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ST0502B- CS150923
TMOS energy September 21, 2015 Michael Garza City of Coppell 265 Parkway Blvd Coppell, TX 75019 Final Billing Statement Atmos Energy Project No. 180.27016 Installed 3000 ft. of 24 in. steel for developer Prologis east of SH 121 and Freeport and abandon 2500 ft. of 24 in. steel in the City of Coppell, TX. Dear Mr. Garza, Enclosed is an invoice for the amount of $1,302,160.04, along with the required supporting documentation. This project installed 3000 ft. of 24 in. steel for developer Prologis east of SH 121 and Freeport and abandon 2500 ft. of 24 in. steel in the City of Coppell, TX. The following documents are attached to support this final billing statement: 1. Atmos Energy invoice 2. Cost Analysis Sheet with Variance Explanations 3. PowerPlant All Detail Report — Detail cost information Atmos PowerPlant system. 4. Supporting documentation including contract labor and material purchases sorted and organized for ease of review. Please send your check or wire as directed on the Atmos Energy Invoice to ensure proper credit to your account. If you have any questions, please contact me at the phone number listed below. Sincere , Marc Rothbauer Director of Engineering Atmos Energy Corporation P.O. Box 223705 Dallas, TX 75222-3705 P 214-206-2912 marc.rothbauer@atmosenergy.com INVOICE TMOS energy. CITY OF COPPELL 265 PARKWAY BLVD COPPELL TX 75019 For billing questions, please call: 214-206-2834 LINE DESCRIPTION 1 For cost incurred to install 3000ft. of 24in. steel at SH 121 and Freeport and abandon 2500ft. of 24in. steel in the City of Coppell Texas. 2 Final Invoice for Atmos Energy Project No. 180.27016. Page: Invoice No: Invoice Date: Customer No: Sales Rep: Payment Terms: Due date: 1 204739 22 -SEP -15 109444 Laura E.Maddox NET30 22 -OCT -15 Total Amount Due 1,302,160.04 USD QUANTITY UNIT UNIT AMT NET AMT 0.00 0.00 1 Job 1,302,160.04 1,302,160.04 TOTAL 1,302,160.04 Please include Remittance Slip to ensure timely application of your Payment ------------------------------------------------------------------------------------------------------------------------------------------------ CHECK REMITTANCE TO ATMOS ENERGY CORP P. O. BOX 841425 Dallas TX 75284-1425 BILL TO CITY OF COPPELL 265 PARKWAY BLVD COPPELL TX 75019 ELECTRONIC REMITTANCE TO: ATMOS ENERGY CORP Bank of America ACH Routing# 111000012 Bank Wire Routing# 026009593 Acct# 3756617812 Ref: 204739 Customer No: Invoice No: Total Amount Due .�.�TIAOS energy. 109444 204739 1,302,160.04 USD 00001094440000204739013021600410 0 0 D 3 S 3 Qc O _ 0 M. n s 0 O S C N ( CD C O 7 n O co V) L9 4A a W N I � O O CO O O W � N I O o v (D Q CQ' - _ o 3 C7 O Q- (D Q_ CT O O (n ((DD CD O Q (D (D o sn Q- (D iv -a v n. (D D U) a N CU (a (D o (D CD +s o n f1 Q (D D (D Q - 9 o o Q. 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O ti N C7 d E m ON M� (o w h w m0 -' Zr- .N v D U U U U U U U U U U U U M M V I It '0' It IT m M M N N O O O O O O O O O O O O 00 O O O O ECD -8 OO -0 0 0- x 0 0 0 0 U) M M 0 0 r N M V (o M I- W W MW M M 'd' M to O r N M 'q 'IT 'It 'It 0 N N N N N N N N N N N N IT V It V' d' Cl) M M M M M M M M UUUUUUUUUUUUU 000000000 000000000 to M d 0 N v V v� d m 0 M to V' (o to Lo 0 (o V 0 T v 't 'I d r r r r r r r r r r r r r r r r r r r r r r r r r r r r O O O O O O O O O O O O O O O O O O O 0 0 0 0 0 0 0 0 0 N N N N N N N N N N N N N N N N N N N N N N N N N N N N M to O M W N M OD N t` M M V' (o M (n N W M M M� O O O O O r r r r r N r r N N N N\ N N N N N N N M O M N N M M N N N N N r O O r r O O r r r r r 0 0 O O r O O O O O r O r r r r r U U U U U U U U U U U U J J J J J J J J J J J J J J J J J J J J J J J J X X X X X X X X X X X X d W W W W W W W W W W W W F- F Z F- F- F- F- F- F- F- F- F -F- O LL LL LL LL LL LL LL LL LL LL LL LL p LL LL LL LL LL LL LL LL LL LL LL LL N Q Q Q Q Q Q Q Q Q Q Q Q >____________ o to COr CF) Nto V'M I-- C M M V V I V (o d' U7 M N M 00000000ba000 N N N N N N N N N N N N W 0 0 0 V O to 0 0 0 0 0 MO to ITMC 0 OOOoO M CO N 0 M r t7 0 M r N r- 0) 0 M 0 0 W r h M M M O I� y V M W 0 r N N (o M CC) r N N M M V r r I r U U U U U U U U U U U U U U J J J J J J J J J J J J J J J J J J J J J J J J J J J J { F- F- F F- F- F- F- F F- F- F- F- 00000000000000 -❑❑❑❑❑❑❑❑❑❑❑❑❑❑ z Z z z z Z z z z z Z z z z F F- F F- F F- F- F- F- F- F- F- F- F- W w w W W W W w W w w w W W U U U U U U U U U U U U U U w w w w w w w w w w w w w w ❑❑❑❑❑❑❑❑❑❑❑❑❑❑ M M N N N_ N_ N_ _N N_ NN M U) US Lor) 'd' V' 0 N V V V zr 't U7 U7 00000000000000 N N N N N N N N N N N N N N O L0000OUD 0000000 V h 0 M't 7 0 M 0 0'T O (q N to m M 0 0 O N r N w N U') 'd' 0 M d' N M h M N M M N V I� t` M M V N N M M N (A N C C U U U U Z U Z N Z zK'� E- E- a) 0)z.(0z.Mz U U U U O� O� O w w x x J x J X J M M ccc> f cu m p> > p U) U) (n (n F F - DDF- DF-DF- 0000VOO000 MMUM V to to to 0 0 0 0 0 0 0 0 0 N N N N N N N N N M 00 M RN 0 o co o 00001-M07 to I- M M co V 0 1-- M M U) hr- M N N u7 O r O 0 IT W r- CO N 69 V3 64 64 64 6) 64 69 Vi Efl V> 69®VT 0% 69 64 V3, Vi V3 Efl 64 6% 64 64 64 69®69 V)� (1) 69 V4 64 69 64 000000000000 dgggggg�ggggg a . . . . . . . . . . . . 000000000000 F- F F D F- F- F-F- azzzzzzzzzzzz WOOo000000000 m m M M M M M M M M M m 00000000000000 m m m m m m m m m m m m m m gg�ggggggg�ggg . . . . . . . . . . . 00000000000000 F- F- F- F- F- F- F- F- F- F- F- F- F- F- zzzzzzzzzzzzzz 00000000000000 U U U U U U U U U U U U U U M M M M M M M M M M M M M M 2 2 2 2 2 00000 co co U M U w W w W W of w 0� w w 00000 F- F- F- F- F- U U co co U ggggbbbbb wWWWW 00 x! 0----- 0000 p 0 0 ~~~~ J J J J J U U U U a Q a a Q F -F F -F -W w w w w Z ZZ z F F F F F 0000aQaaQ U U U U 2:E �R :E 2 M M M M M M 0 M M 0' o 0 0 0 0 0 0 0 0 N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 000000000 W W Cb 00 W M M a0 a0 M M 00 M CO W W CO W W W W CO M W CO CO tb Cb W M W 00 CO DO tb I- M M 0 0 0 0 N M V (000000 N M O M M M M W QaaaQaQQ 000000000 z Z z z z z Z Z z z z z z Z z z z z 000000000 U U U U U U U U U wwwwwwwww d LL a M a M M a 0.. 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Expense Reporting System — Expense Report energy Expense Report Name Kirby; Martin C (Marty Expense Report# IEXP-435954 Submitted By Kirb , Martin C (Marty bate 0311312015 Expense report IEXP-435954 grand total $ 126.63 Total meals 126.63 http:lldal00puapp008:8081liExpenselSubmitR.epoilAction.do?subnutReportld=IEXP-43 59... 3/13/2015 Expense Reporting System — Expense Report ...... ........ ......... ........ _.. Expense Type Business Name Business Purpose Meal Rosas Cafe Overtime meal for tie ins of pipeline project in 03/07/2015 Coppell, TX Coppell Attendee Information Atmos Employee Name Yes Kirby, Martin C (Marty) Yes Pelham, Billy W Yes Quintana, Charles (Carlos) Yes Sanchez, Fermin Jr Yes Garcia, Hector Project Number 180.27016 180.700.9737AU405.WPROLOGI This expense is an overtime meal: co � ornn � a'.w Lo Ln O Q Cn CSD �. 0 X X X X X X X X c.n O n aM o =. O O C`D 2 g a O rn I I --I I v rn I rn r 00 O i CO Page 2 of 3 Amount $64.80 Company/Cost Center Job Title 4594-MDTX-North Reg Carrollton East District Sr Field Const Coord 4594 - MDTX-North Reg Carrollton Construction Operator 1 4594 - MDTX-North Reg Carrollton Crew Leader 4594 - MDTX-North Reg Carrollton Construction Operator 2 4594 - MDTX-North Reg Carrollton Construction Operator 2 Amount Mains sU 24' http://dal00puapp00 8:8081 /iExpense/SubmitRoportAction. do?submitReportId=IEXP-43 59... 3/13/2015 C7:) -.- _- __ - - - - L" {] rn •h o ul� :.-cLnW 0cJ1Ir,E3� IH1 v 00>� u'mw 1--4 CJ00� Z:c� -o r-3 m cr, `c- C/3 .. 134 W m_ m _ .TMJ -3;:_1 -FU -n � .... � J ' (7 / - fV C/J-n C TC7 1, 0 Ul PO DM -0 ED � -O Cr i C/J �1R7irl fix. r T ,.. T,-, W r C: i CIJ ._ �D TJ Z Vi 3 H M r" y Irl 1--I C --I Co oD r rn -i sm =1C0 D Fv J rs'i i( u`H COU N A.03 CD n m. L-� ui�0 JW t� 4 .. :.:. �c3vtnm ncn 7:$ --I, U0 XC:) z o ---s ;;D ro a e ' CJD Cil R1 ztk Co ZD 70 0 QPi AEZJ !T x w ca CD Ccri,EA �cn ��oio�rJcocoio ..(.0wco J ) -- http://dal00puapp00 8:8081 /iExpense/SubmitRoportAction. do?submitReportId=IEXP-43 59... 3/13/2015 MISC2 Document Type: P -Card Statement Employee Email Address: Martin.Kirby@atmosenergy.com Period Name: JUN -15 iii 11111111111111111111111111111111111111111iiiiiiiiMarlffltw Print this document and tape all receipts to standard sheets of paper. With the bar code page as the cover page and receipts attached please scan the entire P -Card Statement using the "P -Cards" button on your Printer. If you are unable to scan, please fax to 214-276-6468. Total Amount of Statement: 707.46 Merchant Trx. Number City State Zip Transaction Amount Gate THE UPS STORE 2596 TXN00445954 PLANO, TX 75493 08 -JUN 15 346.94 333.75 THE UPS STORE 2596 TXN00440614 PLANO, TX 75093 20 -MAY -15 26.77 LOWES ##00550 TXN00442677 CARROLLTON TX 75006 28 -MAY -15 The UPS`Store -2'98 3308 PRESTON RD STE 350 PLANO, TX 75093;,- (972) 964-0603 05/20/15 09;13 Aid We are the one stop, for al l your shipping, postai and bLrsihOS6 reeds. . 1111 li[Ilililllf Irl l�ll�llll111101"W11 ill 1011l1lll1lllllllllll 001 000001 (003.. Copies Reg llnit;E3l ice 0;08` }<` '04 000001 (003) T1 $ 250,95 Copies I QTY 717 Reg Unit Price $ 0,35 SuhTotaI $ 308,31 (11) $: 25.44 Tota.) . $ 333.75 - C6, 333 $ 333.75'::. CCOUN T NUMBER ppr Cade, (S) Sale Receipt TO 8227,51730 0.. 18889,909. 143 CSH, Samantha Tran,: 40 Reg:.:00�.` Whatever your husin6bs and bersanaI needs, we are here 40 serve you. We're here to help. Join nul' FREE email program to receive 0reat offers and resources. VItIIV . theupsstorc , com/s i flnup P -CARD RECEIPT ATTACHMENT SHEET Task Description INSTALL New Service Growth (080.33147) INSTALL New Meters/Reqs Non. -Growth (080.33155) vJ INSTALL Repair/Rept Sry Line Non -Growth (080.33163) BUSINESS PURPOSE RETIRE Repair/Rept Sry Line Non -Growth (080.33163) INSTALL Repah/Rept Main Non -Growth (080.33174) RETIRE Repair/Rept Main Non -Growth (080.33174) SIGN; INSTALL Repl Meters/Reqs Non -Growth (080.33183) RETIRE Repl Meters/Reqs Non -Growth (080.33183) INSTALL Anodes Nan -Growth (080.33192) INSTALL 8209 Rep] Mains 5-250 ft (080.33353) RETIRE 8209 Repl Mains 5-250 ft (080.33353) INSTALL 8209 Repl Sry Line (080.33345) RETIRE 8209 Repl Sry Line (080.33345) INSTALL APT Leak Clamp Non -Growth (180,17189) INSTALL APT Anode Non -Growth (180.17197) 02005 Tools, Supplies, Everyday use 03004 Vehicles, wipers, fluids, lights, 05010 Office Supplies 05111 Postage/Freight 07443 Company Uniform/Work Soots CARD LAST 4 PURCHASEAMOUNT vJ N � BUSINESS PURPOSE r o SIGN; i„1 91' L EXPRO AMERICAS, L.L.C. \' t'4r;� 738 HIGHWAY 6 SOUTH SUITE 1000 HOUSTON TX 77079.4041 USA CO1 Remittance Information HSBC Bank USA, NA Buffalo, NY Account Number: 269043136 Routing: Wire 021001088 ACH 122240861 Swift Code: MRMDUS33 Remit To: Expro Americas LLC Dep 2080 PO BOX 122080, Dallas, Tx 75312-2080 Invoice 1 Invoice Number: 90238434 Invoice Date: 1 7 -MAR -201 5 DIRECT CORRESPONDENCE TO: EXPRO AMERICAS, L.L.C. 14210 HWY 146 MONT BELVIEU, TX 77535 Bill -To -Party ATMOS ENERGY CORPORATION P.O. Box 650205 DALLAS TX 75265-0205 Information 400483 1 DAY Ship To ATMOS ENERGY Well Name DALLAS, TX Job Date 01 -MAR -2015 Customer Contact MARTIN KIRBY Customer PO No. 080.27016 Reference # T-5846 Shipping Point MONT BELVIEU Sales Order No. 0000204534 Ultimate Dest Cntry USA Payment Terms Net due in 30 days Due Date 04116/2015 Sold TO 0000351028 Item Material/Description Quantity Unit Price Value JOB DATE: 318115 TO 3/8/15 20 400483 1 DAY 150.00 150.00 Lodging per/Man March 09, 2015 - March 09, 2015 Work Performed By: Humberto Miranda 30 400483 1 DAY 150.00 150.00 Lodging per/Man March 09, 2015 - March 09, 2015 Work Performed By: Shane Duffiney 50 400480 13.500 HR 70.00 945.00 Flarestack Supervisor March 07, 2015 05:00 - March 07, 2015 18:30 Work Performed By: Shane Duffiney 80 400480 12 HR 70.00 840.00 Flarestack Supervisor March 08, 2015 07:00 - March 08, 2015 19:00 Work Performed By: Shane Duffiney j 738 HIGHWAYYI6 35CIUTHC SUITE 1000 HOUSTON TX 77079-4041 USA Page 2 of 3 j Invoice Number: 90238434 invoice Date: 17 -MAR -2015 j Item Material/Description Quantity Unit Price Value 90 400485 350 MI 2.75 962.50 Mileage, Pickup i Travel Date: March 07, 2015 From Location: Shop To Location: Job site # of Miles: 350 Ref: Round trip 100 406977 2 DAY 615.00 1,230.00 Discount 123.00 - Trailer mounted 6"SSx50' Vertical Flare March 07, 2015 - March 08, 2015 110 400494 340.000 FT 2.25 765.00 Discount 76.50-1 4" Hammer Union Flare line March 07, 2015 - March 08, 2015 120 400501 2 DAY 140.00 280.00 ` Discount 28.00- 2" Throttle Valve Assembly w/Gauges I March 07, 2015 - March 08, 2015 130 400454 2 DAY 280.00 560.00 . Discount 56.00- Flame Front Generator March 07, 2015 - March 08, 2015 140 409557 4 DAY 70.00 280.00 Discount 28.00- 4" Stainless Steel Flex Hose March 07, 2015 - March 08, 2015 150 400521 10.000 GAL 4.00 40.00 Propane Fuel I 160 406450 2 EA 100.00 200.00 SUBSISTANCE EXPRO AMERICAS, L.L.C. 738 HIGHWAY 6 SOUTH SUITE 1000 HOUSTON TX 77079-4041 USA Page 3 of 3 Invoice Invoice Number: 90238434 Invoice Date: I7 -MAR -20'15 � Item Material/Description Quantity Unit Price Value I 170 406447 12 HR 60.00 720.00 FLARESTACK TECHNICIAN 180 406450 2 EA 100.00 200.00 C SUBSISTANCE 190 406447 13.500 HR 60.00 810.00 FLARESTACK TECHNICIAN j Sub Total Discount Total USD Amount 3-0 8,132.50 311.50- 7,821 .00 i T-6ED-OCO-3EAA •-....