Form MI-21101 Crude Petroleum and Natural Gas Extraction

2007 Economic Census Covering the Mining Sector

AttD-MI-21101 Crude Petroleum and Natural Gas Extraction

Report Forms for 2007 Economic Census Covering Mining Sector

OMB: 0607-0939

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Source: CURRENT; layout IN SYNC as of 15-Feb-2007 15:36:50
Item : Q uestionnaire M I-21101 -2007 ECO N O M IC CEN SU S :Crude Petroleum and N aturalG as Extraction
M edia: PA PER /LETTER (8 1/2 X 11)
S tatus:U N LO CKED (D RA FT)
U ser: W ILSO 056
EM R : EQ CPRD /6.05.16.13.33.55
G ID S : 0.3.62.206
D ate: 15-Feb-2007 15:22:36

N o errors ☺
N o w arnings ☺

U .S.D EPA RTM EN T O F CO M M ERCE
Econom ics and Statistics A dm inistration

U .S.CEN SU S BU REA U

2007 EC O N O M IC C EN S U S
C rude P etroleum and N aturalG as Extraction

FO RM

M I-21101

O M B N o.:A pprovalExpires

(D R A FT)

D U E D A TE
FEB R U A R Y 12, 2008
M I-21101

M ail your com pleted form to:
U .S .C EN S U S B U R EA U
1201 East 10th S treet
Jeffersonville,IN 47134-0001

P lease read the accom panying
inform ation sheet(s)before
answ ering the questions.
N eed help or have questions
about filling out this form ?
V isit w w w .census.gov/econhelp
C all 1-800-233-6136,betw een
8:00 a.m .and 6:00 p.m .,Eastern
tim e,M onday through Friday.
-O R W rite to the address above.
Include your 11-digitCensus File
N um ber (CFN )printed in the
m ailing address.

(Please correct any errors in this m ailing address.)

Y O U R R ES P O N S E IS R EQ U IR ED B Y LA W . Title 13,U nited States Code,requires businesses and other organizations
thatreceive this questionnaire to answ er the questions and return the reportto the U .S.Census Bureau. By the sam e
law ,Y O U R C EN S U S R EP O R T IS C O N FID EN TIA L. Itm ay be seen only by persons sw orn to uphold the confidentiality
ofCensus Bureau inform ation and m ay be used only for statisticalpurposes. Further,copies retained in respondents'
files are im m une from legalprocess.
•U se blue or black ballpointpen. •Please center num bers in their respective boxes. Exam ples:
•D o notuse pencilor felt-tip pen. •D o notputslashes through 0 or 7.
0 1
•Place an "X " inside the box.

2 3 4 5 6 7 8 9

The reporting unitfor this form is an oiland gas field m ineralestablishm ent. A n oiland gas field m ineral
establishm ent represents oiland gas field activities in one state or offshore area operated by the reporting com pany.
For further clarification,see inform ation sheet(s).
1

EM PLO YER ID EN TIFICA TIO N N U M BER
Is the Em ployer Identification N um ber (EIN )show n in the m ailing address the sam e as the one used for this
establishm enton its latest2007 InternalRevenue Service Form 941,Em ployer's Q uarterly FederalTax Return?
0021

Yes -G o to

2

0022

N o -Enter currentEIN (9 digits)
0025

2

-

PH YSICA L LO CA TIO N
(A nsw er line A ifoperations ofthis establishm entare physically located onshore. A nsw er line B if
operations are located offshore.)

State

21101019

A . O nshore (Enter nam e ofstate. U se 2-letter postalabbreviation.) . . . . . . . . . . . . . . . . 0050
B . O ffshore (M ark "X " only O N E box.) (Refer to m ap on the lastpage ofthe inform ation sheet(s)to determ ine
appropriate offshore area.)
0052

A laska offshore

0055

Texas offshore

0056

A tlantic offshore

0053

California offshore

0057

N orthern G ulfofM exico offshore

0058

Pacific offshore

0054

Lousiana offshore

P EN A LTY FO R FA ILU R E TO R EP O R T

USCENSUSBUREAU

C O N TIN U E O N P A G E 2

Form M I-21101
3

Page 2

(D R A FT)

O PERA TIO N A L STA TU S
W hich ofthe follow ing bestdescribes this establishm ent's operationalstatus atthe end of2007?
(M ark "X " only O N E box.)
0011

In operation

0016

U nder construction,developm ent,or exploration

0013

Tem porarily or seasonally inactive

0014

Ceased operation -G ive date atright

0018

M onth

D ay

Year

Sold or leased to another operator -G ive date atrightA N D
enter nam e and address ofnew ow ner or operator and
Em ployer Identification N um ber (EIN )below

0015

6030

N am e ofnew ow ner or operator

0061 EIN

(9 digits)

6031

M ailing address (N um ber and street,P.O .Box,etc.)

