original.

Field: Unit

Field: Field

Field: Unitized Pool

Field: Current O.O.I.P Estimate Bbls

Field: Cumulative Oil Production Bbls

Field: Operator

Field: Telephone Number

Field: Address

Field: City

Field: State

Field: Zip Code

Year Production / Injection

Field: Oil Produced (Bbls)

Field: Gas Produced (M.C.F)

Field: Water Produced (Bbls)

Field: G.O.R (S.C.F/Bbl)

Field: Injection Volume Bbls M.C.F

Field: Make-Up Water Produced (Bbls)

Year Well Count

Field: Producing Wells

Field: Injection Wells

Field: Shut-In Wells

Field: Temporarily Abandoned Wells

Field: S.W.D Wells

Field: Water Supply Wells

Year Reservoir Pressure Data (Report 3 most representative bottom hole pressures from more than one well, if possible.)

Field: Datum (Feet Below S.L.)

Field: Date Of Test

Field: Well Name and Number

Field: Well File Number

Field: Extrapolated Reservoir Pressure (P.S.I.G)

Year Operations

Field: Producers Drilled

Field: Injectors Drilled

Field: Injectors Converted

Field: Wells Shut-in

Field: Wells T.A Drilled

Field: S.W.D Wells Converted

Field: Water Supply Wells Drilled

Field: Water Supply Wells Converted

Year Proposed Operations

Field: Producing Wells To Be Drilled

Field: Injection Wells To Be Drilled

Field: Injection Wells To Be Converted

Field: Wells To Be Plugged

Field: Wells To Be T.A

Field: S.W.D Wells To Be Drilled

Field: S.W.D Wells To Be Converted

Field: Water Supply Wells To Be Drilled

Field: Water Supply Wells To Be Converted

Year Major Workovers or Artificial Lift Changes Performed (Attach additional pages if necessary.)

Field: Well Name and Number

Field: Well File Number

Field: Brief Description

Year Major Workovers or Artificial Lift Changes Proposed (Attach additional pages if necessary.)

Field: Well Name and Number

Field: Well File Number

Field: Brief Description

Field: Comments

Field: Signature

Field: Printed Name

Field: Title

Field: Date

Annual Report of Unit Operations - Form 24

1. This report is to be filed annually, by April 1, for the preceding calendar year.

2. The unit, field, unitized pool, operator, well names and numbers, and file numbers shall coincide with the official records on file with the Commission.

3. All oil volumes shall be reported as barrels (42 gallons), corrected to 14.73 psia and 60 degrees F. All other liquid volumes shall be reported as barrels (42 gallons). All liquid volumes shall be rounded to the nearest full barrel. All gas volumes shall be reported as M.C.F and corrected to 14.73 psia and 60 degrees F.

4. The "Current O.O.I.P Estimate" shall be the most recently updated figure.

5. The "Cumulative Oil Production" shall be from the effective date of the unit.

6. Well status' shall coincide with the official definitions of the Commission.

7. The datum used for reservoir pressure measurements shall coincide with the respective field order.

8. The original of this report shall be filed with the Department of Mineral Resources, Oil and Gas Division, 600 East Boulevard, Dept. 474, Bismarck, N.D 58505 to 0614.