- -.1 , t I acknowledge'Terms and Conditions" (on the following pages), receipt of materials and/or services, and that I am autnonzeo to sign mis See attached Customer Signature: Expro Representative: Marlin ' by 2- 0 4407 Shane Duffiney Status: In Progress Job Customer Address: Item Code 400482-0040 400482-0040 400483-0040 400483-0040 Project Engineer. MEDFORD.OK73759 Customer Rep on location:..;, i Price Book: Days 2 2 1 1 Name: Atmos Natural Gas Decommission Customer AFE Number: i Job Number: BtackReld: f" Region: North America Land (NAL) Rig: 5. , County: Rig Type: Ultimate Destination Country: Item Code 400480-0040 400480-0040 400481-0040 400481-0040 Salesperson: Customer Purchase Order:( ' s l;. Lease: Customer Purchase Order Date: Hours 13.5 12 13.5 12 Well Number: Start Date: 031082015 Well Type: End Date: 03/08/2015 Well Category: Job Type: Flaring Operations No. of Crew: Item Code 400485-0040 No, of Crew (Other): Travel Date From Location To Location # of Crew # of Miles 03/0612015 Shop Job site 1 350 Total Job Mileage (miles) 0 I acknowledge'Terms and Conditions" (on the following pages), receipt of materials and/or services, and that I am autnonzeo to sign mis See attached Customer Signature: Expro Representative: Marlin ' by 2- 0 4407 Shane Duffiney Item Code 400482-0040 400482-0040 400483-0040 400483-0040 Date Start 03107/2015 03/07/2015 031092015 03/092015 Date End Description 03108/2015 Subsistence 03/08/2075 Subsistence 03/09/2015 Lodging per/Man 03/09/2015 Lodging per/Man Contact Shane Duffiney Humberto Miranda Shane Duffiney Humberto Miranda Days 2 2 1 1 Item Code 400480-0040 400480-0040 400481-0040 400481-0040 DateTime Start 01072015 5:00 AM 03/082015 7:00 AM 0310720155:00 AM 03/08/2015 7:00 AM DateTime End Description 03/07/2015 6:30 PM Flarestack Supervisor 03/0012015 7:00 PM Flarestack Supervisor 03/07120156:30 PM Flarestack Technician 031082015 7:00 PM Flarestack Technician Contact Shane Duffiney Shane Duffiney Humberto Miranda Humberto Miranda Hours 13.5 12 13.5 12 Item Code 400485-0040 Description Mileage, Pickup Travel Date From Location To Location # of Crew # of Miles 03/0612015 Shop Job site 1 350 UOM Mie Item Code 406977-0040 400494-0040 400501-0040 400454-0040 409557-0040 Date Start 03/0712015 03!07/2015 03/07/2015 03/0712015 03/072015 Date End 03/08/2015 03/0812015 03/0812015 03108/2015 03/08/2015 Description Trailer mounted 6"SSx50' Vertical Flare 4" Hammer Union Flare line 2" Throttle ValveAssembiyw/Gauges Flame Front Generator v Stainless steel Flex Hos a Run Qty 1 170 1 1 2 Days 2 2 2 2 2 UOM Day Foot Day Day Day Item Code Description Run Qty UOM 400521-0040 Propane Fuel 10 Gallon (US) TASK REQUEST T, Alm -,nces- 11ccluest, GONTRACTO:; v-,1,wrcby,,Iu0IoliiccI to PrOolm Iho on 0oll,4 ofCOMPANY pursuant to flift tf:TIIIS and Nbnvc, referenciA A()i&;-{Imolli, SCOP(- OF WORK: I h(-, V4,,'l k VAI hc= Prr!w, tied it) mcco MZ -1 Ice wim lila dra,", ing.,;, speci tical olls, aril it;F41 L. ul o; is. !I �, ny al iach(A 1 :,retcj azul ikhrj I illfiud it I (tie U,,, of MaJ Imuz ltm set lottil helw and still be Sri I(-XjIJv,6 >I.s I eqvia ed th,,ough the: direction of GOIAPAN Y',, Cm tirawl Ccordinalor al; identified herein. Oise additional pagw,, if 111,11c- Spaw, k nef�ussaly) Pro)vc.1 1,0. Or Work Na.; Atfirkos Cantravi CoofflinVtOr, Phone No.: John Nokuz-a 214-420-7052 Role Sheol Work at Atmos, F-imigy's, R(,que-M This lask is fo; at Aimmi Fiw far.2015 1)uthlet- A coon of It'lls, hisk will need to acccfnnany ycur invoice to accounts pnyjbI,,f. : -- - -1 1 -' ARG Sub -Acct. Serviuc, Area 'A, ori Task Iff— KI). Type rXI). 0 or $ ca Go ---------- -A -- CONTRACTOR'!; C05TWMMARY: IQTAIAS(;Cine) FIRMATF-; VVIork florin: LAor Rate sheat ilvlaterlal TOTAL M: Rate Si ent S; C, 14 V: D I J 1. 1.: _j lea Vvlafk will ht,"'gin by 11-PlA-1 4 alit] he i -oi cy loled by NOTF: hivoice", Illay De ill t ti@ of t1jo followin9 (Fulail pretened) I- Email: ac(,o Ll lit spayab I C@atm osolle rfjy,c<) I Y1 3, .]tail: Atmos Himqiy Coijwratluvi 2., Fay, 2.44 !150.V-10 Mft ACCAF'aIYli)10 P.O. Box 6592(35 YX 7.6265-0201i 111dwif: tho fulklvjiflcj intormathm on invoices to exptidito tho paymunt procos-s: 1. Aqt,owivant Z Taslt Ra(purit Numbor 3. 'Jai) Locatioll 4. Gollb-not N-,irno 6, Projcic.t Mam-c- 6, Co -A Cetiton 11 -0!� t;q1c AS I OF Al TACHMIFNI'b; (' MPA; �YmA GOINTRACI fl,M (10"Cilhad thull onforc ly ns iffuliy* 7. CON IRMTOR M-REDY A(;c[-'.p rAmc-F T1115 TASK RNAII-ST IS ISSUF`,)) ON BEHALF OF COMPANY (FINAI_ APPROVAL I AU,Vli0RJZA'ji0�4) A /Z 'T, n fqnfni�: John Tillo: Construrlion Anolyst J j7,1 f-01 -(,;D-,-rP0ra1eA,iW–,Jj I um DHt(,,: 5 10-2013 DRIVER PIPELINE COMPANY, INC. 12.00 N. Union Bower Rd. Irvine; Texas 75061 (214) 638-7131 (972) 573-1336 Fax BILL ATMOS ENERGY CORPORATION JOB P. 0. BOX 650205 DALLAS, TX 75265-0205 CO2 ATMOS/LINE W PROLOGIS COPPELL PO BOX 650205 DALLAS, TX 75265-0205 � j0! CumMER 1pUACHABF ORD NO. SILL THRI# TEI % i" My I NO _:. _ ATM101--1--- i7EM NO. taUANTITY aESRII�TIbN =7' ATTENTION: DENNIS JONES COST CENTER NUMBER: 4124 AGREEMENT NUMBER: SO450409CAT TASK REQUEST NUMBER: DJ14-183 PROJECT ID NUMBER: 180.27016 PROJECT NAME: LINE W PROLOGIS RELOCATE - COPPELL, TEXAS WORK DESCRIPTION: INSTALL 2935' OF 24" COATED STEEL HP PIPELINE WITH ONE DOUBLE STOPPLE AND TEMPORARY 12" BYPASS. ABANDON EXISTING FACILITIES. 0.1 TOTAL CHARGES FOR WORK COMPLETED ON TASK REQUEST #DJ14-183. TASK REQUEST #DJ14-183 IS 10% COMPLETE. 1PU7EREASE ORMS DIVISION f877)577-5791 CE -1013L. T.96931 435,200.00 43,520.00 SALE P[vlOUNT 4.3,.520 OII—. 520.00 AMr AW 5 Kos energy TASK REQUEST Contractor:Master Services Agreement No: Task Req No: Driver Pipeline Company, Ino, 80450409CAT DJ14-163 Upon receipt of this Task Request, CONTRACTOR Is hereby authorized to perform the Work Identfied herein on behalf of COMPANY pursuant to the terms and conditions contained in the above referenced Agreement. SCOPE OF WORK: The Work will be performed in accordance with the drawings, specifications, and instructions, if any, attached hereto and identified in the List of Attachments set forth below, and wilt be scheduled as required through the direction of COMPANY's Contract Coordinator as identified herein. (Use additional pages if more space is necessary) Project I.D. or Work No.: Atmos Contract Coordinator: Phone Pio,: 180.27016 Dennis Jones 469.261-2010 Project Name: Line W Prologis relocate-CopEeil,TX CONTRACTOR'S COST SUMMARY: TOTAL I5 (,(one) I W FIRM ESTIMATE Work Work Hours Labor ($} 435,200 Material ($) Other ($) TOTAL ($): $435,200 SCHEDULE - The Work will begin by 22 -Sep -14 and he completed by 23 -Oct -14 NOTE: Invoices may be sent in one of the fallowing ways: (Email preferred) 1. Email: accountspayabie@atmosenergy.com 3. Matt: Atmos Energy Corporation 2. Fax. 214 550.3210 ATTN. Acct Payable P.O. Box 650205 Dallas, TX 75265.0205 include the following information on Invoices to expedite the payment process. 1. Agreement 2. Task Request Number 3. Job Location 4. Contract Coordinator's Mame 5. Project Nama 6. Cost Center LIST OF ATTACHMENTS: COMPANY and CONTRACTOR agree that the following described attachments, if any, are Incorporated, herein, in ihelr entirety as If fully and completely rewritten herein: 2. 3. CONTRALTO RE ACKNtS 4.EOG EPTANCE THIS TASK REQUEST IS ISSUED ON BEHALF OF COMPANY OF THIS T (FINALi1PPROVAL ORIZATION} 13y: By: A� Vame: Name: 2enrds Jon Title: 1 C0— Title: Construction Analyst Date: A I i 4S i z -n 1W Date: 9/10/2014 Dlsfributfon: Contractor, COnfract CoordinatorOrl fnal , Corporate Procurement w!o Affach Form Date: 6-10-2013 INVOICE CO3 18773-4 DRIVER PIPELINE COMPANY, INC. 1200 N. Union Bower Rd. Irving, Texas 75061 (214) 636-7131 pff (972) 573-1336 Fax B:LL ATMOS ENERGY CORPORATION P. 0. BOX 650205 DALLAS, TX 75265-0205 JOB ATMOS/LINE W PROLOGIS COPPELL PO BOX 650205 DALLAS, TX 75265-0205 CilSTOMEi pU tHASfr OEttf u. x PiKa ITEM NQ_ QUACdTIT:Y DESCRIPTION ATTENTION: DENNIS JONES COST CENTER NUMBER: 4124 AGREEMENT NUMBER: SO450409CAT TASK REQUEST NUMBER: DJ14-183 PROJECT ID NUMBER: 180.27016 PROJECT NAME: LINE W PROLOGIS RELOCATE - COPPELL, TEXAS WORK DESCRIPTION: INSTALL 2,935' OF STEEL HP COATED PIPELIINE WITH ONE SET OF DOUBLE STOPPLES WITH A TEMPORARY 12" BYPASS. ABANDON EXISTING FACILITIES, TOTAL CHARGES FOR WORK COMPLETED ON TASK REQUEST #DJ14-183. TASK REQUEST #DJ14-183 IS 90% COMPLETE. WiTEREASE FORMS DIV S O)N (977)571-57&1 C_ ' C13L T-96931 65,280.00 65,280.00 ;ALF AMOUNT 6, 2QO,00 i I f- — $65,280.00 I AVM energy energy TASK REQUEST Contractor: Master Services Agreement No; Task Req No: Driver Pipeline Company, Inc. I S0460409CAT DJ14.183 Upon receipt of this Task Request, CONTRACTOR Is hereby authorized to perform the Work Identfled herein on behalf of COMPANY pursuant to the terms and conditions contained in the above referenced Agreemant. SCOPE OF WORK: The Work will be performed in accordance with the drawings, specifications, and Instructions, if any, attached hereto and Identified in the List of Attachments set forth below, and will be scheduled as required through the direction of COMPANY% Contract Coordinator as identified herein. (Use additional pages N more space is necessary) Project I.D. or Work No.: Atmos Contract Coordinator: Phone No.: 180,27016 Dennis Jones 469-261-20110 Project Name: Line W Prologis relocate-Coppell,TX CONTRACTOR'S COST SUMMARY: TOTAL IS (,/One) We FIRM i l ESTIMATE Work Hours — Labor ($) 435,200. Material ($) Other ($) _, TOTAL ($): $436,200 SCHEDULE - The Work will begin by 22 -Sep -14 _ and be completed by 23 -Qct -14 NOM Invoices may be sant In one of the following ways: (Email preferred) 1. Email: accountspayabie®atmosenergy.com 3. Mail: Atmos Energy Corporation 2. Fax: 214 550.3210 ATTN: Acct Payable P.O. Box 650205 Dallas, TX 75265.0205 Include the following Information on Invoices to expedite the payment process: 1. Agreement 2. Task Request Number 3. Job Location 4. Contract Coordinator's Name 5. Project Name 6. Cost Center LIST OF ATTACHMENTS: COMPANY and CONTRACTOR agree that the following described attachments, if any, are Incorporated, herein, In their entirely as if fully and ccmp:etely rewritten herein: 2. 3. CONTRACTO RE ACKNO LED G EPTANCE THIS TASK REQUEST IS ISSUED ON BEHALF OF COMPANY OF THIS TA (FINAL PPROVAL ORIXATION) By, By: Name: Name: Dennis Jon Titla: V) La✓—P MA t !Z Title: Construction Analyst _ oate: Ct t --A Date: 9/1(V2014 Dlstribudon: Contractor, Contract CoordinatorOrt Inaf Corporate Procuramenf w/o Attach Form Date: 6-10-2013 DRIVER PIPELINE COMPANY, INC. 1200 N. Union Bower Rd. Irving, Texas 75061 (214) 638-7131 (972) 573-1336 Fax 13ILL ATMOS ENERGY CORPORATION JOB P. 0. BOX 650205 DALLAS, TX 75265-0205 C04 18773-2 ATMOS/LINE W PRQLOGIS COPPELL PO BOX 650205 DALLAS, TX 75265-0205 CUSTOI gn PURCHASE ORDER N0. FILE THRU M ItyY�JI E DAC A 1 �... ---Net-30 — ------ ..42/1$/14_ —J-. ITEM NO. -T QUANTITY DESCRIP'T'ION ATTENTION: DENNIS JONES COST CENTER NUMBER: 4124 AGREEMETN NUMBER: SO450409CAT TASK REQUEST NUMBER: DJ14-183 PROJECT ID NUMBER: 180.27016 PROJECT NAME: LINE W PROLOGIS RELOCATE - COPPELL, TEXAS WORK DESCRIPTION: INSTALL 2935' OF 24" COATED STEEL HP PIPELINE WITH ONE DOUBLE STOPPLE AND TEMPORARY 12' BYPASS. ABANDON AND GROUT FILL EXISTING. 0.5 TOTAL CHARGES FOR WORK COMPLETED ON TASK REQUEST #DJ14-183. TASK REQUEST #DJ14-183 IS 60% COMPLETE. 