Pay Sheet

Kentucky Oil and Refining Company
156 KY Oil Village
Betsy Layne, KY 41605












The undersigned ("Operating Company") certifies that the ownership in production or proceeds as described below is true and correct. The operating company hereby agrees to indemnify and holds harmless Kentucky Oil and Refining Company from any and all cause of auctions, claims, or damages resulting from any misrepresentation or incorrect information provided herein to Kentucky Oil and Refining Company. Official Division Orders will be prepared from information listed below.

Kentucky Oil and Refining Company shall be promptly notified in writing of any changes in ownership, interests, or payment addresses. Kentucky Oil and Refining Company will not be responsible for any changes not reported or any changes reported after the fact.


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