Form C-112 "Oil Transporter's or Storer's Monthly Report" - New Mexico

What Is Form C-112?

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 1, 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-112 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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District I
State of New Mexico
Form C-112
1625 N. French Dr., Hobbs, NM 88240
Revised August 1, 2011
Energy, Minerals & Natural Resources
District II
811 S. First St., Artesia, NM 88210
1
Amended Report
District III
Oil Conservation Division
2
Transporter
1000 Rio Brazos, Aztec, NM 84710
1220 South St. Francis Dr.
3
District IV
Storer
1220 S. St. Francis Dr., Santa Fe, NM 87505
Santa Fe, NM 87505
OIL TRANSPORTER'S OR STORER'S MONTHLY REPORT
4
5
6
Operator
OGRID
Month/Year
7
8
Address:
POD
9
Total Stock Beginning of Month (Barrels)
RECEIPTS
10
11
12
OGRID
POD
Volume
Use Receipts Continuation Sheet C-112A if Necessary
DELIVERIES
13
14
15
OGRID
POD
Volume
Use Deliveries Continuation Sheet C-112B if Necessary
16
Total Stock End of Month (Barrels)
I hereby certify that the information contained in this report is true and complete to the best of my knowledge and belief.
17
_________________________________________________________________________________________________________________
Signature
Printed Name & Title
Date
Phone Number
E-mail Address
District I
State of New Mexico
Form C-112
1625 N. French Dr., Hobbs, NM 88240
Revised August 1, 2011
Energy, Minerals & Natural Resources
District II
811 S. First St., Artesia, NM 88210
1
Amended Report
District III
Oil Conservation Division
2
Transporter
1000 Rio Brazos, Aztec, NM 84710
1220 South St. Francis Dr.
3
District IV
Storer
1220 S. St. Francis Dr., Santa Fe, NM 87505
Santa Fe, NM 87505
OIL TRANSPORTER'S OR STORER'S MONTHLY REPORT
4
5
6
Operator
OGRID
Month/Year
7
8
Address:
POD
9
Total Stock Beginning of Month (Barrels)
RECEIPTS
10
11
12
OGRID
POD
Volume
Use Receipts Continuation Sheet C-112A if Necessary
DELIVERIES
13
14
15
OGRID
POD
Volume
Use Deliveries Continuation Sheet C-112B if Necessary
16
Total Stock End of Month (Barrels)
I hereby certify that the information contained in this report is true and complete to the best of my knowledge and belief.
17
_________________________________________________________________________________________________________________
Signature
Printed Name & Title
Date
Phone Number
E-mail Address