Contractor & Rig #

Monthly Rental Sheet

6130 - 3 Street SE Calgary, Alta T2H 1K4

Date:

Phone: (403)301-3400
Operator
c/o Company Address City Attn: Fax Invoice Back: Yes or Province Postal Code No?

Fax: (403)301-3499 Email: billings@pason.com

Engineer
Cell# LSD# AFE# Unit# Next location/ When?: Code# Fax#

Code

Location or Equip.

Start

Stop

Days

Rate

AFE

Amount

Rentals
EDR Base System PVT - w/flow (Pitbull) PVT - no flow (Pitbull) Engineer Workstation Geologist Workstation Directional Workstation Other Workstation Sidekick Monitor(s) Electric Choke Actuator Total Gas System LEL - 1or 2 sensors Casing Pressure Sensor Satellite Dish Wellview Reporting

Approval Stamp or Comments q q

Subtotal GST Total

Note: Billing is done at the end of every month, therefore a field invoice request should be completed at the end of every month and at the end of the well in order to ensure approval and that there are no errors before final invoice is mailed.