Work Request No.:WRS31601 Loft Chevron files/C:/Documents and Setings/ardi/Local Settings! Temporary Internet PT. CHEVRON PACIFIC INDONESIA PT. CHEVRON PACIFIC INDONESIA WORK REQUEST (WR) Work Request No.:WR531601 Request Date: Apri 28, 2013 contractor: Invoicing Address SUMIGITA HA KONSORSIUM PT. CHEVRON PACIFIC INDONESIA PERKANTORAN SUDIRMAN A-1 J OR. SETIAMAHARAIA Indonesia PEKANBARU, 00000 Contractor Code: 3907100 ‘Additional Order Information: Work Request Tale’ To construct road & location for the new well 9E-71(WFO 27) at ner le. 90-79 hres 1 Minas Requester: Wiaryanto, Widarranto Requester: Requester: Widaryanta, Wideryanto Esmate widaryoo Tem Mfg Qty Unit Description Unit Price Ext. Price Part a/mtg Name 1 Met 1 LS nc. 90-79.Ares 1 Minas, cw pipe $199,579.6400US0 $199,379.6400us0 Dvatabie ‘conductor 24", guy anchor 6" a 4 spats, Inatal eelr box Insta Crane mat, ‘dung mud pe ane spreat grave ¥ needed (RrD 20 May 2013. Reterto CPL {pecfcaton and constuction drawn Ne-o9eMnnas- At 0003-0. The ae bul ‘raving, schedutng, meters coorainaton ventory respiration peat grave Icided scope of work 4% Discount: 0.0000000000 ‘otal Amount Before Discount: $199,379.6400USD Contract Comitmant Line: 04770.782453.01.000,1.000 Work Location: MINRS FIELD Wore stot One A203, Work End Date: Jane 10,2083 Foymen terms: WT Oa PR No. PR12668971 ‘Status: Sent Net Amount: $199,379.6200us9 4/29/2013 9:25 A