435,200.00 217,600.00 �A; F AA,'OL;NT 17 0 17,600.0 OPUTFRFASE FORMS DI 'ISIM (877) 577-5791 CF. 19131. T-5393: ,��TM4S energy. TASK REQUEST 11�i rl� Contractor: Master Services Agreement No: Task Req No: Driver Pi Ilne Compan Enc. SO460409CAT I DJ14-183 Upon receipt of this Task Request, CONTRACTOR Is hereby authorized (o perform the Work Identfied herein on behalf of COMPANY pursuant to the terms and conditions contained in the above referenced Agreement. SCOPE OF WORK: The Work will be performed in accordance with the drawings, specifications, and instructions, if any, attached hereto and identified In the List of Attachments set forth below, and will be schedutod as required through the direction of COMPANY's Contract Coordinator as Identified herein. (Use additional pages If more space Is necessa(Y) Project I.D. or Work No.: Atmos Contract Coordinator: Phone No,: 180.27016 Dennis Jones 469-261-20-10 Project Name: Line W Prologis relocate-CoEpell,TX CONTRACTOR'S COST SUMMARY: TOTAL IS (,[one) IV FIRM r EsTRATF Work Hours Labor ($) 435,200 w Material ($) Other ($) _ _ _ ___--_ TOTAL ($}: $435,200 SCHEDULE - The Work will begin by 22 -Sep -14 and be completed by 23 -Oct -14 NOTE: Invoices may be sent in one of the following ways: (Email! preferred) 1. Email: accounispayable@atmosenergy.com 3. Mall: Atmos Energy Corporation 2. Fax: 214 550.8240 ATTN: Acct Payable P.O. Box 650205 Dallas, TX 75265.0205 include the following Information on Invoices to expedite the payment process: 1. Agreement 2. Task Request Number 3. Job Location 4, Contract Coordinator's Name 5. Project Name 6, Coat Center LIST OF ATTACHMENTS: COMPANY and CONTRACTOR agree that the following desuibed attachments, it any, are Incorporated, herein, in their entirety as if fully and comt4eietyiewdKen herein: 2. 3. CONTRACTO RE ACKNO ED EPTANCE THiS TASK REQUEST IS ISSUED ON SEHALr OF COMPANY OF THIS TA K (FINAL�PPROVAL ORiZATION) By: By: SX 3 Name: ennis Jon Titter ((T—pinebI ate•.. Title: Construction Analyst Data: a tr 1t.4 Date 911012014 dlstrlbutlon. Contractor, Contract Coordlnator Or! inaJ , Corporate Procurement (w1d Attach Form Date: 6-10-2013 INVOICE C05 18773-3 DRIVER PIPELINE COMPANY, INC. 1200 N, Union Bower Rd. Irvnc3, Texas 75061 (214)638-7131 (972) 573-1336 Fax BIL,_ ATMOS ENERGY CORPORATION 1-0 P. 0. BOX 6502.05 DALLAS, TX 75265-0205 JOB ATMOS/LINE W PROLOGIS COPPELL PO BOX 650205 DALLAS, TX 75265-0205 CUSTOMER iPURCHASE OWER N0. BILL THR[1 ITEM NO:: -' QUANTITY DESCRIPTION.. ATTENTION: DENNIS JONES COST CENTER NUMBER: 4124 AGREEMENT NUMBER: SO450409CAT TASK REQUEST NUMBER: DJ14-183 PROJECT ID NUMBER: 180.27016 PROJECT NAME: LINE W PROLOGIS RELOCATE - COPPELL, TEXAS WORK DESCRIPTION, INSTALL 2,935' OF STEEL HP COATED PIPELINE WITH ONE SET OF DOUBLE STOPPLES WITH A TEMPORARY 12" BYPASS. ABANDON EXISTING FACILITIES. 0.15 TOTAL CHARGES FOR WORK COMPLETED ON TASK REQUEST #DJ14-183. TASK REQUEST #DJ14-183 IS 75% COMPLETE. 435,200.00 'VOOTEREASE FARMS :IV SION (8?7)677 X79' CE-1C13L T-98931 65,280,00 _ 65 280.00 - $65,280.00 J r�TM� energy, TASK REQUEST 1� 11 "1 "-� Contractor:Master Services Agreement No: Task Req No: Driver Pipeline Company, Inc, SO450409CAT I DJ14-183 Upon receipt of this Task Request, CONTRACTOR Is hereby authorized to perform the Work Identfied herein on behalf of COMPANY pursuant to the terms and conditions contained in the above referenced Agreement. SCOPE OF WORK: The Work will be performed In accordance with the drawings, specifications, and Instructions, If any, attached hereto and identified In the List of Attachments set forth below, and will be scheduled as required through the direction of COMPANY's Contract Coordinator as Identified herein. (Use additional pages if more apace is necessary) Project I.D. or Work No.: Atmos Contract Coordinator; Phone No.: 180,27016 Dennis Jones 469.261-2010 Project Name: Line W Protogis relocate-Coppsli,TX FunclPro No. Task ID -Exp.Type exp. O . Yo or g I Co cc I FERC Sub -Acct. I Servlce Area % or $ 180,27016 01124 Labor 4124 $427,540 180.27016 88000 Labor 4124 7,660 CONTRACTOR'S COST SUMMARY: TOTAL IS (,/One) r FIRM ESTIMATE= Work Hours Labor ($) 435,200 Material ($) Other ($) _ TOTAL ($): $435,200 SCHEDULE - The Work will begin by 22 -Sep -14 and be completed by 23 -Qct -14 NOTE: Invoices may be sent in one of the following ways: (Email preferred) 11 Email: accounispayable@atmosenergy.com 3, Mail: Atmos Energy Corporation 2. Fax: 214 550-3210 ATTN: Acct Payable P.O. Box 650205 Dallas, TX 75265.0205 Include the following information on invoices to expedite the payment process: 1. Agreement 2, Task Request Number 3, Job Location 4. Contract Coordinator's Name 5, Project Name 6. Cost Center LIST OF ATTACHMENTS: COMPANY and CONTRACTOR agree that the following described attachments, if any, are Incorporated, herein, in their entirety as If fully and completely rewritten herein: 2. 3. CONTRACTO RE ACKNO LED EPTANCE THIS TASK REQUEST IS ISSUED ON BEHALF OF COMPANY OF THIS TA : (FINAL PPROVAL ORIZATION) gy: By: Name: L Name: Dennis Jon Tide: I G — t g -w Title:. Construction Analyst Date: A l l $ 12..21N Date- 9!1612014 Alstrlbuavn: Contractor, Contract CoordinatorOrl tnal Corporate Procurement (Imio Attach Form Date: 5.10-2013 INVOICE C06+ 18773-5 DRIVER PIPELINE COMPANY, INC. 1200 N, L"mon Bower Rd. Irving, Texas 75061 (214) 638-7131 (072) 573.1336 Fax BlU ATMOS ENERGY CORPORATION To P 0. BOX 650205 DALLAS, TX 75265-0205 JOB ATMOS/LINE W PROLOGIS COPPELL PO BOX 650205 DALLAS, TX 75265-0205 ?IIRCNgSEQRDERi�Q, _ _ _ BIEt 'fIRU = v iAE AGE r.Wy MMM ,{�- _ ATTENTION: DENNIS JONES COST CENTER NUMBER: 4124 AGREEMENT NUMBER: 50450409CAT TASK REQUEST NUMBER: DJ14-183 PRO3ECT ID NUMBER: 180.27016 PROJECT NAME: LINE W PROLOGIS - COPPELL, TEXAS WORK DESCRIPTION: ***CHANGE ORDER*** GREENS ENERGY GROUP DRYING 4,600' OF 24" PIPE 1 TOTAL CHARGES FOR WORK COMPLETED ON CHANGE ORDER. CHANGE ORDER IS 100% COMPLETE. 32,120.00 32,120.00 5-0 �. a F ;w �o r�� c4&-,veo( 'f& av)" fi yK vvv /P r7 j' l e6 7- 3 3 1S, ff—j• I z/. CAF AMOUNT 32,120.00 AP:.TCRf ASE r0RMS DI\-!S10N (677) 577-579- SP-1C13I T-96931 I �� 73, AMrl gy Change Order Form project No, 180.27018 Project Name Line W Protogis Coppell TX Contract No.: Revlslon:1 'risk Request No.: Driver Pipeline Requested By: Title: ❑ Company Request El Contractor Request ❑ other Section A - Description Greens energy group drying 4,600 fl 24" pipe Section 8 - Attachments Section C - Cost This request Is for: ❑ Estlmated pike Extra work Not to Exceed E) V* pry Extra wo* Axed Price Labor Cost................................$0.00 Material Cost,................,.., ...$Q00 Total Fixed Price ..................................... . ...... ..... .......................,......,......,..532,728.00 Unit Price Note: Per contractors rate sheet Estimated Labor .........................$0.00 Estimated Material ............ .......... ,,,$0,0Q Total Estimated Cost not to Exceed ............................. ... $0.00 Section D - Schedule The proposed Extra Work will extend the schedule by,,,,,,,,,,,,,,,,,,,,, ....... Completed No extension of the schedule Is warranted Section E - Approvals Per the Contract Terms 8, Condliiohs, all Extra Work and Changes In Work (whether In -scope or out -of -scope) shall be submitted using this form and approved prior to performance of such work, 2/11/2015 r �e CAE,lserslfearfllaesk ioplChange original q9 THE COLONY INVOICE DRIVER PIPELINE COMPANY, INC. 1200 N. Union Bower Rd. Irving, Texas 75061 (214) 838-7131 13 (972),573-1336 Fax BILL ATMOS ENERGY CORPORATION JOB To P. 0. BOX 650205 DALLAS, TX 75265-0205 C07 ATMOS/LINE W PROLOGIS COPPELL PO BOX 650205 DALLAS, TX 75265-0205 18773-7 Ct $7i}II E iP=URCHASE �IRDER.N B� 3/24/15 u 1 �- ,_ WIN.=.bg ._. ATTENTION: DENNIS JONES COST CENTER NUMBER: 4124 AGREEMENT NUMBER: SO450409CAT TASK REQUEST NUMBER: DJ14-183 PROJECT ID NUMBER, 180.27016 PROJECT NAME: LINE W PROLOGIS - COPPELL, TEXAS WORK DESCRIPTION: INSTALL 2,935' OF STEEL HP COATED PIPELINE WITH ONE SET OF DOUBLE STOPPLES WITH A TEMPORARY 12" BYPASS. ABANDON EXISTING FACILITIES. 0.1 TOTAL CHARGES FOR WORK COMPLETED ON TASK REQUEST NUMBER D314-183. TASK REQUEST NUMBER D314-183 IS 100% COMPLETE. APUTEKEASEEORMSDIVISICN (E7'1577-5791 CE -10131 MO,)a' 435,200.00 43,520.00 SALEE MCIUNT 43,520.00 ,520.00 energy TASK REQUEST Contractor; Master Services Agreement No: Task Req No: Driver Pipeline Company, Inc. 80460409CAT DJ14-163 Upon receipt of this Task Request, CONTRACTOR Is hereby authorized to perform the Work Identfled herein on behalf of COMPANY pursuant to the terms and conditions contained in the above referenced Agreement. SCOPE OF WORK: The Work will be performed in accordance with the drawings, specifications, and instructions, if any, attached hereto and identified In the List of Attachments set forth below, and will be scheduled as required through the direction of COMPANY's Contract Coordinator as Identified herein. (Use additional pages If more space is necessary) Project I.D. or Work No.: Atmos Contract Coordinator: Phone No.: 150,27016 Dennis Jones 469-261-2010 CONTRACTOR'S COST SUMMARY: TOTAL IS (,/One) r W..� FIF2M r - ESTIMATE Work Hours Labor ($) 435,200 Material ($) Other ($) TOTAL (5}: $435,200 SCHEDULE - The Work will begin by 22 -Sep -14 ^ and be completed by _ 23 -Oct -14 NOTE: Invoices may be sent In one of the following ways: (Email preferred) 1. Email: accountspayable@jatmosenergy.com 3. Mail: Atmos Energy Corporation 2, Fax: 214 550.3210 ATTN: Acct Payable P.O. Box 650205 Dallas, TX 75265-0205 include the following information on invoices to expedite the payment process: 1. Agreement 2. Task Request Number 3. Job Location 4. Contract Coordinator's Name 5, Project Name 6. Cost Canter LIST OF ATTACHMENTS: COMPANY and CONTRACTOR agree that the following described attachments, If any, are incorporated, herein, In their entirely as if fully and completely rewritten herein. 2. 3. CONTRACTO RE ACKNO LEOIG EPTANCE THIS TASK REQUEST IS ISSUED ON BEHALF OF COMPANY OF THIS TA (FINAL PPROVAL ORiZATION) By: Name: Name: Dennis Jon Title: 1 L Title: Construction Analf Date: 4� t 8 2 La L Date: 9/10/2014 t]Isfrlbutfon, Confroctor, Contract Coord/nafar Or! lnal Gar orate Procurement wIo Attach Form Date: 5-10-2013 MOO lwwwm� CONTRACTOR'S COST SUMMARY: TOTAL IS (,/One) r W..� FIF2M r - ESTIMATE Work Hours Labor ($) 435,200 Material ($) Other ($) TOTAL (5}: $435,200 SCHEDULE - The Work will begin by 22 -Sep -14 ^ and be completed by _ 23 -Oct -14 NOTE: Invoices may be sent In one of the following ways: (Email preferred) 1. Email: accountspayable@jatmosenergy.com 3. Mail: Atmos Energy Corporation 2, Fax: 214 550.3210 ATTN: Acct Payable P.O. Box 650205 Dallas, TX 75265-0205 include the following information on invoices to expedite the payment process: 1. Agreement 2. Task Request Number 3. Job Location 4. Contract Coordinator's Name 5, Project Name 6. Cost Canter LIST OF ATTACHMENTS: COMPANY and CONTRACTOR agree that the following described attachments, If any, are incorporated, herein, In their entirely as if fully and completely rewritten herein. 2. 3. CONTRACTO RE ACKNO LEOIG EPTANCE THIS TASK REQUEST IS ISSUED ON BEHALF OF COMPANY OF THIS TA (FINAL PPROVAL ORiZATION) By: Name: Name: Dennis Jon Title: 1 L Title: Construction Analf Date: 4� t 8 2 La L Date: 9/10/2014 t]Isfrlbutfon, Confroctor, Contract Coord/nafar Or! lnal Gar orate Procurement wIo Attach Form Date: 5-10-2013 INVOICE DRIVER PIPELINE COMPANY, INC. 1200 N. Un,on Bower Rd. Irving, Toxas 75061 (214)638-7131 (972) 573-1336 Fax RILL ATMOS ENERGY CORPORATION TO P. 0. BOX 650205 DALLAS, TX 75265-0205 1111619 C08 ATMOS/LINE W PROLOGIS COPPELL PO BOX 650205 DALLAS, TX 75265-0205 VA'[,i-1 �s 18773-6 ITEM f`Nt : =::':-7. . __QUANYTITY- - _..... .<:..T -.-DE -CRI l'1�lN:L_ ATTENTION: DENNIS JONES COST CENTER NUMBER: 4124 AGREEMENT NUMBER: SO450409CAT TASK REQUEST NUMBER: D314-183 PROJECT ID NUMBER: 180.27016 PROJECT NAME: LINE W PROLOGIS - COPPELL, TEXAS WORK DESCRIPTION: ***CHANGE ORDER*** CREW COST FOR ASSISTING GREENS IN DRYING LINE W. 1 TOTAL CHARGES FOR WORK COMPLETED ON CHANGE ORDER. CHANGE ORDER IS 100% COMPLETE. 10,439.00 10,439.00 Sv% e F ;n vm; cX4-3�cl h, r)Al-&- AMOUNT F 10,439.00 $10,439.00 MPLTEREASE FORMS DIVISION (877)5T7-5,1,111 GE -10131- T-96931 �r y Change Order Form Project No. 180.27016 Project Name Line W Prologis Coppell TX Contract No,: Revision:1 Took Request No,: Driver Pipeline Requested By: Title: ❑ Company Request El contractor Request ❑ piker Section A - Description Crew cost for aseltiing Greens In drying Line W Section B -Attachments Section C - Cost This request Is for: [ EsUmated Price Extra Work Not to Exceed (] Unit Price Extra Work Fixed Price Labor Cost................................$0.00 Material Cost ................................ $0.00 Total Fixed Price ............................................... .................. ...........................$10,438,00 Unit Price Note. Per contractors rete sheet Estimated Labor .........................$0,00 Estimated Material ..,.,,,,.,,..,,,,,,,,....$$0,00 Total Estimated Cost not to Exceed ................. ........... .....