6032

City,tow n,village,etc.

6033

State

6034 ZIP

Code

4

M ark "X " 2007
if N one N um ber

M O N TH S IN O PERA TIO N
N um ber ofm onths in operation during 2007 (Ifnone,m ark "X " and go to

H O W TO
REPO RT
D O LLA R
FIG U RES

. . . . . . . . . . . . 0002

D ollar figures should be rounded to
thousands ofdollars.
Ifa figure is $1,025,628.79:
Ifa value is "0" (or less than $500.00):

5

30 .)

M ark "X "
if N one $ Bil.

2007
M il.

Thou.

1 0 2 6

R eport
R eport

SA LES,SH IPM EN TS,RECEIPTS,O R REVEN U E
(Exclude nonoperating incom e such as royalties,interest,dividends,or the sale
offixed assets.)
A . Totalvalue ofproducts shipped and other receipts (Reportdetailin

22 .)

M ark "X "
if N one $ Bil.

. . .

0100

Reportthe value ofproducts shipped for export.Include shipm ents to
custom ers in the Panam a CanalZone,the Com m onw ealth ofPuerto Rico,
and U .S.possessions,as w ellas the value ofproducts shipped to exporters
or other w holesalers for export.A lso,include the value ofproducts sold to
the U .S.G overnm entto be shipped to foreign governm ents.. . . . . . . . .

0130

2007
M il.

Thou.

B . Value ofproducts exported (This is a breakoutofthe value reported on
line A .)

N otA pplicable.

21101027

6

C O N TIN U E O N P A G E 3

Form M I-21101

Page 3

(D R A FT)

If not show n,please enter your 11-digit C ensus File
N um ber (C FN )from the m ailing address.
7

EM PLO YM EN T A N D PA YRO LL

Include:
•Full-and part-tim e em ployees w orking atthis establishm entw hose payrollw as reported on Internal
Revenue Service Form 941,Em ployer's Q uarterly FederalTax Return,and filed under the Em ployer
Identification N um ber (EIN )show n in the m ailing address or corrected in 1 .

Exclude:
•Full-or part-tim e leased em ployees w hose payrollw as filed under an em ployee leasing com pany's EIN .
•Tem porary staffing obtained from a staffing service.
•Subcontractors and their em ployees.
For further clarification,see inform ation sheet(s).
M ark "X "
if N one

A . N um ber ofem ployees
1. N um ber ofproduction,developm ent,and exploration w orkers for pay period
including M arch 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0325

2. N um ber ofother em ployees for pay period including M arch 12 . . . . . . . .

0336

3. TO TA L (A dd lines A 1 and A 2) . . . . . . . . . . . . . . . . . . . . . . . .

0320

M ark "X "
if N one $ Bil.

B . Payrollbefore deductions (Exclude em ployer's costfor fringe benefits.)

2007
N um ber

2007
M il.

Thou.

1. A nnualpayroll
a. Production,developm ent,and exploration w orkers . . . . . . . . . .

0304

b. A llother em ployees . . . . . . . . . . . . . . . . . . . . . . . . .

0305

c. TO TA L (A dd lines B1a and B1b) . . . . . . . . . . . . . . . . . . .

0300

2. Firstquarter payroll (January-M arch,2007) . . . . . . . . . . . . . . .

0310

M ark "X "
if N one

21101035

C . N um ber ofhours w orked by production,developm ent,and exploration
w orkers (A nnualhours w orked by production,developm ent,and exploration
w orkers reported on line A 1.) . . . . . . . . . . . . . . . . . . . . . . .

