Form C-111 "Gas Transporter's and Facility Monthly Report" - New Mexico

What Is Form C-111?

This is a legal form that was released by the New Mexico Energy, Minerals and Natural Resources Department - a government authority operating within New Mexico. Check the official instructions before completing and submitting the form.

Form Details:

  • Released on August 2, 2011;
  • The latest edition provided by the New Mexico Energy, Minerals and Natural Resources Department;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form C-111 by clicking the link below or browse more documents and templates provided by the New Mexico Energy, Minerals and Natural Resources Department.

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Download Form C-111 "Gas Transporter's and Facility Monthly Report" - New Mexico

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District I
State of New Mexico
Form C-111
1625 N. French Dr., Hobbs, NM 88240
Revised August 2, 1011
Energy, Minerals & Natural Resources
District II
811 S. First St., Artesia, NM 88210
1
Amended Report
District III
Oil Conservation Division
1000 Rio Brazos, Aztec, NM 84710
2
Gas Transporter
1220 South St. Francis Dr.
District IV
3
Gas Plant
1220 S. St. Francis Dr., Santa Fe, NM 87505
Santa Fe, NM 87505
GAS TRANSPORTER'S AND FACILITY MONTHLY REPORT
4
5
Operator
OGRID
6
7
Address:
Month/Year
8
9
Facility Name and ID number
Page 1 of
Gas Receipts
10
11
12
13
Received From
OGRID
POD
Volume
Use Continuation Page Form C-111A If Necessary
Gas Disposition
14
15
16
17
18
Code
Gas Taken By
OGRID
POD
Volume
Use Continuation Page C-111B If Necessary
Plant Liquids
19
20
21
22
23
24
Code
Opening Stock
Receipts
Production
Deliveries
Closing Stock
I hereby certify that the information contained in this report is true and complete to the best of my knowledge and belief.
25
Signature
Printed Name & Title
Date
Phone Number
E-mail Address
District I
State of New Mexico
Form C-111
1625 N. French Dr., Hobbs, NM 88240
Revised August 2, 1011
Energy, Minerals & Natural Resources
District II
811 S. First St., Artesia, NM 88210
1
Amended Report
District III
Oil Conservation Division
1000 Rio Brazos, Aztec, NM 84710
2
Gas Transporter
1220 South St. Francis Dr.
District IV
3
Gas Plant
1220 S. St. Francis Dr., Santa Fe, NM 87505
Santa Fe, NM 87505
GAS TRANSPORTER'S AND FACILITY MONTHLY REPORT
4
5
Operator
OGRID
6
7
Address:
Month/Year
8
9
Facility Name and ID number
Page 1 of
Gas Receipts
10
11
12
13
Received From
OGRID
POD
Volume
Use Continuation Page Form C-111A If Necessary
Gas Disposition
14
15
16
17
18
Code
Gas Taken By
OGRID
POD
Volume
Use Continuation Page C-111B If Necessary
Plant Liquids
19
20
21
22
23
24
Code
Opening Stock
Receipts
Production
Deliveries
Closing Stock
I hereby certify that the information contained in this report is true and complete to the best of my knowledge and belief.
25
Signature
Printed Name & Title
Date
Phone Number
E-mail Address