$0,00 Section D - Schedule The proposed Extra Work will extend the schedule by ...... ..................... ........... Completed No extension of the schedule is warranted Sectlon E - Approvals _. {�. _ . // f Per the Contract Terms & Conditions, all Extr ork and Changes in Work (whether In'scopo or out -of -scope) shall be submitted using this form and approved prior to performance of such work. 31111201$ C:1Userslfearl\0esktoptChange original D9 THE COLONY INVOICE MEN HA LFF ONO 01 - RI T Engineering and Censultina REMITTANCE ADDRESS Halff TriTex, LLC P.U. Box 678497 Dallas, TX 75267 www.halfftritexxom Atmos Energy Corporation 5430 LBJ Freeway, Suite 600 Dallas, TX 75240-2601 Attention: Accounts Payable Project Name : Atmos/HTT 2014 Project 3 For Professional Services Rendered through: 7/31/2015 Mr. Gary Woolsey Line W Prologis Project No. 180.27016 TaskID.01124 Cost Center 9737 Agreement No. SA13-12001 - Task Request No. N-15-0020 Invoice Date : 07/31/2015 Invoice # : HT4349 Project : 7002C Invoice Group : 11 Client Code : ATMOS1 C1 Previous Current Total Phase/Task I Name Amount Amount Fee Earned 14252 -- Line W Prologis 32,211.97 102.56 32,314.53 Total Fee Earned To Date 32,314.53 Less Previous Billings 32,211.97 Amount Due this Invoice 102.56 TERMS: DUE UPON RECEIPT (214) 217-6500 ORIGINAL (214) 739-0108 Fax Project : 7002C -- Atmos/HTT 2014 Project 3 Invoice #: HT4349 Phase :14252 -- Line W Prologis Task : **** -- Default Task Rate Schedule Labor Class/ Employee Name Date Hours Rate Amount Clerical Karen L. Rainey 07/27/2015 0.50 58.00 29.00 Prepare prebills for HTT approval and make necessary corrections. Prepare and submit invoices to Client for payment. Darla M. Jones 07/24/2015 1.00 58.00 58.00 REPRINT CDs - CLOSING PACKAGE WEBPAGE 07/24/2015 0.25 58.00 14.50 REPRINT CDs - CLOSING PACKAGE WEBPAGE ........................... 1.25 ..............................- ......... 72.50 Total: Clerical 1.75 101.50 Rate Schedule Labor 101.50 Unit Pricing Expenses Vendor /Employee Name Doc Nbr Date Units Rate Amount Postage Karen L. Rainey 211 07/28/2015 2.41 0.440 1.06 Mail closing packages Unit Pricing 1.06 Total Task: **** — Default Task Labor 101.50 Expense 1.06 Total Phase: 14252 - Line W Prologis 102.56 Total Project: 7002C -- Atmos/HTT 2014 Project 3 102.56 Page 2 J77,energy TAS. \ ■ \E,QUES ■ Contractor: Master Services Agreement No: Task Req No: IN Halff Tri Tex, LLC ISA13-12001 -15-0020 Upon receipt of this Task Request, CONTRACTOR Is hereby authorized to perform the Work identfied herein on behalf of COMPANY pursuant to the terms and conditions contained In the above referenced Agreement. SCOPE OF WORK: The Work will be performed in accordance with the drawings, specifications, and Instructions, if any, attached hereto and Identified in the List of Attachments set forth below, and will be scheduled as required through the direction of COMPANY's Contract Coordinator as Identified herein. (Use additional pages If more space is necessary) Project I.D. or Work No.: Project Name: Atmos Contract Coordinator: John Nekuza Hourly Work at Atmos Energy's Request P Phone No.: 214-426-7052 CONTRACTOR'S COST SUMMARY: TOTAL IS (J One) I I- FIRM I- ESTIMATE Work Hours Labor ($) Hourly Material ($) Other ($) TOTAL ($): Hourly SCHEDULE - The Work will begin by 1 -Oct -14 and be completed by 30 -Sep -15 NOTE: Invoices may be sent In one of the following ways: (Email preferred) 1. Email: accountspayable@atmosenergy.com 3. Mail: Atmos Energy Corporation 2. Fax: 214 550-3210 ATTN: Acct Payable P.O, Box 650205 Dallas, TX 75265-0205 Include the following Information on Invoices to expedite the payment process: 1. Agreement 2. Task Request Number 3. Job Location 4. Contract Coordinator's Name 5. Project Name 6. Cost Center LIST OF ATTACHMENTS: COMPANY and CONTRACTOR agree that the following described attachments, if any, are Incorporated, herein, in (heir entirely as if fully and completely rewritten herein: 2. 3. CONTRACTOR HEREBY A LEDGES ACCEPTANCE OF THISTASK REQUEST: By:. Name: t Title: Date: L Co 50-, P 2 d 1� THIS TASK REQUEST IS ISSUED ON BEHALF OF COMPANY (FINAL APPROVAL / AU;3)/ �ATION By: -__ - -- - Name: John Nekuza t/ Title: Construction Analyst Date:+ - Distribution: Contractor, Contract Coordinator (grlglnag, Corporate Procurement (Wo Affach) --- - _ Form Date: 5-10-2013 C2 INVOICE HALFF ppmTRM Engineering and Conaultina REMITTANCE ADDRESS Helff TriTex, LLC P.O. Box 678497 Dallas, TX 75267 www.halfftritexxo n Atmos Energy Corporation Invoice Date: 01/31/2015 5430 LBJ Freeway, Suite 600 Invoice # : HT3313 Dallas, TX 75240-2601 Project: 7002C Invoice Group : 11 Attention: Accounts Payable Client Code: ATMOS1 Project Name: Atmos/HTT 2014 Project 3 For Professional Services Rendered through: 1131/2015 Mr. Gary Woolsey Line W Prologis Poject No. 180.27016 TaskID.01124 Cost Center 9737 Agreement No. SA13-12001 - Task Request No. N-15-0020 Previous Current Total Phase / Task I Name Amount Amount Fee Earned 14252 -- Line W Prologis 18,202.59 10,495.38 28,697.97 Total Fee Earned To Date 28,697.97 Less Previous Billings 18,202.59 Amount Due this Invoice 10,495.38 TERMS: DUE UPON RECEIPT (214) 217-6500 ORIGINAL (214) 739-0108 Fax Project : 7002C -- Atmos/HTT 2014 Project 3 invoice #: HT3313 Phase :14252 -- Line W Prologis Task : *"* -- Default Task Rate Schedule Labor Class/ Employee Name Date Hours Rate Amount Clerical Karen L. Rainey 01/13/2015 0.50 58.00 29.00 Draftsman Jordan K. Capper 01/15/2015 4.00 74.00 296.00 Stopple process drawing for Michael 01/16/2015 5.00 74.00 370.00 Layout and notes for stopple drawing 01/19/2015 8.00 74.00 592.00 Stopple process drawing 01/30/2015 1.00 74.00 74.00 Updates per Atmos comments 18.00 ........................................... 1,332.00 Engineering Manager Koruin V. Vartevan 01/05/2015 4.00 147.00 588.00 ATMOS: Engineering review purge calc and stopple arrangement 01/06/2015 4.00 147.00 588.00 ATMOS: Engineering review purge calc and stopple arrangement 01/08/2015 2.00 147.00 294.00 ATMOS: Engineering review purge calc and stopple arrangement 01/12/2015 4.00 147.00 588.00 ATMOS: project engineering support 14.00 ........................................... 2,058.00 Project Manager Michael J. Wisniewski 01/05/2015 1.50 134.00 201.00 Meeting with Atmos 01/06/2015 1.00 134.00 134.00 Purge info 01/08/2015 1.00 134.00 134.00 Material questions 01/09/2015 2.50 134.00 335.00 Purge calc / procedures 01/16/2015 1.00 134.00 134.00 Materials / drawing review 01/19/2015 1.00 134.00 134.00 Purge / Blowdown review 01/22/2015 1.50 134.00 201.00 Purge / Blowdown review/ materials 01/23/2015 1.00 134.00 134.00 Tie-in Details 01/27/2015 1.00 134.00 134.00 Material / Tie-in issues 01/28/2015 3.00 134.00 402.00 Material / Tie-in issues / Meeting at Atmos 14.50 ................................... 1,943.00 Gary J. Dickinson 01/06/2015 0.50 134.00 67.00 Review Invoices. 01128/2015 1.00 134.00 134.00 Review Material LisUNeeds. Page 2 Project : 7002C -- Atmos/HTT 2014 Project 3 Phase :14252 -- Line W Prologis Task : *"* -- Default Task Rate Schedule Labor Class/ Employee Name Date Hours Project Manager .......................... 1.50 Total: Project Manager 16.00 Rate Schedule Labor Regular Expenses Vendor Name Doc Nbr Date Civil Engineering Halff Associates, Inc. 1672 01/30/2015 Regular Expenses Unit Pricing Expenses Invoice #: HT3313 Rate Amount ........................................... 201.00 2,144.00 5,563.00 Cost Multiplier 4,923.750 1.000 Vendor /Employee Name Doc Nbr Date Units Rate Miles Driven on Co Business Michael J. Wisniewski ER001320 01/27/2015 15.00 0.575 Meeting at Atmos (Carrollton to Richardson) Unit Pricing Total Task: **** — Default Task Labor Expense 4,923.75 4,923.75 8.63 8.63 5,563.00 4,932.38 Total Phase: 14252 -- Line W Prologis 10,495.38 Total Project: 7002C -- Atmos/HTT 2014 Project 3 10,495.38 Page 3 INVOICE MEN H►LFF 'Won TRM Engineering and Consultina REMITTANCE ADDRESS Helff TriTex, LLC P.O. Box 678497 Dallas, TX 75267 wvww.halfftritexxom Atmos Energy Corporation Invoice Date: 02/28/2015 5430 LBJ Freeway, Suite 600 Invoice # : HT3419 Dallas, TX 75240-2601 Project: 7002C Invoice Group : 11 Attention: Accounts Payable Client Code: ATMOS1 Project Name : Atmos/HTT 2014 Project 3 For Professional Services Rendered through: 2128/2015 Mr. Gary Woolsey Line W Prologis Poject No. 180.27016 Task ID. 01124 Cost Center 9737 Agreement No. SA13-12001 - Task Request No. N-15-0020 Phase / Task / Name 14252 - Line W Prologis (214) 217-6500 C3 Previous Current Total Amount Amount Fee Earned 28,697.97 1,333.00 30,030.97 Total Fee Earned To Date 30,030.97 Less Previous Billings 28,697.97 Amount Due this Invoice 1,333.00 TERMS: DUE UPON RECEIPT ORIGINAL (214) 739-0108 Fax Project : 7002C -- Atmos/HTT 2014 Project 3 Invoice #: HT3419 Phase :14252 -- Line W Prologis Task : *"* -- Default Task Rate Schedule Labor Class/ Employee Name Date Hours Rate Amount Clerical Karen L. Rainey 02/10/2015 0.50 58.00 29.00 Draftsman Jordan K. Capper 02/17/2015 1.00 74.00 74.00 Updates per Michaels comments on stopple detail drawing Engineering Manager Koruin V. Vartevan 02/04/2015 4.00 147.00 588.00 ATMOS: EWI weld specs 24" line W Prologis 02/25/2015 3.00 147.00 441.00 ATMOS: Engineering review/ assistance 7.00 1,029. DO Project Manager Michael J. Wisniewski 02/18/2015 1.00 134.00 134.00 Pre-Tie in meeting / flow review with KV Gary J. Dickinson 02/04/2015 0.50 134.00 67.00 Review Invoice. Total: Project Manager 1.50 201.00 Rate Schedule Labor 1,333.00 Total Task: **** — Default Task Labor 1,333.00 Expense 0.00 Total Phase: 14252 -- Line W Prologis 1,333.00 Total Project: 7002C -- Atmos/HTT 2014 Project 3 1,333.00 Page 2 ATMOS energy,. TASK REQUEST Contractor: Master Services Agreement No: Task Req No: Halff Tri Tex, LLC ISA13-12001 N-15-0020 Upon receipt of this Task Request, CONTRACTOR Is hereby authorized to perform the Work Identified herein on behalf of COMPANY pursuant to the terms and conditions contained In the above referenced Agreement. SCOPE OF WORK: The Work will be performed in accordance with the drawings, specifications, and instructions, if any, attached hereto and Identified In the List of Attachments set forth below, and will be scheduled as required through the direction of COMPANY's Contract Coordinator as Identified herein. (Use additional pages If more space Is necessary) Project I.D. or Work No.: Atmos Contract Coordinator: John Nekuza Prolect Name: Hourly Work at Atmos Energy's Request Phone No.: 214.426-7052 ern No. Task Description (tn Wis—tesk Is fbr hourly w at Atmos Energy's request for 2015 budget. A copy of this is k will need to accompany your Invoice to accounts payable, Functional /Project Account Coding O & M Account Coding CONTRACTOR'S COST SUMMARY: TOTALIS (4One) I f FIRMI� ESTIMATE Work Hours Labor ($) Hourly Material ($) Other ($) SCHEDULE - The Work will begin by 1 -Oct -14 TOTAL ($): Hourly and be completed by 30 -Sep -15 NOTE: Invoices may be sent in one of the following ways: (Email preferred) 1. Email: accountspayable@atmosenergy.com 3. Mail: Atmos Energy Corporation 2. Fax: 214 550-3210 ATTN: Acct Payable P.O, Box 650205 Dallas, TX 75265.0205 Include the following Information on invoices to expedite the payment process: 1. Agreement 2. Task Request Number 3. Job Location 4. Contract Coordinator's Name 5, Project Name 6. Cost Center LIST OF ATTACHMENTS: COMPANY and CONTRACTOR agree that the following described allachmenls, if any, are Incorporated, herein, In [heir entirely as if fully and completely rewritten herein: 1. 2. 3. CONTRACTOR HEREBY A KNO LEDGES ACCEPTANCE OF Tt-lt�S %,,KREEQUEST.- Name: ks `c Title: V .rP • Date: t Co S e p 2 (ntL{ THIS TASK REQUEST IS ISSUED ON BEHALF OF COMPANY (FINAL APPROVAL / AUTH�rAT10N) By: Name: John Nekuza Title: Construction Analyst Date: . 