CO N TIN U E W ITH

7

2007
H ours
Thou.

0200

O N PA G E 4

C O N TIN U E O N P A G E 4

Form M I-21101
7

Page 4

(D R A FT)

EM PLO YM EN T A N D PA YRO LL -Continued
M ark "X "
if N one $ Bil.

D . Em ployer's costfor fringe benefits -Em ployer's costfor legally required
program s and program s notrequired by law .
1. H ealth insurance -Insurance prem ium s on hospitals,m edicalplans,and
single service plans such as dental,vision,and prescription drug plans.
Include prem ium equivalents for self-insured plans and fees paid to third
party adm inistrators (TPA s).D o notinclude em ployee contributions. . . .

2007
M il.

Thou.

0333

2. Pension plans
a. D efined benefit pension plans -Costs for both qualified and
unqualified defined pension plans.Pension plans thatspecify the
benefitto be paid to em ployees upon retirem ent,generally either
a specific am ountor a percentage ofcom pensation.Em ployer
contributions are based on actuarialcom putations thatinclude the
em ployee's com pensation and years ofservice and are notallocated
to specific accounts m aintained for em ployees. . . . . . . . . . . .

0335

b. D efined contribution plans -Costs under defined contribution
plans.Pension plans thatdefine the em ployer contributions to a
separate accountprovided for each em ployee.The em ployee "benefit"
atretirem entdepends on the am ountcontributed and the results of
the account's activity.Exam ples include profitsharing plans,m oney
purchase (e.g.,401k,403b)and stock bonus plans (e.g.,ESO Ps) . . . .

0337

3. O ther -O ther fringe benefits (e.g.,SocialSecurity,w orkers'
com pensation insurance,unem ploym enttax,state disability insurance
program s,life insurance benefits,M edicare) . . . . . . . . . . . . . . .

0339

4. TO TA L (A dd lines D 1 through D 3) . . . . . . . . . . . . . . . . . . .

0220

8

N otA pplicable.

9

IN VEN TO RIES
(Reportinventories atcostor m arketusing generally accepted accounting practices.)
A . D id this establishm entow n inventories,regardless ofw here held,atthe end of2007 and/or 2006?
0486

Yes -G o to line B

0487

N o -G o to

13

21101043

B . Reportinventories for m ined
products and supplies ow ned by this
establishm entas ofD ecem ber 31.

M ark "X "
if N one $ Bil.

End of 2007
M il.
Thou.

M ark "X "
if N one $ Bil.

1. Crude petroleum ,including lease
condensate . . . . . . . . . . .

0461

0471

2. Supplies,parts,fuels,etc. . . . .

0462

0472

3. Totalinventories before Lastin,First-out (LIFO )adjustm ent
(if any)(A dd lines B1 and B2) . .

0460

0470

4. LIFO reserve (ifany) . . . . . . .

0466

0476

5. Totalinventories after LIFO
adjustm ent value (Line B3
m inus line B4) . . . . . . . . .

0468

0469

End of 2006
M il.
Thou.

C O N TIN U E O N P A G E 5

Form M I-21101

Page 5

(D R A FT)

If not show n,please enter your 11-digit C ensus File
N um ber (C FN )from the m ailing address.
10

IN VEN TO RIES BY VA LU A TIO N M ETH O D
Reporthow m uch ofthe inventory reported in
follow ing valuation m ethods.

9

,line B3 for 2007 is subjectto the
M ark "X "
if N one $ Bil.

2007
M il.

Thou.

M ark "X "
if N one $ Bil.

2007
M il.

Thou.

M ark "X "
if N one $ Bil.

2007
M il.

Thou.

M ark "X "
if N one $ Bil.

2007
M il.

Thou.

A . LIFO valuation m ethod before adjustm ent . . . . . . . . . . . . . . . . . . 0244
B . A ny valuation m ethod -Specify m ethod

0895

0494

C . TO TA L (A dd lines A and B.Totalshould equal 9 ,line B3.) . . . . . . . . . 0490
11 and 12
13

14

15

N otA pplicable.

CA PITA L EX PEN D ITU RES

A . Capitalexpenditures for new and used buildings,structures,m achinery,and
equipm ent(Exclude land.) . . . . . . . . . . . . . . . . . . . . . . . . .

0520

B . Capitalexpenditures for m ineralexploration and developm ent . . . . . . . .

