~~~~ 1 1002

j~~~ ~ Rev . Form (

Thi s fo rm i s an Or i ¢ i nal 0 Amend e d Why? ~ _
to e• ~ n .a n n i .ao d n• • ll • t d .ni1 .o i . o . m n i •i . s
19 . COMPLET ION & TES T DA TA BY PR ODUCI N G FOR M ATION
109-21594 OKLAHOMA CORPORATION COMMISSION WD 3
17 .-4 1 d ± ., i 2
2 . OTC Prod . Unit No . OI L AND GAS CON SE RVATI ON DI VI SIO N MS
109-92576 ~le Th o rpe Building / Oklah o m a City . O klahoma 73 1 05-4 99 3
PLE A SE TYPE OR USE BLACK INK ONL Y S PAC ING 6 SPACIN G ORDER 16 0
3 . County Oklahoma se c c . 16 nP 11N Ra n ge 3 W NUMBE R 33889 9
4 . Lease Na me USF&G S . Well No . z A- CLA SSIFIC ATIO N
(0 11, Gas, Dry . Inj . We l Oi l
7 . well Located SL • SE 4 NW ~[ SW ~ t
8 . ] 695 F t Fr om S .L . o f It Sec t . and 10.5„qF[ . From W .L . of It Sect .

9 . Elevation : Derrick F l oo r 1265 Gr o und 12 4 7 PER FORAT ED

10 . COMPANY OPE RATI NG Park Avenue EXploration Corporation

I NTERVA LS
nddress P .O . Box 1487 5
6 . Loc at e Well
C i ty O kl dhOlila C i y S[ate OK Z lp 73113
An d Outline Lea se
11 . Drilling St art e d 6/17 . 19 89 Drilling Finished 7/12 .i989 H-II. : 893'FAL & 818' A CID/VOLUME

. 1 990 FEL of M/4 F RA C TU R E TR EATED?

12 . Well Compl e [ed 8/8 . 19 69 Date-First Pr o d . 5/ 8 c 7lLttnLa r
Fl u i ds Amount s

INITIAL TEST DATA :

13 . TY PE COMPL E T I O N
Da te
Single Zon e Xx

Mult ipl e Zone Orde r No . Oil-bbl/day

Comm 1ng] ed Or de r N o . 01 1 -G r a vit y ('API )

14.
Or der N o . P e n a lt y G as-MC F/d ay
LOCATION E X CE P TION

INCREASED DE N S ITY Orde r N o . Gas-Oil Ra tio Cu . Ft / bb l

Water-bbl/day

Pumpin g or Flowing

Initial Shut-In Pressur e

CHOKE SIZ E

FLOW TUB I NG PRES SURE

A r eco rd o f theformations drilled thr oug h , and pertinent remar k s

16 . CASI NG & CE ME N T ar e presented o n the reverse .

I d ecla r e that I hav e knowledge of the contents o f this report and

am authorized by my o rganizai ion to ma ke this re p ort , vhtch was
pr e pa r e d b y me or u nd er r.. sup ervi s ion and direction, With the d ata
and facts stated her u be tr ue , correct and complete to the
beeL-e( m' now le ~ a d-bel ief .
/ )

( y . 0 . Box 1 4875 Oklahoma City OK 73113

Addr es s City State Zi p
. TOTAL DEPTH 7 9 1(1
18 . PACKERS SET 17

Depth 7783 xyPe_ Ba ke r Re t rieva ' DB ' Lokset -4 0 5 1 94 3s ~

o a ce ~ ho „~

(Over )
 GG .L Ch 3 c n nn¢ U SY L 0~ G J- WLLL tl U .
2 C Q_ I
MpcE *'og OQ. USE BLaCK SNK°ONI_V riS ;,yG 42Dp_ 7

(RULL 3-205) FORMATION RE COR D

Give forma ti on n ames a nd tops, if a v a il ab l e , or de scri pt i on s a n d thicKne ss o f
form ations drilled through . Show interv a ls core d or drillstem tested .

NAMES OF FORMATIONS TOP BOTTOM

FOR COMMISSION U SE ONL Y
T onkaw a 553 9

Cl eve l a n d 68 89 all Goopi fH M YMrt M eY11s t

~ Di WttlIY
LS t Oolitic 7 0 25
11 to Meetw
Y leb ~e n Rlll he !1 L
~ (1) Y w,nlM lottv e
2nd Oolitic 736 9 (1) Y"w
se M for ewen r[
7 ) eueMr4eN Fv.q
• J M R~oq l tl N
f+rIrw wr.. r
Os weg o 753 2 763 4

3) N~ clq ~M M ily
V e r digris 7 63 9
• ) W ll f~WN ~rio~ m pp wd
S k i nn e r 76 80 773 0 ) 1 i~~ut ftclo t wr l~ u ¢ uiN
•q uit N ue

q Me [ut data
Viol a 77 4 2 II poq: of 1«. t f M

8 ) Well SK. t1O n "O f PIttr."

fPS iet O r 4 r No .
Sim ps o n 78 55 SW UatV ptlm
Ietit Un( . )

f) w reeeN teu m

10) OtM b _ _

L u~ q ~al ~ ~ry rq ~irt~ ~a Yrt ne.

teitld n]6ctia banr or other prNlo
[auN 1

131 S~~wr.
All depths shown are
measured dept h

~
~
N)
TOT AL D E P TH 1 7910

was an electric a l surv ey run? XX Date l as t log was run 7/ 1 n /89 ~

.o i :S-
wa s CO„ e nc oun tered ? ~_ ~_ I f s o, at what deot h( s )
I
was HZS encountered? ~
X X,a_ . If so, at what deDth ( s )

25 . Dire ct . Surv ey : Tru e V e rtic a l De u th ; 6956 26 . 2588 . 3 X0 1877 .2 0*

27 . were unusu a l drilling circumst a nc e s encountered? Yes No XX If yes , bri efly exp l a in :

r IRpn R ariDN
;i{SS I ON

if A " `4' E 199 9

O t h er Remarks B H L : 893 ' F N L & 8 1 8' F EL of Se ct i on 20-11N - 3W Okl a h om a Count y

t'it. & GAS CUNS E RVATION