7f/l {' DIsVlbutlon: Contractor, Contract Coordinator {dr/q)nal, Corporate Procurement (w/o Attach) Form Date: 5-10-2013 INVOICE MEN HALFF ®�. TRITEX Fngineering and Consultlna REMITTANCE ADDRESS Halff TriTex, LLC P.O. Box 578497 Dallas, TX 75257 www.halfftritexxom Halff TriTex, LLC 1201 N. Bowser Road Richardson, TX 75081 Attention: Richard S. Jones Project Name : Atmos/HTT 2014 Project 3 For Professional Services Rendered through: 10/31/2014 Mr. Gary Woolsey Line W Prologis Poject No. 180.27016 TaskID.01124 Cost Center 9737 Agreement No. SA13-12001 - Task Request No. N-15-0020 Invoice Date: 10/31/2014 Invoice #: HT2756 Project : 7002C Invoice Group: 11 Client Code: HTT C4 Previous Current Total Phase 1 Task I Name Amount Amount Fee Earned 14252 -- Line W Prologis 9,604.44 2,892.50 12,496.94 Total Fee Earned To Date 12,496.94 Less Previous Billings 9,604.44 Amount Due this Invoice 2,892.50 TERMS: DUE UPON RECEIPT (214) 217-6500 ORIGINAL (214) 739-0108 Fax Project : 7002C -- Atmos/HTT 2014 Project 3 Invoice # : HT2756 Phase :14252 -- Line W Prologis Task : *"* -- Default Task Rate Schedule Labor Class/ Employee Name Date Hours Rate Amount Clerical Karen L. Rainey 10/15/2014 0.50 58.00 29.00 Project Manager Michael J. Wisniewski 10/02/2014 2.00 134.00 268.00 City Permits for Coppell 10/03/2014 1.00 134.00 134.00 Permits 10/14/2014 4.00 134.00 536.00 Meeting with the City of Coppell 10/16/2014 3.00 134.00 402.00 San Sewer issues 10/27/2014 1.00 134.00 134.00 Project status update 10/28/2014 1.00 134.00 134.00 coordination / setting up a meeting time 10/30/2014 1.00 134.00 134.00 coordination / setting up a meeting time 13.00 ............. 1,742.00 Gary J. Dickinson 10/03/2014 1.00 134.00 134.00 Review with Developer. 10/07/2014 1.50 134.00 201.00 Review with 3rd Party Engineer. 10/15/2014 1.00 134.00 134.00 Review with Developer and Third Party Engineering. 3.50 ............. 469.00 Total: Project Manager 16.50 2,211.00 Rate Schedule Labor 2,240.00 Regular Expenses Vendor Name Doc Nbr Date Cost Multiplier Amount Civil Engineering HalffAssociates, Inc. 1505 10/23/2014 652.500 1.000 652.50 Regular Expenses 652.50 Total Task: **** - Default Task Labor 2,240.00 Expense 652.50 Total Phase: 14252 -- Line W Prologis 2,892.50 Total Project: 7002C -- Atmos/HTT 2014 Project 3 2,892.50 Page 2 INVOICE ON O H►LFF MMMTRM Engineering and Consultina REMITTANCE ADDRESS Halff TriTex, LLC P.O. Box 675497 Dallas, TX 75267 www.halfftritexxorn Halff TriTex, LLC invoice Date: 08/31/2014 1201 N. Bowser Road Invoice # : HT2448 Richardson, TX 75081 Project: 7002C Invoice Group : 11 Attention: Richard S. Jones Client Code: HTT Project Name: Atmos/HTT 2014 Project 3 For Professional Services Rendered through: 8/31/2014 Mr. Gary Woolsey Line W Prologis O&M Project No. 180.11368✓�&(,'on) Configuration 68853097 Cost Center 9639 Agreement No. SA13-12001 - Task Request No. N-14-0131 Phase / Task / Name 14252 -- Line W Prologis Previous Amount 3,419.20 Total Fee Earned To Date Less Previous Billings Amount Due this Invoice C5 Current Total Amount Fee Earned 2,999.40 6,418.60 6,418.60 3,419.20 2,999.40 TERMS: DUE UPON RECEIPT (214) 217-6500 ORIGINAL (214) 739-0108 Fax Project : 7002C -- Atmos/HTT 2014 Project 3 Invoice #: HT2448 Phase :14252 - Line W Prologis Task: **** -- Default Task Rate Schedule Labor Class/Employee Name Date Hours Rate Amount Clerical Karen L. Rainey 08/06/2014 0.50 58.00 29.00 Project Manaqer Michael J. Wisniewski 08/04/2014 4.00 134.00 536.00 Reviewing Design / Modifying 08/05/2014 2.00 134.00 268.00 Design 08/06/2014 4.00 134.00 536.00 Found materials from another job (tracking them down) / Design 08/08/2014 1.00 134.00 134.00 Project update 08/25/2014 5.00 134.00 670.00 Bid meeting / Site Visit 08/26/2014 2.00 134.00 268.00 Environmental forms / invoice issues ------------- 18.00 ..................... 2,412.00 Gary J. Dickinson 08/06/2014 1.00 134.00 134.00 Review Bid Drawings. 08/26/2014 3.00 134.00 402.00 Project Review. Invoice Issues, Review Drawings. ------------- 4.00 ..................... 536.00 Total: Project Manaqer 22.00 2,948.00 Rate Schedule Labor 2,977.00 Unit Pricing Expenses Vendor /Employee Name Doc Nbr Date Units Rate Amount Miles Driven on Co Business Michael J. Wisniewski-R0013003( 08/25/2014 40.00 0.560 22.40 Bid meeting / Site visit Unit Pricing 22.40 Total Task: ***' -- Default Task Labor 2,977.00 Expense 22.40 Total Phase : 14252 -- Line W Prologis 2,999.40 Total Project: 7002C -- Atmos/HTT 2014 Project 3 2,999.40 Page 2 iue r TASK REQUEST Master Services Contractor: wa ftet<iZL' Agreement No: SA13-12001 Task Req. No.: N-14-0131 Upon receipt of this Task Request, CONTRACTOR is hereby authorized to perform the Work identfied herein on behalf of COMPANY pursuant to the terms and conditions contained in the above referenced Agreement. SCOPE OF WORK: The Work will be performed in accordance with the drawings, specifications, and instructions, if any, attached hereto and identified In the List of Attachments set forth below, and will be scheduled as required through the direction of COMPANY's Contract Coordinator as Identified herein, (Use additional pages if more space is necessary) Project I.D. Atmos Contract Phone No.: or Work No. Coordinator: John Nekuza 214-206-2786 Project Cost Center: Name: Hourly Work at Atmos Energy's Request CONTRACTOR'S COST SUMMARY: TOTAL IS (J One) r FIRM 17- ESTIMATE Work Hours Labor ($) Hourly Material ($) Other ($) SCHEDULE - The Work will begin by TOTAL ($): Hourly 1 -Jan -14 and be completed by 30 -Sep -14 Include the folio—wing information on invoices to expedite the payment process: 1. Agreement 2. Task Request Number 3, Job Location 4. Contract Coordinator's Name 5. Project Name 6. Cost Center LIST OF ATTACHMENTS: COMPANY and CONTRACTOR agree that the following described attachments, if any, are incorporated, herein, In their entirety as if fully and completely rewritten herein: 2. 3. CONTRACTOR HERE Y A NOWLEDGES ACCEPTANCE OF tit ASK REQQUE T: By:1 atsldt Name: J d he Title: U Lc< -T-ke—sl a eff>J T Date: b�j 'Drog 2®r3 THIS TASK REQUEST IS ISSUED ON BEHALF OF COMPANY (FINAL APPROVAL i A T RI [ON) By: Name: John Nekuza Title: Construction Analyst Date: distribution: Contractor, Contract Coordinator (Original), Corporate Procurement (w/o Attach) Form Date: 2-22-2013 INVOICE MEN MEN HALFF MgmTRM Engineering and Consultina REMITTANCE ADDRESS Halff TriTex, LLC P.O. Bax 678497 Dallas, TX 75267 wvww.halfftritexxom Halff TriTex, LLC 1201 N. Bowser Road Richardson, TX 75081 Attention: Richard S. Jones Project Name: Atmos/HTT 2014 Project 3 For Professional Services Rendered through: 09/30/2014 Mr. Gary Woolsey Line W Prologis Poject No. 180.27016 TasklD.01124 Cost Center 9737 Agreement No. SA13-12001 - Task Request No. N-14-0131 Invoice Date : 09/30/2014 Invoice # : HT2584 Project : 7002C Invoice Group: 11 Client Code: HTT C6 Previous Current Total Phase/Task / Name Amount Amount Fee Earned 14252 - Line W Prologis 6,418.60 3,185.84 9,604.44 Total Fee Earned To Date 9,604.44 Less Previous Billings 6,418.60 Amount Due this Invoice 3,185.84 TERMS: DUE UPON RECEIPT (214) 217-6500 ORIGINAL (214) 739-0108 Fax Proiect : 7002C -- Atmos/HTT 2014 Project 3 Phase :14252 -- Line W Prologis 09/26/2014 0.50 Task : *"* -- Default Task 29.00 Rate Schedule Labor 09/29/2014 1.00 Class/ Employee Name Date Clerical ..................6.5 0 Karen L. Rainey 09/03/2014 Project Manager Rate Schedule Labor Michael J. Wisniewski 09/05/2014 Power Plant Doc Nbr Date Units Miles Driven on Co Business 09/10/2014 Compliance package / Materials ER001303 09/19/2014 14.00 Pre -Con 09111/2014 Materials Unit Pricing 134.00 09/18/2014 Materials / Invoicing issues 268.00 09/19/2014 Pre -Con 09/23/2014 Permits and material issues 09/24/2014 Permit Issues / Materials 09/25/2014 Permit Issues / Materials Gary J. Dickinson 09/05/2014 Updates to Power Plant and Calls with Atmos. 09/09/2014 Review Drawings. 09/11/2014 Review Drawings. 09/12/2014 Review Material List, Drawings and Discuss with Developer. Hours 0.50 4.00 2.00 2.00 2.00 2.00 3.00 1.00 1.00 .........17.00 1.00 1.00 1.00 2.00 Total Task : **** - Default Task Invoice #: HT2584 Rate 09/26/2014 0.50 Review Invoice. 29.00 134.00 09/29/2014 1.00 Review Drawings. 268.00 134.00 ..................6.5 0 Total: Project Manager 23.50 134.00 Rate Schedule Labor Unit Pricing Expenses 402.00 Vendor /Employee Name Doc Nbr Date Units Miles Driven on Co Business 134.00 Michael J. Wisniewski ER001303 09/19/2014 14.00 Pre -Con 134.00 134.00 Unit Pricing Total Task : **** - Default Task Invoice #: HT2584 Rate Amount 58.00 29.00 134.00 536.00 134.00 268.00 134.00 268.00 134.00 268.00 134.00 268.00 134.00 402.00 134.00 134.00 134.00 134.00 ........................................... 2,278.00 134.00 134.00 134.00 134.00 134.00 134.00 134.00 268.00 134.00 67.00 134.00 134.00 ........................................... 871.00 3,149.00 3,178.00 Rate Amount 0.560 7.84 7.84 Labor 3,178.00 Expense 7.84 Page 2 Project : 7002C -- Atmos/HTT 2014 Project 3 Total Phase: 14252 -- Line W Prologis Invoice #: HT2584 3,185.84 Total Project: 7002C -- Atmos/HTT 2014 Project 3 3,185.84 Page energy. TASK REQUEST Master Services Contractor:: _L�rYX _.s Agreement No: SA13-12001 Task Rey. No.: N-14-0131 Upon receipt of this Test< Request, CONTRACTOR is hereby authorized to perform the Work identfied herein on behalf of COMPANY pursuant to the terms and conditions contained in the above referenced Agreement. SCOPE OF WORK: The Work will be performed in accordance with the drawings, specifications, and instructions, if any, attached hereto and identified In the List of Attachments set forth below, and will be scheduled as required through the direction of COMPANY's Contract Coordinator as identified herein. (Use additional pages if more space is necessary) Project I.D. Atmos Contract Phone No.: or Work No. Coordinator: John Nekuza 214-206-2786 Project Cost Center: Name. Hourly Work at Atmos Energy's Request CONTRACTOR'S COST SUMMARY: TOTAL IS (V One) f-' FIRM 1 I r ESTIMATE Work Hours Labor ($) Hourly Material ($) Other ($) TOTAL ($): Hourly SCHEDULE - The Work will begin by 1 -Jan -14 and be completed by 30 -Sep -14 Incliude the following information on invoices to expedite the payment proof -ss: 1. Agreement 2. Task Request Number 3. Job Location 4. Contract Coordinator's Name 5. Project Name 6. Cost Center LIST OF ATTACHMENTS: COMPANY and CONTRACTOR agree that the following described attachments, if any, are incorporated, herein. In their entirety as if fully and completely rewritten herein: 91 CONTRACTOR HERE Y A NOWLEDGES ACCEPTANCE OF iii ASK REQUE T: By 0VNA Name: "J o d yle Title: lec 17kE srs> 161-> r Date: 2 o t A THIS TASK REQUEST IS ISSUED ON BEHALF OF COMPANY (FINAL APPROVAL I A T RI TION) By: Name: John Nekuza Title: Construction Analyst Date: Distribution: Contractor, Contract Coordinator (Original), Corporate Procurement (w/o Attach) Form Date: 2-22-2013 INVOICE ■a■ HALFF ssi TRITEX Engineering and Consulting REMITTANCE ADDRESS 1201 H. Bowser Road Richardson, TX 75081-2275 www.halfftritex.com Halff TriTex, LLC 1201 N. Bowser Road Richardson, TX 75081 Attention: Richard S. Jones Project Name: Atmos/HTT 2014 Project 3 For Professional Services Rendered through: 7/31/2014 Mr. Gary Woolsey Line W Prologis O&M Project No. 180.11368 �raf ri Configuration 68853097 Cost Center 9639 Agreement No. SA13-12001 - Task Request No. N-14-0131 Invoice Date: 07/31/2014 Invoice # : HT2298 Project : 7002C Invoice Group: 11 Client Code: HTT C7 Previous Current Total Phase /Task I Name Amount Amount Fee Earned 14252 -- Line W Prologis 308.20 3,111.00 3,419.20 Total Fee Earned To Date 3,419.20 Less Previous Billings 308.20 Amount Due this Invoice 3,111.00 TERMS: DUE UPON RECEIPT (214) 217-6500 ORIGINAL (214) 739-0108 Fax Project : 7002C -- Atmos/HTT 2014 Project 3 Phase :14252 -- Line W Prologis Task : *"* -- Default Task Rate Schedule Labor Class/ Employee Name Date Clerical Rate Karen L. Rainey 07/11/2014 Project Manager 29.00 Michael J. Wisniewski 07/03/2014 Reviewing design drawings and project 3.00 134.00 07/04/2014 Cost Estimate 134.00 134.00 07/07/2014 Reviewing Cost Estimate/ modifying 268.00 3.00 07/08/2014 Updating Cost Estimate for the Client 1.00 134.00 07/16/2014 Materials / Design Review/ Status up date 134.00 402.00 07/21/2014 Reviewing and updating the project 469.00 18.50 07/22/2014 Red lining / designing relocation 1.50 134.00 07/24/2014 Meeting with Atmos / Scope of Work 134.00 Gary J. Dickinson 07/07/2014 Review Drawings and Cost Estimate. 134.00 1.00 07/08/2014 Power Plant Updates. 4.50 07/08/2014 Review Drawings and Cost Estimate. 3,082.00 07/22/2014 Review Design. 3,919.00 Total: Project Manager Total Task: **** - Default Task Invoice #: HT2298 Hours Rate Amount 0.50 58.00 29.00 2.00 134.00 268.00 3.00 134.00 402.00 1.00 134.00 134.00 2.00 134.00 268.00 3.00 134.00 402.00 1.00 134.00 134.00 3.00 134.00 402.00 3.50 134.00 469.00 18.50 ................. 2,479.00 1.50 134.00 201.00 1.00 134.00 134.00 1.00 134.00 134.00 1.00 134.00 134.00 4.50 ............. 