0536

C . TO TA L (A dd lines A and B) . . . . . . . . . . . . . . . . . . . . . . . .

0535

REN TA L PA YM EN TS

A . Rentalpaym ents for buildings and other structures (Include land.) . . . . . .

0551

B . Rentalpaym ents for m achinery and equipm ent . . . . . . . . . . . . . . .

0552

C . TO TA L (A dd lines A and B) . . . . . . . . . . . . . . . . . . . . . . . .

0550

M IN ERA L PRO PERTY EX PEN SES

0141

21101050

Currentoperating expenses for exploration,developm ent,and m ineralland and
rights (Include royalty paym ents.) . . . . . . . . . . . . . . . . . . . . . .

C O N TIN U E O N P A G E 6

Form M I-21101
16

Page 6

(D R A FT)

SELECTED EX PEN SES
A . Selected production related costs
M ark "X "
if N one $ Bil.

(Include costs incurred in m ining process such as supplies,resales,contract
w ork,fuels,and electricity.)

2007
M il.

Thou.

1. Costofsupplies used,m inerals received for preparation,purchased
m achinery installed,m aterials,parts,containers,packaging,etc. (Report
detailin 17 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0421
2. Costofproducts boughtand sold as such w ithoutfurther processing
(Reportsales in 22 .) . . . . . . . . . . . . . . . . . . . . . . . . . . . 0426
3. Costofpurchased fuels consum ed for heat,pow er,or the generation of
electricity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0430
4. Costofpurchased electricity (Reportquantity on line B1.) . . . . . . . . . 0425
5. Costofw ork done for you by others on your m aterials . . . . . . . . . . 0424
6. TO TA L (A dd lines A 1 through A 5) . . . . . . . . . . . . . . . . . . . . 0420
2007
M ark "X "
if N one

B . Q uantity ofElectricity

Bil.

Kilow atthours
M il.
Thou.

1. Purchased electricity (Q uantity com parable to costreported on line A 4.) . . 0436
2. G enerated electricity (G ross less generating station use.) . . . . . . . . . 0437
3. Electricity sold or transferred to other establishm ents (Include on lines
B1 or B2.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

16

O N PA G E 7

21101068

CO N TIN U E W ITH

0438

C O N TIN U E O N P A G E 7

Form M I-21101

Page 7

(D R A FT)

If not show n,please enter your 11-digit C ensus File
N um ber (C FN )from the m ailing address.
16

SELECTED EX PEN SES -Continued
M ark "X "
if N one $ Bil.

C . O ther operating expenses paid by this establishm ent

2007
M il.

Thou.

1. Tem porary staffand leased em ployee expense -Totalcosts paid to
ProfessionalEm ployer O rganizations (PEO s)and staffing agencies for
personnel.(Include allcharges for payroll,benefits and services.) . . . . . 0176
2. Expensed equipm ent-Expensed com puter hardw are and other equipm ent
(e.g.,copiers,fax m achines,telephones,shop and lab equipm ent,CPU s,
m onitors).(Reportpackaged softw are on line C3.) . . . . . . . . . . . . 0444
3. Expensed purchases ofsoftw are -Purchases ofprepackaged,custom
coded or vendor custom ized softw are.(Include softw are developed or
custom ized by others,w eb-design services and purchases,licensing
agreem ents,upgrades ofsoftw are;and m aintenance fees related to
softw are upgrades and alterations.) . . . . . . . . . . . . . . . . . . . 0188
4. D ata processing and other purchased com puter services (Include
com puter facilities m anagem entservices,com puter inputpreparation,
data storage,com puter tim e rental,opticalscanning services,and
other com puter-related advice and services,including training.Exclude
expensed integrated system s,repair and m aintenance ofcom puter
equipm ent,payrollprocessing and creditcard transaction fees,and
expenses for telecom m unication services (e.g.,Internet,connectivity,
telephone.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0198
5. Purchased com m unication services -Telephone,cellular,and fax services;
com puter-related com m unications (e.g.,Internet,connectivity,online)and
other w ired and w ireless com m unication services . . . . . . . . . . . . 0402
6. Purchased repairs and m aintenance to buildings and/or m achinery and
equipm ent(Exclude m aterials,parts,and supplies used for repairs and
m aintenance perform ed by this firm 's em ployees.) . . . . . . . . . . . . 0394
7. W ater,sew er,refuse rem oval,and other utility paym ents (Include the
costs ofhazardous w aste rem oval.) . . . . . . . . . . . . . . . . . . . 0407
8. Purchased advertising and prom otionalservices (Include m arketing and
public relations services.) . . . . . . . . . . . . . . . . . . . . . . . . 0405