603.00 23.00 3,082.00 Rate Schedule Labor 3,919.00 Labor 3,111.00 Expense 0.00 Total Phase: 14252 -- Line W Prologis 3,111.00 Total Project: 7002C -- Atmos]HTT 2014 Project 3 3,111.00 Page 2 energy TASK REQUEST Master Services Contractor: da>T��tcyL Agreement No: SA13-12001 Task Req. No.: N-14-0131 Upon receipt of this Task Request, CONTRACTOR is hereby authorized to perform the Work identfied herein on behalf of COMPANY pursuant to the terms and conditions contained in the above referenced Agreement. SCOPE OF WORK: The Work will be performed in accordance with the drawings, specifications, and instructions, if any, attached hereto and identified In the List of Attachments set forth below, and will be scheduled as required through the direction of COMPANY's Contract Coordinator as Identified herein. (Use additional pages if more space is necessary) Project I.D. or Work No. Project Name: Atmos Contract Phone No.: Coordinator: John Nekuza 214-206-2786 Cost Center: Houriv Work at Atmos Energy's Request CONTRACTOR'S COST SUMMARY: TOTAL IS (d One) t"' FIRM I r ESTIMATE 1 Work Hours Labor ($) Hourly Material ($) Other ($) TOTAL ($): Hourly SCHEDULE - The Work will begin by 1 -Jan -14 and be completed by 30 -Sep -14 Include the fallowing information on invoices to expedite the payment -process: 1. Agreement 2. Task Request Number 3. Job Location 4. Contract Coordinator's Name 5. Project Name 6. Cost Center LIST OF ATTACHMENTS: COMPANY and CONTRACTOR agree that the following described attachments, if any, are incorporated, herein. In their entirety as if fully and completely rewritten herein: 2. 3. CONTRACTOR HEREY A NOWLEDGES ACCEPTANCE OF fit ASK REQU_ T: By: 1 ats ec�1 Name: S J e ne Title: effta r Date: V�j 'b Pc= 2ot3 THIS TASK REQUEST IS ISSUED ON BEHALF OF COMPANY (FINAL APPROVAL i A T PI TION) By: Name: John Nekuza Title: Construction Analyst Date: Z�=/ 3 Distribution: Contractor, Contract Coordinator (Original), Corporate Procurement (w/o Attach) Form Date: 2-22-2013 INVOICE ®i O�' �LFF MENTRiT Engineering and Consultina REMITTANCE ADDRESS Halff TriTex, LLC P.O. Box 678497 [gallas, TX 75267 www.halfftritexxom Atmos Energy Corporation 5430 LBJ Freeway, Suite 600 Dallas, TX 75240-2601 Attention: Accounts Payable Project Name : Atmos/HTT 2014 Project 3 For Professional Services Rendered through: 12/31/2014 Mr. Gary Woolsey Line W Prologis Poject No. 180.27016 TasklD.01124 Cost Center 9737 Agreement No. SA13-12001 - Task Request No. N-15-0020 Phase/Task / Name 14252 Line W Prologis Invoice Date: Invoice #: Project: Invoice Group: Client Code: 12/31/2014 HT3100 7002C 11 ATMOSI CS Previous Current Total Amount Amount Fee Earned 13,731.94 4,470.65 18,202.59 Total Fee Earned To Date 18,202.59 Less Previous Billings 13,731.94 Amount Due this Invoice 4,470.65 TERMS: DUE UPON RECEIPT (214) 217-6500 ORIGINAL (214) 739-0108 Fax Project : 7002C -- Atmos/HTT 2014 Project 3 Invoice # : HT3100 Phase :14252 -- Line W Prologis Task : *"* -- Default Task Rate Schedule Labor Class/ Employee Name Date Hours Rate Amount Clerical Karen L. Rainey 12/09/2014 0.50 58.00 29.00 Project Manager Michael J. Wisniewski 12/02/2014 2.00 134.00 268.00 Status update / SS Line review 12/04/2014 3.50 134.00 469.00 Site Visit 12/05/2014 8.00 134.00 1,072.00 Site Visit / Drainage issues / Survey Issues 12/08/2014 1.00 134.00 134.00 Survey issues / Pond 12/09/2014 7.00 134.00 938.00 Site Visit 12/10/2014 3.00 134.00 402.00 Material issues 12/11/2014 2.00 134.00 268.00 Material issues / forecasting 12/15/2014 2.00 134.00 268.00 Site Visit 12/16/2014 2.00 134.00 268.00 Material issues 12/17/2014 1.00 134.00 134.00 Material issues 12/18/2014 1.00 134.00 134.00 Material issues ........................... 32.50 ........................................... 4, 355.00 Gary J. Dickinson 12/03/2014 0.50 134.00 67.00 Review Invoice. Total: Project Manager 33.00 4,422.00 Rate Schedule Labor 4,451.00 Unit Pricing Expenses Vendor /Employee Name Doc Nbr Date Units Rate Amount Miles Driven on Co Business Michael J. Wisniewski ER001314 12/05/2014 15.00 0.560 8.40 Site Visit (from Lake Dallas to Coppell / Coppell to HTT office) Mileage Michael J. Wisniewski 142 12/15/2014 15.00 0.560 8.40 AGL office to the field and back Micellaneous/Miscellaneous Michael J. Wisniewski 142 12/15/2014 2.85 1.000 2.85 Sam Rayburn Tollways + PGBT Unit Pricing 19.65 Total Task: **** - Default Task Labor 4,451.00 Expense 19.65 Page 2 Project : 7002C -- Atmos/HTT 2014 Project 3 Total Phase: 14252 -- Line W Prologis Invoice # : HT3100 4,470.65 Total Project: 7002C -- Atmos/HTT 2014 Project 3 4,470.65 Page ATMOS energy,. TASK REQUEST Contractor: Master Services Agreement No: Task Req No: Halff Tri Tex, LLC SA13-12001 IN -15-0020 Upon receipt of this Task Request, CONTRACTOR is hereby authorized to perform the Work Identfied herein on behalf of COMPANY pursuant to the terms and conditions contained In the above referenced Agreement. SCOPE OF WORK: The Work will be performed in accordance with the drawings, specifications, and Instructions, if any, attached hereto and identified in the List of Attachments set forth below, and will be scheduled as required through the direction of COMPANY's Contract Coordinator as identified herein, (Use additional pages If more space is necessary) Project I.D. or Work No.: Atmos Contract Coordinator: Phone No.: John Nekuza 214-426-7052 Project Name: Hourly Work at Atmos Energy's Request CONTRACTOR'S COST SUMMARY: TOTALIS (V One) r- FIRM I- ESTIMATE Work Hours Labor ($) Hourly Material ($) Other ($) SCHEDULE - The Work will begin by 1 -Oct -14 TOTAL ($): Hourly and be completed by 30 -Sep -15 NOTE: Invoices may be sent in one of the following ways: (Email preferred) 1. Email: accountspayable@atmosenergy.com 3. Mail: Atmos Energy Corporation 2. Fax: 214 550-3210 ATTN: Acct Payable P.O. Box 650205 Dallas, TX 75265.0205 Include the following information on invoices to expedite the payment process: 1. Agreement 2. Task Request Number 3. Job Location 4. Contract Coordinator's Name 5. Project Name 6. Cost Center LIST OF ATTACHMENTS: COMPANY and CONTRACTOR agree [hal the following described attachments, if any, are Incorporated, herein, in their entirely as if fully and completely rewritten herein: 1. 2. 3. CONTRACTOR HEREBY A LEOGES ACCEPTANCE OF TH! K REQUEST: By: lY►-� Name: Title: v ,- , Date: l Gv 'S e+ P 2 O lti THIS TASK REQUEST IS ISSUED ON BEHALF OF COMPANY (FINAL APPROVAL / AUTHORIZATION) By: Name: John Nekuza �/ r Title: Construction Analyst Date: t-� Distribution: Contractor, Contract Coordinator (Original), CoTorate Procurement (w!o Attach) — - Form Date: 5-10-2013 INVOICE HALFF OEM MLBm TR Engineering and Consultlna REMITTANCE ADDRESS Halff TriTex, LLC P.O. Box 678497 Dallas, TX 75267 www.halffl=ritexxom Atmos Energy Corporation 5430 LBJ Freeway, Suite 600 Dallas, TX 75240-2601 Attention: Accounts Payable Project Name: Atmos/HTT 2014 Project 3 For Professional Services Rendered through: 11/30/2014 Mr. Gary Woolsey Line W Prologis Poject No. 180.27016 TasklD.01124 Cost Center 9737 Agreement No. SA13-12001 - Task Request No. N-15-0020 Phase /Task / Name 14252 -- Line W Prologis Invoice Date Invoice # Project Invoice Group Client Code 11/3012014 HT2926 7002C 11 ATMOS1 C9 Previous Current Total Amount Amount Fee Earned 12,496.94 1,235.00 13,731.94 Total Fee Earned To Date 13,731.94 Less Previous Billings 12,496.94 Amount Due this Invoice 1,235.00 TERMS: DUE UPON RECEIPT (214) 217-6500 ORIGINAL (214) 739-0108 Fax Project : 7002C -- Atmos/HTT 2014 Project 3 Phase :14252 -- Line W Prologis Task : *"* -- Default Task Rate Schedule Labor Class/ Employee Name Date Clerical Karen L. Rainey 11/11/2014 Project Manager Michael J. Wisniewski 11/04/2014 Meeting at the City of Coppell 11/17/2014 Issues with survey 11/19/2014 issues with survey / pond Gary J. Dickinson 11/03/2014 Project Review. 11/10/2014 Review with Atmos and Developer. Total: Project Manager Total Task: **** — Default Task Hours 0.50 4.00 1.00 2.00 .................. 7.0......0... 1.00 1.00 ........................... 2.00 9.00 Rate Schedule Labor Rate 58.00 134.00 134.00 134.00 134.00 134.00 Labor Expense Invoice # : HT2926 Amount 29.00 536.00 134.00 268.00 ........................................... 938.00 134.00 134.00 ........................................... 268.00 1,206.00 1,235.00 1,235.00 0.00 Total Phase: 14252 -- Line W Prologis 1,235.00 Total Project: 7002C -- Atmos/HTT 2014 Project 3 1,235.00 Page 2 ATMOS energy. TASK REQUEST Contractor: Master Services Agreement No: 7N-15-0020 sk Req No: Halff Tri Tex, LLC ISA13-12001 Upon receipt of this Task Request, CONTRACTOR is hereby authorized to perform the Work Identfied herein on behalf of COMPANY pursuant to the terms and conditions contained In the above referenced Agreement. SCOPE OF WORK: The Work will be performed in accordance with the drawings, specifications, and Instructions, if any, attached hereto and identified in the List of Attachments set forth below, and will be scheduled as required through the direction of COMPANY's Contract Coordinator as Identified herein, (Use additional pages If more space Is necessary) Project I.D. or Work No.: Atmos Contract Coordinator: Phone No.: John Nekuza 214-426-7052 Project Name: Hourly Work al Atmos Energy's Request No. Description This task Is for hourly work at Atmos Energy's request for 2015 budget. A copy of this task will need to accompany your Invoice to accounts payable, Functional• •unt Coding • & M Account:Coding un6[FrF o. Tas Exp,Type IExp. OM. % or CO CC I FERC Sub -Acct. Service Area °% or $ CONTRACTOR'S COST SUMMARY: TOTAL IS (J One) I F- FIR I I ESTIMATE Work Hours Labor ($) Hourly Material ($) Other ($) TOTAL ($): Hourly SCHEDULE - The Work will begin by 1 -Oct -14 and be completed by 30 -Sep -15 NOTE: Invoices may be sent in one of the following ways: (Email preferred) 1. Email: accountspayable@atmosenergy.com 3. Mail: Atmos Energy Corporation 2. Fax: 214 550-3210 ATTN: Acct Payable P.O. Box 650205 Dallas, TX 75265-0205 Include the following information on invoices to expedite the payment process: 1. Agreement 2. Task Request Number 3. Job Location 4. Contract Coordinator's Name 5. Project Name 6. Cost Center LIST OF ATTACHMENTS: COMPANY and CONTRACTOR agree that the following described attachments, if any, are incorporated, herein, in their entirely as if fully and completely rewritten herein: 2. 3. CONTRACTOR HEREBY A LEDGES ACCEPTANCE OF TH! K REQUEST: By: 0 1-� Name: V l C J Title: V .- , Date: Lco THIS TASK REQUEST IS ISSUED ON BEHALF OF COMPANY (FINAL APPROVAL I AUTHO 17ATiON) By: Name: John Nekuza � r Title: Construction Analyst Date:r IbY Distribution: Contractor, Contract Coordinator (QrlglnaQ, Corporate Procurement (w!o Attach) Form Date: 5-10-2013 INVOICE Mmm Mmm %"It�l.l=F Wpi TRrra Engineering and Consultina REMITTANCE ADDRESS Halff TriTex, LLC R.O. Box 678497 Dallas, TX 75267 www.halfftritexxorn Atmos Energy Corporation 5430 LBJ Freeway, Suite 600 Dallas, TX 75240-2601 Attention: Accounts Payable Project Name : Atmos/HTT 2014 Project 3 For Professional Services Rendered through: 4130/2015 Mr. Gary Woolsey Line W Prologis Poject No. 180.27016 TaskID.01124 Cost Center 9737 Agreement No. SA13-12001 - Task Request No. N-15-0020 Invoice Date: 04/30/2015 Invoice # : HT3777 Project : 7002C Invoice Group: 11 Client Code: ATMOSI C10 Previous Current Total Phase / Task / Name Amount Amount Fee Earned 14252 -- Line W Prologis 30,097.97 1,235.00 31,332.97 Total Fee Earned To Date 31,332.97 Less Previous Billings 30,097.97 Amount Due this Invoice 1,235.00 r t TERMS: DUE UPON RECEIPT (214) 217-6500 ORIGINAL (214) 739-0108 Fax Project : 7002C -- Atmos/HTT 2014 Project 3 Phase :14252 -- Line W Prologis 134.00 134.00 Task : **** -- Default Task 134.00 134.00 Rate Schedule Labor 134.00 134.00 Class/ Employee Name Date Hours Clerical 1,072.00 134.00 Karen L. Rainey 04/20/2015 0.50 Project Manager Michael J. Wisniewski 04/15/2015 1.00 investigating issues 04/16/2015 1.00 investigating issues 04/20/2015 1.00 Preping for Conference Cali 04/21/2015 1.00 Conference Call 04/24/2015 1.00 Reviewing issues with Gary and Dick 04/27/2015 3.00 Project update ........................... 8.00 Gary J. Dickinson 04/21/2015 1.00 Listen to Conference Call with Follow Up Discussions. Total: Project Manager 9.00 Rate Schedule Labor Total Task : **** — Default Task Invoice #: HT3777 Rate Amount 58.00 29.00 134.00 134.00 134.00 134.00 134.00 134.00 134.00 134.00 134.00 134.00 134.00 402.00 ........................................... 1,072.00 134.00 134.00 1,206.00 1,235.00 Labor 1,235.00 Expense 0.00 Total Phase: 14252 -- Line W Prologis 1,235.00 Total Project: 7002C -- Atmos/HTT 2014 Project 3 1,235.00 Page 2 ATMOS energy, TASK REQUEST Contractor: Master Services Agreement No: ISA13-12001 Task Req No: IN Halff Tri Tex, LLC l� -15-0020 Upon receipt of this Task Request, CONTRACTOR Is hereby authorized to perform the Work identfied herein on behalf of COMPANY pursuant to the terms and conditions contained In the above referenced Agreement. SCOPE OF WORK: The Work will be performed in accordance with the drawings, specifications, and instructions, if any, attached hereto and Identified in the List of Attachments set forth below, and will be scheduled as required through the direction of COMPANYs Contract Coordinator as Identified herein, (Use additional pages If more space is necessary) Project I.D. or Work No.: Atmos Contract Coordinator: John Nekuza Project Name: Hourly Work at Atmos Energy's Request Phone No.: 214.426-7052 Item No. Task Description T . r .. ... 1111- A copy of this task will need to accompany your Invoice to a cmcounts payable. K REQUEST: By: l� Name:i '- Functional /Project Account Coding O & M Account Coding Title: —) y Date: kLv 5tP CONTRACTOR'S COST SUMMARY: TOTAL IS (4 One) I F- FIRM I I F ESTIMATE Work Hours Labor ($) Hourly Material ($) Other ($) SCHEDULE - The Work will begin by 1 -Oct -14 TOTAL ($): Hourly and be completed by 30 -Sep -15 NOTE: Invoices may be sent In one of the following ways: (Email preferred) 1. Email: accountspayable@atmosenergy.com 3. Mall: Atmos Energy Corporation 2. Fax: 214 550-3210 ATTN: Acct Payable P.O. Box 650205 Dallas, TX 75265-0205 Include the following information on invoices to expedite the payment process: 1. Agreement 2. Task Request Number 3. Job Location 4. Contract Coordinator's Name 5. Project Name 6. Cost Center LIST OF ATTACHMENTS: COMPANY and CONTRACTOR agree that the following described attachments, if any, are Incorporated, herein, in their entirety as if fully and completely rewritten herein: 2. 3. CONTRACTOR HEREBY A LEDGES ACCEPTANCE OF THIr K REQUEST: By: l� Name:i p5.1.Ej Title: —) y Date: kLv 5tP THIS TASK REQUEST IS ISSUED ON BEHALF OF COMPANY (FINAL APPROVAL I AUTH�t1t317ATI0N) By: Name:JohnJohn Nekuza�I Title: Construction Analyst Date: Dlstributlon: Contractor, Contract Coordinator (Qrlglnal,, CoTorate Procurement fw!o Attach) Form Date: 5-10-2013 C11 INVOICE sii H 'LF TRTEX Engineering and Consultina REMITTANCE ADDRESS H al ff TriTex, LLC R.O. Bax 678497 Dallas, TX 75267 www.halfftritexxorn Atmos Energy Corporation Invoice Date: 03/31/2015 5430 LBJ Freeway, Suite 600 Invoice #: HT3587 Dallas, TX 75240-2601 Project: 7002C Invoice Group : 11 Attention: Accounts Payable Client Code: ATMOS1 Project Name : Atmos/HTT 2014 Project 3 For Professional Services Rendered through: 3131/2015 Mr. Gary Woolsey Line W Prologis Poject No. 180.27016 TasklD.01124 Cost Center 9737 Agreement No. SA13-12001 - Task Request No. N-15-0020 Previous Current Total Phase / Task I Name Amount Amount Fee Earned 14252 -- Line W Prologis 30,030.97 67.00 30,097.97 Total Fee Earned To Date 30,097.97 Less Previous Billings 30,030.97 Amount Due this Invoice 67.00 TERMS: DUE UPON RECEIPT (214) 217-6500 ORIGINAL (214) 739-0108 Fax Project : 7002C -- Atmos/HTT 2014 Project 3 Phase :14252 -- Line W Prologis Task : **** -- Default Task Rate Schedule Labor Class/ Employee Name Project Manager Gary J. Dickinson Review Invoice. Total Task: "* — Default Task Date Hours 03/03/2015 0.50 Rate Schedule Labor Rate 134.00 Labor Expense Invoice #: HT3587 Amount 67.00 67.00 67.00 0.00 Total Phase: 14252 -- Line W Prologis 67.00 Total Project: 7002C -- Atmos/HTT 2014 Project 3 67.00 Page 2 ATMOS energy. TASK REQUEST Contractor: Master Services Agreement No: ISA13-12001 Task Req No: Halff Tri Tex, LLC N-15-0020 Upon receipt of this Task Request, CONTRACTOR Is hereby authorized to perform the Work Identfied herein on behalf of COMPANY pursuant to the terms and conditions contained In the above referenced Agreement. SCOPE OF WORK: The Work will be performed In accordance with the drawings, specifications, and Instructions, If any, attached hereto and Identified In the List of Attachments set forth below, and will be scheduled as required through the direction of COMPANY's Contract Coordinator as identified herein. (Use additional pages If more space Is necessary) Project I.D. or Work No.: Atmos Contract Coordinator: Phone No.: John Nekuza 214-426-7052 Project Name: Hourly Work at Atmos Energy's Request Item No, task Is for hour! work al Atmos Energys Task Description V re uest for 2015 budget, A copy of this task will need to accompany your Invoice to accounts payable, Functional Project Accr •• unclProj o. Tas I Ex , T e Exp. Org. 1 : M AccountCoding °!• or CO CC FERC Sub -Acct. Service Area % or $ CONTRACTOR'S COST SUMMARY: TOTAL IS (d One) 1 7 FIRM I I I ESTIMATE Work Hours Labor ($) Hourly Material ($) Other ($) SCHEDULE - The Work will begin by TOTAL ($): 1 -Oct -14 and be completed by NOTE: Invoices may be sent In one of the following ways: (Email preferred) 1. Email: accountspayable@atmosenergy.com 3. Mall: Atmos Energy Corporation 2. Fax: 214 550-3210 ATTN: Acct Payable P.O. Box 650205 Dallas, TX 75265.0205 Hourly SO -Sep -15 Include the following information on invoices to expedite the payment process: 1. Agreement 2, Task Request Number 3. Job Location 4. Contract Coordinator's Name 5. Project Name 6. Cost Center LIST OF ATTACHMENTS: COMPANY and CONTRACTOR agree that the following described attachments, if any, are Incorporated, herein, in [heir entirety as if fully and completely rewritten herein: 2. 3. CONTRACTOR HEREBY 70_p_� LEDGES ACCEPTANCE OF THi�#AEQUEST By (`` �, Grt Name: k Title: V .fit Date: k(.0 StP 2d ty THIS TASK REQUEST IS ISSUED ON BEHALF OF COMPANY (FINAL APPROVAL i AUTH`%7ATION) By: Name: John Nekuza i9f Title: Construction Analyst Date: ._Ibyllil` Distribution: Contractor, Contract Coordinator, (4rlyina p, Corporate Procurement && Attacft} r _ Form Date: 5-10-2013 INVOICE ■■ ■ HA►LFF Wg■ RrTEX Engineering and Consultina REMITTANCE ADDRESS Halff TriTexjr LLC P.O. Fox 678497 Dallas, TX 75267 www.halfftritexxoin Atmos Energy Corporation 5430 LBJ Freeway, Suite 600 Dallas, TX 75240-2601 Attention: Accounts Payable Project Name : Atmos/HTT 2014 Project 3 For Professional Services Rendered through: 5/31/2015 Mr. Gary Woolsey Line W Prologis Poject No. 180.27016 Task ID. 01124 Cost Center 9737 Agreement No. SAI 3-12001 - Task Request No. N-15-0020 Invoice Date : 05/31/2015 Invoice # : HT3955 Project: 7002C Invoice Group : 11 Client Code : ATMOS1 C12 Previous Current Total Phase / Task / Name Amount Amount Fee Earned 14252 -- Line W Prologis 31,332.97 502.00 31,834.97 Total Fee Earned To Date 31,834.97 Less Previous Billings 31,332.97 Amount Due this Invoice 502.00 TERMS: DUE UPON RECEIPT (214) 217-6500 ORIGINAL (214) 739-0108 Fax Project: 7002C -- Atmos/HTT 2014 Project 3 Invoice # : HT3966 Phase :14252 — Line W Prologis Task : **— -- Default Task Rate Schedule Labor Class/ Employee Name Date Hours Rate Amount Clerical Karen L. Rainey 05/26/2015 0.50 58.00 29.00 05/29/2015 0.50 58.00 29.00 ------------- 1.00 --------------------- 58.00 Darla M. Jones 05/27/2015 4.50 58.00 261.00 SCAN AND UPLOAD CLOSING DOCUMENTS/BINDER (x2) 05/28/2015 2.00 58.00 116.00 COMPILE CLOSING PACKAGE INFORMATION ------------- 6.50 ..................... 377.00 Total: Clerical 7.50 435.00 Project Manager Michael J. Wisniewski 05/20/2015 0.50 134.00 67.00 Package pickup Rate Schedule Labor 502.00 Total Task: x Default Task Labor : 502.00 Expense 0.00 Total Phase : 14252 — Line W Prologis 502.00 Total Project: 7002C — Atmos/HTT 2014 Project 3 502.00 Page 2 ATMOS energy TASK REQUEST Contractor: Master Services Agreement No; Task Req No: Halff Tri Tex, LLC SA13-12001 N-15-0020 Upon receipt of this Task Request, CONTRACTOR Is hereby authorized to perform the Work Identfied herein on behalf of COMPANY pursuant to the terms and conditions contained In the above referenced Agreement. SCOPE OF WORK: The Work will be performed in accordance with the drawings, specifications, and Instructions, if any, attached hereto and identified in the List of Attachments set forth below, and will be scheduled as required through the direction of COMPANY's Contract Coordinator as identified herein, (Use additional pages If more space is necessary) Project I.D. or Work No.: Atmos Contract Coordinator: Phone No.: John Nekuza 214.426-7052 Project Name: Hourly Work at Atmos Enemy's Request Item No. Task Description Ran :. . ....: A copy of this task will need to accompany your Invoice to accounts payable, Functional /Project Account Coding O & M Account Coding CONTRACTOR'S COST SUMMARY: TOTAL IS (J One) I FIRM f— ESTIMATE Work Hours Labor ($) _ Hourly Material ($) Other ($) SCHEDULE - The Work will begin by 1 -Oct -14 TOTAL ($): Hourly and be completed by 30 -see -15 NOTE: Invoices may be sent in one of the following ways: (Email preferred) 1. Email: accountspayable@atmosenergy.com 3. Mail: Atmos Energy Corporation 2. Fax: 214 550-3210 ATTN: Acct Payable P.O. Box 650205 Dallas, TX 75265.0205 Include the following information on invoices to expedite the payment process: 1. Agreement 2. Task Request Number 3. Job Location 4. Contract Coordinator's Name 5. Project Name 6. Cost Center LIST OF ATTACHMENTS: COMPANY and CONTRACTOR agree that the following described attachments, if any, are incorporated, herein, in their entirely as if fully and completely rewritten herein: 1. 2. 3. CONTRACTOR HEREBY A KN LEOGES ACCEPTANCE OF THt�S�-A`IEQUEST: Name:��, C," -V, 3���� Title: Date: L Go 5 P `2 d THIS TASK REQUEST IS ISSUED ON BEHALF OF COMPANY (FINAL APPROVAL / AUTHO 17ATION) By: --+ Name: John Nekuza Title: Construction Analyst Date: .,. J t Distribution: Gontractor, Contract Coordinator, (Orlin/, Corporate Procurement (w/o Attach) Form Date: 5-10-2013 INVOICE MEN WON FiALFF MMmTRiTEX Engineering and Censultina REMITTANCE ADDRESS Wallff TriTex, LLC P.O. Box £78497 Dallas, TX 75267 a vww.halffkritexxorn Atmos Energy Corporation Invoice Date : 06/30/2015 5430 LBJ Freeway, Suite 600 Invoice # : HT4132 Dallas, TX 75240-2601 Project: 7002C Invoice Group : 11 Attention: Accounts Payable Client Code: ATMOSI Project Name : Atmos/HTT 2014 Project 3 For Professional Services Rendered through: 6/30/2015 Mr. Gary Woolsey Line W Prologis Project No. 180.27016 TaskID.01124 Cost Center 9737 Agreement No. SA13-12001 - Task Request No. N-15-0020 Phase/Task / Name 14252 - Line W Prologis (214) 217-6500 C13 Previous Current Total Amount Amount Fee Earned 31,834.97 377.00 32,211.97 Total Fee Earned To Date 32,211.97 Less Previous Billings 31,834.97 Amount Due this Invoice 377.00 TERMS: DUE UPON RECEIPT ORIGINAL (214) 739-0108 Fax Project : 7002C -- Atmos/HTT 2014 Project 3 Phase :14252 -- Line W Prologis Task : **** -- Default Task Rate Schedule Labor Class/ Employee Name Date Clerical Karen L. Rainey 06/24/2015 Darla M. Jones 06/12/2015 CLOSING PACKAGE WEBPAGE SET UP 06/19/2015 CLOSING PACKAGE WEB PAGE AND CD 06/23/2015 WEBPAGE CLOSING CD PREP FOR MAILING 06/26/2015 UPDATES - CLOSING INFORMATION Total: Clerical Total Task: **** — Default Task Hours 0.50 3.00 2.00 0.50 0.50 ....................... 5 6.00 6.50 Rate Schedule Labor Rate 58.00 58.00 58.00 58.00 58.00 Labor Expense Invoice #: HT4132 Amount 29.00 174.00 116.00 29.00 29.00 .348............. .00 377.00 377.00 377.00 0.00 Total Phase: 14252 -- Line W Prologis 377.00 Total Project: 7002C -- Atmos/HTT 2014 Project 3 377.00 Page 2 mMOS energy. TASK REQUEST Contractor: Master Services Agreement No: ISA13-12001 Task Req No: Halff Tri Tex, LLC IN -16-0020 Upon receipt of this Task Request, CONTRACTOR Is hereby authorized to perform the Work identfied herein on behalf of COMPANY pursuant to the terms and conditions contained In the above referenced Agreement. SCOPE OF WORK: The Work will be performed in accordance with the drawings, specifications, and Instructions, if any, attached hereto and Identified in the List of Attachments set forth below, and will be scheduled as required through the direction of COMPANY's Contract Coordinator as Identified herein. (Use additional pages If more space is necessary) Project 1,13. or Work No.: Atmos Contract Coordinator: Phone No.: John Nekuza 214.426-7052 CONTRACTOR'S COST SUMMARY: TOTAL IS (J One) I r- FIRM r ESTIMATE Work Hours Labor ($) Hourly Material ($) Other ($) SCHEDULE - The Work will begin by 1 -Oct -14 TOTAL ($): Hourly and be completed by 30 -Sep -15 NOTE: Invoices may be sent in one of the following ways: (Email preferred) 1. Email: accountspayabie@atmosenergy.com 3. Mail: Atmos Energy Corporation 2. Fax: 214 550-3210 ATTN: Acct Payable P.O. Box 650205 Dallas, TX 75265-0205 Include the following information on Invoices to expedite the payment process: 1. Agreement 2. Task Request Number 3. Job Location 4. Contract Coordinator's Name 5. Project Name 6. Cost Center LIST OF ATTACHMENTS: COMPANY and CONTRACTOR agree That the following described attachments, if any, are Incorporated, herein, in their entirely as if fully and completely rewritten herein: 2. 