9. Purchased professionaland technicalservices (Include m anagem ent
consulting,accounting,auditing,bookkeeping,legal,actuarial,payroll
processing,architectural,engineering,and other professionalservices.
Exclude salaries paid to your ow n em ployees for these services.) . . . . . 0216

21101076

10. G overnm entaltaxes and license fees -Paym ents to governm entagencies
for taxes and licenses.(Include business and property taxes.Exclude
incom e taxes.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0396
11. A llother operating expenses -A llother operating expenses notreported
elsew here.(Exclude purchases ofm erchandise for resale and nonoperating
expenses.)-Specify

0897

0397

12. TO TA L (A dd lines C1 through C11) . . . . . . . . . . . . . . . . . . . 0449

C O N TIN U E O N P A G E 8

Form M I-21101
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Page 8

(D R A FT)

D ETA ILED CO ST O F M A TERIA LS,PA RTS,A N D SU PPLIES
R eport:
D elivered costofindividualitem s listed below .D elivered costis the am ountpaid or payable after discounts and
including freightand other directcharges incurred by the establishm entin acquiring the m aterials.The figures reported
should representthe totalpurchase costofsupplies,m inerals received for preparation,m achinery installed,etc.,
actually used or processed during 2007.Include purchases,interplanttransfers,and w ithdraw als from inventories.Ifthe
data are notavailable from your records,reasonable estim ates are acceptable.
Include:
Item s listed below w hether charged to currentor capitalaccounts.
Costofitem s for w hich less than $25,000 w orth w as used in "A llother supplies," line 11.
Supplies purchased by this establishm entfor use by com panies perform ing contractw ork atthis establishm ent.
Exclude:
A ssociated labor costs ofthe kind reported in

7

and

16 ,line

A 5.

Line No.

Paym ents m ade for contractservices perform ed,including paym ents for supplies and equipm entfurnished by the
contractor incidentalto this w ork.
Purchased from others
or received from other
establishm ents of this
com pany

Census m aterial
code
Cost,including delivery cost
(freight-in)

M achinery installed and supplies used

$ Bil.
0634

0630

1

M achinery,purchased and installed (including m obile loading,
transportation,and other equipm entinstalled atthe operation.A lso include
such equipm entas exploration m achinery;drilling rigs;flow tanks;oil
and gas separators;pum ping equipm ent;w ellhead fittings;gauges;gas
traps;controlequipm ent;chokes;and trucks,cars,and other transportation
equipm entfor use on lease.)(Including charges to both currentand capital
accounts.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

333000 07

2

Parts and attachm ents for m ining,m ineralpreparation,construction,and
conveying m achinery and equipm ent . . . . . . . . . . . . . . . . . . .

333000 09

M il.

Thou.

0631

21101084

Supplies used
3

Lubricating oils and greases (including hydraulic oils) . . . . . . . . . .

324191 00

4

D rillinig fluids (drilling m ud,drilling m ud m aterials,m ud thinners,
thickeners,and purifiers) . . . . . . . . . . . . . . . . . . . . . . .

325998 03

5

Industrialchem icals (chem icalreagents,calcium chloride,acidizing
m aterials,etc.)(excluding explosive m aterials,blasting accessories,and
drilling fluids) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

325000 74

6

Cem ent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

327310 01

7

Steelshapes and form s (excluding castings and forgings)such as plates,
sheets,strip,piling,bars,rails,w heels,track accessories,pipe,tubing,
w ire,w ire products,and structuralshapes . . . . . . . . . . . . . . .

331000 52

8

Valves and pipe fittings . . . . . . . . . . . . . . . . . . . . . . . .

332900 13

9

D rillbits and ream ers . . . . . . . . . . . . . . . . . . . . . . . . .

333515 06

CO N TIN U E W ITH

17

O N PA G E 9

C O N TIN U E O N P A G E 9

Form M I-21101

Page 9

(D R A FT)

If not show n,please enter your 11-digit C ensus File
N um ber (C FN )from the m ailing address.
D ETA ILED CO ST O F M A TERIA LS,PA RTS,A N D SU PPLIES -Continued

Line No.

17

Purchased from others
or received from other
establishm ents of this
com pany

Census m aterial
code
Cost,including delivery cost
(freight-in)

M achinery installed and supplies used

$ Bil.
0634

0630

M il.

Thou.

0631

Supplies used -Continued
10

W ater (purchased) . . . . . . . . . . . . . . . . . . . . . . . . . .

009998 28

A llother supplies (Specify the three principaltypes ofsupplies included
here.)
11

12
18

009700 98

TO TA L (Should equaltotalreported in

16 ,line

A 1) . . . . . . . . . . . . .

771000 00

FU ELS U SED

Line No.

2007 consum ption
Kind of fuel(Report totaldelivered cost,not cost per unit. Fuels
received from other establishm ents of your com pany should be
included at estim ated m arket value.)

U nit of
Census fuelcode m easure for
quantities

Q uantity

Cost,including
delivery cost
(freight-in)
$ M il.

0643

0640

0645

1

Coal(bitum inous,subbitum inous,lignite,and anthracite) .

212110 03

short tons

2

Fueloil
D istillate (light)grade num bers 1,2,4,and lightdiesel
fuel . . . . . . . . . . . . . . . . . . . . . . . . .

324110 17

barrels

3

Residual(heavy)grade num bers 5 and 6 and heavy
dieselfuel . . . . . . . . . . . . . . . . . . . . .

324110 19

4

G as (natural,m anufactured,and m ixed) . . . . . . . . .

211110 15

m ilft3

5

G asoline . . . . . . . . . . . . . . . . . . . . . . . .

324110 15

1000 gal

0642

Thou.

0641

O ther fuels (liquefied petroleum gas,coke,w ood,and
other)(Specify.)
6

21101092

009600 18

7

TO TA L (Should equaltotalreported in

16 ,line

A 3) . . . .

CO N TIN U E W ITH

007720 00

18

O N PA G E 10

C O N TIN U E O N P A G E 10

Form M I-21101
18

Page 10

(D R A FT)

FU ELS U SED -Continued

Line No.

2007 consum ption
Kind of fuel(Report totaldelivered cost,not cost per unit. Fuels
received from other establishm ents of your com pany should be
included at estim ated m arket value.)

U nit of
Census fuelcode m easure for
quantities

Q uantity

Cost,including
delivery cost
(freight-in)
$ M il.

0643

0640

0645

Fuels produced and used atthis establishm entfor pow er
or heat
Crude petroleum ,including lease condensate . . . . .

211111 01

9

N aturalgas . . . . . . . . . . . . . . . . . . . . .

211110 03

22

Thou.

0641

1000 bbl

8

19 – 21

0642

m ilft3

N otA pplicable.

D ETA IL O F SA LES,SH IPM EN TS,RECEIPTS,O R REVEN U E
R eport:
N ettotalvalues f.o.b.w ells after discounts and allow ances and exclusive offreightcharges and excise taxes.
Q uantities in the unitofm easure specified.
A llcrude petroleum figures in thousands ofbarrels.For exam ple,ifcom plete figure to be reported is 210,697 barrels,
enter 211.
A llnaturalgas figures in m illions ofcubic feet.For exam ple,ifcom plete figure is 310,293,000 cubic feet,enter 310.
Include:
A llproducts produced or physically shipped from this establishm entin 2007.
Products shipped on consignm ent,w hether or notsold atthe end of2007.
The entire outputofw ells operated by you,including royalty interests and subsidy paym ents.
M aterialproduced atthis establishm entand transferred for processing or use by your com pany atother establishm ents
such as your naturalgas liquids plants,pipelines,petroleum refineries,other m anufacturing establishm ents,or separate
sales branches.
In the selling value,royalty,ifany.
Line 2-Reportsales volum es from leases w hose average daily production ofcrude petroleum and petroleum
condensates per w elldid notexceed 10 barrels per day during the preceding calendar year.Reasonable estim ates for
the year are acceptable ifdata are notavailable from bookkeeping records.

Line No.

Lines 5 through 7-Reporttotalam ounts received or due for oiland gas field contractw ork done during 2007,
including receipts for supplies and equipm entfurnished by you incidentalto this w ork.Exclude am ounts received for
w ork done prior to 2007.See instruction sheets for detailed listofitem s to be reported on line 7.
U nit of
Census product
m easure for
code
quantities

D escription
0734

0730

0736

Products at w ells and services perform ed
Value,f.o.b.establishm ent
Q uantity
$ Bil.
M il.
Thou.
0732

0731

Products
Crude petroleum ,including lease condensate
(Reportvolum es corrected to 60 degrees F.)
1

Shipped . . . . . . . . . . . . . . . . . .

211111 1111

2

From stripper w ellleases (included in line 1)

211111 1121

21101100

1000 bbl

3

Lease condensate produced (also included in
line 1)(Reportvolum es corrected to 60 degrees
F.) . . . . . . . . . . . . . . . . . . . . . .

211111 1131

CO N TIN U E W ITH

22

O N PA G E 11

C O N TIN U E O N P A G E 11

Form M I-21101

Page 11

(D R A FT)

If not show n,please enter your 11-digit C ensus File
N um ber (C FN )from the m ailing address.
D ETA IL O F SA LES,SH IPM EN TS,RECEIPTS,O R REVEN U E -Continued

Line No.

22

D escription
0734

U nit of
Census product
m easure for
code
quantities
0730

4

Products -Continued
N aturalgas (A djustvolum e to a pressure base
of14.73 pounds absolute at60 degrees F.)
Shipped to consum ers (dom estic,
com m ercial,and industrial,including
ow n refineries),distributors,transm ission
com panies,and naturalgas liquids plants
operated by your com pany and operated
by others,less any volum e ofresidue gas
returned to you for field or lease operations .

211111 3100

5

Services perform ed for other establishm ents
D rilling oiland gas w ells,including drilling in,
spudding in or tailing in . . . . . . . . . . . .

213111 0441

6

Pum ping oiland gas w ells butnotoperating
leases . . . . . . . . . . . . . . . . . . . .

213112 3581

0736

Products at w ells and services perform ed
Value,f.o.b.establishm ent
Q uantity
$ Bil.
M il.
Thou.
0732

0731

1000 bbl

m ilft3

1000 ft

O ther oiland gas field services (Specify kind.)

7

213112 W YW T

A llother products m ade in this establishm entSpecify and reporteach productw ith sales value
of$50,000 or m ore thatcannotbe assigned to
one ofthe "listed products and services". For all
rem aining products,w rite "O ther" and reporta
single totalvalue.
18

8
26

9
34

10

11

Resales -Sales ofproducts boughtand sold
w ithoutfurther m anufacture,processing,or
assem bly (The costofsuch item s should be
reported in 16 ,line A 2.) . . . . . . . . . . . . . .

999890 0000

12

TO TA L (Should equal 5 ,line A ) . . . . . . . . .

770000 0000

N otA pplicable.

21101118

23 – 29

C O N TIN U E O N P A G E 12

Form M I-21101

Page 12

(D R A FT)

REM A RKS (Please use this space for any explanations thatm ay be essentialin understanding your reported data.)

$$CENSUS_REMARKS$$

30

CERTIFICA TIO N -This reportis substantially accurate and w as prepared in accordance w ith the instructions.

21101126

Is the tim e period covered by this reporta calendar year?
Yes

N o -Enter tim e period covered

M onth

N am e ofperson to contactregarding this report

A rea code
Telephone

N um ber

-

Year

FRO M

M onth

Year

TO

Title

Extension

A rea code

N um ber

Fax

-

Internete-m ailaddress

M onth

D ay

D ate
com pleted

Thank you for com pleting your 2007 EC O N O M IC C EN S U S form .
P LEA S E P H O TO C O P Y TH IS FO R M FO R Y O U R R EC O R D S A N D R ETU R N TH E O R IG IN A L.

Year


File Typeapplication/pdf
File TitleMI-21101 $$00 ECONOMIC CENSUS - Crude Petroleum and Natural Gas Extraction
Authorwilso056
File Modified2007-02-15
File Created2007-02-15

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