3. CONTRACTOR HEREBY A LEDGES ACCEPTANCE OF TH! K REQUEST: By: Name: l 1 c s J Title: t -p , Date: t [o 'S c P 2 O 4 y THIS TASK REQUEST IS ISSUED ON BEHALF OF COMPANY (FINAL APPROVAL 1 AUTHO 1ZATION) By: Name: John Nekuza Title: Construction Ana iyst Date:— !.f �I Distribution: Contractor, Contract Coordinator (04ginal,, Corporate Procurement (w!o Attach) --� Form Date: 5-10-2013 DESERT NDT 10 c14 950.00 Mobile X -Ray Crew - OJT Invoice 123.00; 369.00 2" Weld Charge Desert NDT, LLC Date 1/2812015 PO Box 13988 Invoice # 220567 Odessa, TX 79768 Magnetic Particle Kit 1 Ph: (580) 225-2108 38.25 Mileage billing@desertndt.com Terms Net 30 Please Remit Payment To: Due Date 2(2712015 3172 Momentum Place Site Location Coppell, TX Chicago, IL 60689.5331 Lead Tech 211 Betts, William R Customer PO # Customer AFE # 180.27016 Bill To Well Name Prologis Task: N-15-0087 Atmos Energy Corporation Other Billing Info FCC: Marty Kirby PO Box 650205 Dallas TX 75265-0205 1/28/2015 Ticket #RT11565 : Mobile X -Ray Crew - RIT - 10 95.00: 950.00 Mobile X -Ray Crew - OJT 3 : 123.00; 369.00 2" Weld Charge 2 4.25 ; 8.50 ; 24" Weld Charge 1 12.25: 12.25 Magnetic Particle Kit 1 38.25: 38.25 Mileage 86. 0.90 77.40 Total $1,455.40 Radiographic Testing [ Customer E] Contractof --- Address: City, State, ZIP: :ob Location: Q T RequestorName: (Av(0,010,- Phone NumbPr:('!�®�_� 6Y 1pj CtlOC WALL PIPE N0. _ WIR£ >t-itAYh'tl. NQ I LOCATION t' &IGS DP SET P=W 1 SOURCE MVI YES BC,fl SIDE S!DL WNRP it R- ❑ . 1Y El151{11!�: 3 G ❑_ -- DESERT NDT �j �/ Page i . Qf . sarory•Qaality•Servlca ----- �_�------ WWW.CiE:9CrfIYc3t.CUfY1 C?8i- _I a. le BILLING }NFORMAT110N. AFE_.._�.2_�_--_— --- I)0 Number: Work Order: '= Job Number: Misc.: Code:�1i Region Co, e: Q Branch Loca:.un:oil Ticket No. 'K z..T H- `1 _ 4- 5 6 8 9 lo 12 -13 r — 14 15 16 -- 17 18 _19_ 20 21 22 ---- -I 23 -- - 24 25.. in SHIM THY{ ;TERMS AND A86REVIATIONS LOCATION ej NetivConstructian E1 Maintenance iNADF.GV',,TE P ChC¢AT.r1N ;P. �PltEIKA' 1-01,051(Y 11.5, Mid Sul CMVSIIH, I `I' INADNH ANI - I HI I-;TIt•Y (.P if 1., I 1 P(:Rt.'Hir O.S 'fi lr.), Wit ---•-- VOETO 1111140W "P 1,01h,'01119_' T TIP STOP: SSU PiIITI: If[ 111'T=aht (.TINCAIDTY ❑ 1 •IU! Ol7 ¢FAD n 110 P •lI1,):J. �O INCOF1P11;*F FUS O:I f.R. CRAM Q. I!tt1ARrF: LA'! + El "F'Al `J r 1{11.11(lh i:ltl tl Al, dt�.l,!•III•i19rY:1{ ii.ft ILCI Ukr 114Fn111; —_� Coln 1.4a ER4AL NJIR(srlir• ._ _. ..atU rr?' ¢r. aunnnI'RULS 1.1.. tR¢nvALUNalna) LS.1. C-OI.GATCOS.AG INCLJSIONS O,J. CUBIDL UNOLRCUT 15.I, IStM(1EU SbSG IhCI'J_S 011s Ps. PIdRU.F NOTICE _ Technician P�nted Name: REMARKS ❑ Station 1 PipeIne Weld!t rnf rcernerrt: Tb•• ahovt •BDnft and Any ConSU I 'i ty , t Y /ley T' l i"" d i itL- I. -. t cu( vi Iha iq:Pec.iun, 'rpres:�rt, Shu ftmsd LaUl opinion of [he rr<.hn4l,ur .,', fined to b o- Pr � eu Cuslnmrr aR1rP1 svittl 'd hill,op ni of IVpsr1 I Ihr; hit Dvle,t NO , l l r r'•11(,eW i •'+vr tv Ih•mlyd lhrlr H'fYIC:•lfit •1(Cn'dan(ewilt) Th(•C•li1C.'CfiS:_`CtrfC.^:19n.oft-rnevanttnd^+and itanda,dsa•il:he—fieOr IhP i•IspRr aao. :frsm. ,wlrn... no rod „ ,Ps; v. ibtlilv'm the eutingrafdrs .mdJ:n npnrs. C.ualo,nPp by —��•q"r Assistant Prir!ted N rle• 1/�-�' /� '/���/{) eA7 "Ito;i h., l•,Y:, ver dlr•s I me and oral rr at nr v::i v and Thal i•1•• I;l:tl•�� t le,al,nn —, •1•lf ffa ijas •n by prrs .n•- �_✓>...•,/ 10 �• I•Ilnlplr_r•; --c was left in srhiactory (o:owon, aAl:ss rthe Yv to noted. DESERT DISCLAIMS ALl WARRANTIES, EXPRESS OR IMPLIED, INCLUDING TPOSE OF MERCHANT'ARIL�re, FINES& FOR ANY PARTICULAR Tctal Houri: Per them: PURPOSI ANU V!(1RI(MANLIAl QUA111 Y 10S rO ANY 1TI.M, MATT RIAL OR PR DIRK! PROVIOI D.:NSPCCTEb OI( TESTED OR ME SERVICES PROVIDED IN CONNECTION WITrt THE, INSPECTION, in no e'.em shat Desert's It[o':irr• 1v,th ,rsPe(. to Iterm iosoectnd I:ndirdhlR any IW:tlr peri •:ng to I •c s(�.Fn of r.a ms.xctten and(o•thc resew N of WP.Id4: Film Cj 1 It .+� �f fi (.� �Y! / 1 70 (rgvr^sprn Fuil•-urr•<I-e rbarga of Dtwrti rer Ow insprcliun,_�•+._,J_.,—_ Agreed and Accepted: Date: j�✓ Pr ed ame; Leve: Level: No. of Pe rsonnni: Miles: Phone No.: Magnetic Particle Report Customer: D contractor- It Ve L Address: City, State, ZIP: Job Location; C or Requestor Name: (A V0,101 0 Phone NumbeCZ)q.) 641 PO Number; FCC: L. (TV Work Order: Job Number: YQ4,11 Misc. Af F -,--L i 06 DESERT NDT Page Of 75— chirilfty-$ONIC4 t =osertn(itcom Page 'I — New Construction El Maintenance Technique: f Medlum Color: a Manuf cturer: ra ro Batch: Lighting: Procedure: A ! Lighting: Criteria; Temperature: Material:' AC/DC: mm Surface: 4 we — Re Code: Oil C Branch Location: Ticket No. MT ' '. ' I ! Production Stage: ❑ in Process Final Other For Welds. [3 Prep Area El Root Pass El Intermediate 2rRnal Pass Within CAW M M INE a m 0 @ 0 r Defect Laciallan at Remarks yes No. El ❑ n Din 0 0 1:1 2 MM El n n n tiff 0 3 N 0 0 E N N 4 N 0 EI Ej El Q El Q Q El 5 1 1:1 El 0 [EEMI] 0 El 11 0 18 aim N M M INE a m 0 @ 0 am w MM N 0 tiff 0 N ONE E N N N N liffs-1 MOM N ffm 0 M M 0 -1 El I El ❑0 Q j. 19 QE1 i2o ❑ El I El El El -=:EJ E�] Equ P Hours: Perj4iprn: Techni S*nature: ov. [I Computer and/or Camera Dry Powder: Generator QOMag Yoke Markers: 4AM., Ti -a v e'; T I m e: Nu �f FIds: Technkcian Printed Name- LoVeLl'-', 0 misc. 7HF: lAli 6 .41L— Referen Mi' � M es; No. of Assistant Printed Name- T- Pprsonnel:2-, IVl Notice Th P, at nvp report one a IV coi s 6 - ea flu n W: if 1Die customer relxes e nia' .1 ve :)r con lratl 0 r regarding the t i- it Iti n the, in spect I a ! i. r e it i esei its Vii good faith opinion of the tech r Man a qA19n Pd to project. ci i strano r agrees With the results of the Im it r rro na and con I i >m s that the P e 1 5oln! Oo f Desert NUI, Ltc t "Ll L left ") Fzve Per to rn, (I their s r. N) Los fit accordance with oill customer's specifications of the releva tit codes anti standard, a nd the scope of the I its I i- ,Ilon. Dow rt,1 S SU MLs t 10 fouler W.' 0011S I hill tv for t he repots. 5. Cwsto mer, by signature below. vet if cs time and ira let Id I ill 'M lol c and that the arc jc t location w 1 a unit fin ninged by p e rsolin rr,; o e vile p-nent and was left in satisfactnry rendition, onless, uthiliwise natec DESERT DISCLAIMS ALL V4ARRANTIES, EXPRESS OR IMPLIED, INCLUDING THOSE OF MERCHANTABIL( I Y, I'l INI,SS FOR ANY PARTICULAR PURPOSE AND WORKMANUXE QUALITY AS TO ANY ITEM, MATERIAL OR PRODUCT PROVIDED, INSPECTCO OR TESTED OR THE SERVICES PROVIDED IN CONNEClICIN WRH THE INSPECTION to no ever: 51,z:: Deserts liability, with respect toiterrsin$pP(ttfil)lnclijtllnp any liability pertilriingtLklie�Lt eofthe lus eculu);i7ld/ r the resulisr-if :he insylvdin") exceed the Desert mr theinspecticn. Ag . reed and Accepted: Date* d ame: ®n—Phone No.: TASK REQUEST Contractor:Maxtor Sorviava Agroament No _ Task Ro(I No: Desert NDT, LLC.5A1204004 N-1s•a0ui Upon rer.erpt of this Task Request, CONTRAGTOR is homby authorlmd to perform the Work identified hnrcin on bchIif of COMPANY pursuant to the terms and conditions conlalned in the above rererencud Agreement. , SCOPE OF WORK: The Work will be performed in accordance with the drawings, specifications, and instrucilons, if any, attached hereto and Identified :n the List of Attachments set forth below, and will be scheduled as required through the direction of COMPANY's Comract Coordinator as Idenlit ed herein. (Use additional pages If more spacers necessary) Project I.D. or Work No.: Atmos Contract Coordinator: Phone No.: John Nokuza 214.426-7052 Project Namo: X-ray Services at Atmos Energy's Request CONTRACTOR'S COST SUMMARY: TOTAL IS (4 one) FIRM i ESTIMATE Work Hours Labor (S} Rata Sheet Material ($} Other {$} SCHEDULE - The Work will begin by TOTAL (S}: Rate Sheet 1 -Oct -14 and be completed by 30-5ep•15 NOTE. Invoices may be sent in one of the following ways: {Email preferred} 1. Email: accountspayabla@atmosenergy.com 3. Mall: Atmos Energy Corporation 2. Fax: 2114 550-3210 ATTN: Acct Payable P.O. Box 650205 Dallas, TX 76265-0205 Include the following Information on involcos to expedite the payment process: 1. Agreement 2, Task Request Number 3, Job Location 4. Contract Coordinator's Name 5, Project Name 6. Cost Cantor LIST OF ATTACHMENTS: COMPANY and CONTRACTOR agree that the following descr,bed alllrhnrenlc, if nay. are Incorporoted, heroin In their entirety as d fully and completely revaliton heroin CONTRACT R EREBY ACKNOWLEDGES ACCEPTANCE ;�� OF THIS T K EOU By: Mame: David Ezzell Title: VP, NDT Operations Date: 10/3/2014 THIS TASK REQUEST I5 ISSUE0 ON SEHALP OF COMPANY (FINAL APPROVAL / A ORIZA ON) By: _ Name: John Nckuxa C..•' Tilte: Conslruclion Analyst Date: Distribution: Contractor, Contra of Coordltrntor (04171nal), Corporate Procurerrrcnt (4v/0 A(tacit) Perm Data: 5-10.2013 DESERT NDT Cis A S-K,"COF CUWAr1I Invoice Desert NDT, LLC Date 1119/2015 PO Box 13988 Invoice # 220249 Odessa, TX 79768 Ph: (580) 225-2108 billing@desertndt.com Terms Net 30 Please Remit Payment To: Due Date 2(18/2015 3172 Momentum Place Site Location Coppell, TX Chicago, IL 60689-5331 Lead Tech 211 Betts, William R Customer PO # Customer APE # 180.27016 Bill To Well Name Prologis Task: N-15-0087 FCC: Marty Kirby Atmos Energy Corporation Other billing Info Task: N-15-000$787 PO Box 650205 Dallas TX 75265-0205 1/19/2015 Ticket #RT11561 . 24" Weld Charge 3 12.25 36.75 Total $36.75 DESERT NUT Ticket No. Radiographic Testing w Page Of Date: _� / 992� INFO; - BILLING INFORMATION. S Customer: A AFF: El rA A/ PO NLIInber:.FFx Address: Work Order; City, Suite, ZIP: - Job Nurrib Job Location: misc.: Requestor Narn(1::Code: c1d Phone Nurri Region C,)de:.TLa-11c, 'AicadIlly-34—A/V-e 13Y X.1,161y No, WfTHIIN D5 Iqt No WALL PIPE o_* WIRI, SHIM PENT sounu flintTHK T ifH. SET r65 wvVqRE SIDE Mt Exit- fl 0 AD 4 0 El E-1 . . .. ... El 6 El El . . ......... . 7 El El 8 9 El El D_ 11: 10 0 El:! 12 . ..... . ... .... 13 14 ----- --------- - .... . . . . . .............. . ........ . El 16 El El 17 Ej -0 18 0 11 19 0 El 20 P. El 21 01 El I 22 . ..... . ......... b 0 0 ❑ -2-4 25 El 0 TERMS AND ABBREVIATIONS — _1 166 4—TI 0, * * N*' e V" Construction ❑ Maintenance Station r-Ilre fit VIA' P MAOrQUA1 Kill HIAHOR K S*l RICATPORCV), .P.0. 44otCtAIj PEN i I KA "I OR t, Cwsllk PC4051-y .1"' '" $I'O"`.o"` p P. pn`.V:, I � lt�� R-Wi I AM DS. OITC I PCIE 1. 'lop :: HIM: W Id Rein forcernent: L. IZI I LI I I'LiCAVII, [I.0 HOILCW DEAD D. ;F7 1.1 WO r.111 I I,.;., 1 :1. LIIAL9' EX 1. 111CC PIF -C FIXIIII)N OVI, rr A %AI'OklOf - ii, 'LIV COLD .AP 014C0IO"40IO-ATe I,U, i0VULA It,, GTI R �', �OrTOT.i 0,1?wFrR i� -- chniclan Signature: IN rfittIAL IMDF'�, Ay /,* USMNS 'Lik. O.ItYlIt INCiEffm ISC)tATko 9AG INN I �101 I's 6 ".I P1141 Off F . NOTICE I Technician Printer! Narne:d Level: ( f / k w/ The above roDo-t and x,-1 c�nwitatton will, the C.OtVlVer or cqnl-p-kj� roilarding the t T_ I wl- it V t -d- -d 1111, 111d lhl� — rAssistaill Printed Nam/qt P.Vpl: 11 ... ....... or equipment and was IcIt to D4,Ct.:q mndltinn, nnles,+•'hec ..sp r,nt,d III SER 111;561 WARITANTIE5. FXPAE$5 D- IMPLIEP, INCLUPING THOSE OF I\i9HC3fANTA0IUTY, FINEST AIMS At L FOR ANY PARTICULAR Total Hours: A --No. Per !]Tern: 40✓ of Pei -sonnei: PURPOSE AND M,01II(h AN1,10 QUALITY AS TO ANY ITEM, MATERIAL OR PRODUCT PROVIDED, INSPECTEO On — 'y. TE5Tr -.) all " IESER l(I-SPROVIO1,11 IN CONN(CTION Willi IHL IN5Iq'( LION. in no-, Milt reso, --k to IfnspeOeo 11-1,41dinp ,', fiabIl -,y pel k.jjnz-,, to Ott sent,.: ,, :he sli,til fipf�il mmp,,�In mdlor the,cwRi. No. of Welds- Film QUantity• Miles: I I m d of D�-fl '),the -1 -.OF _IF 06e .. ........ . Agreed and Accepted: Date: rinted Name: Phone No.: 0::P— sw, T — DESERT NDT Ticket No. U71 Ultrasonic Thickness Report Page of safely qualty - 13— 1 Date: al(I t P. N customer: ATMOS EJ contractor: Address; City, State, ZIP: Job Location: Requestor Name: Phone Number,42:1,47 n,�7-644?V PO Number: Work Order: --Job Number, C0 0 Misc,: A PF #0' 10 -2,701 b -Mal -7 Manufacturer: r)IV4oNvc -A �5 Model:' LIIT7� Manufacturer Wave Mode Type 00 Longitudinal I L NewConstruction E] Maintenance Ultrasonic Technique: THICKNESS Material: l" '— Nominal Thickness: Item Description: Scope of Inspection: C— Part Temperature; —7e? Inspected From; Surface Condition: Specification: A, i Procedure: J/ Oq -C' 7V! Branch Location: Region Code -AO I -- . 15—;—r— ff C , 0 7 Aim Size Frequency TotHours: Per Dien 1: 1: Technici F1 Computer and/or Camera Markers: El Generator Thickness Meter Couplant: f , Travel Time: No. of )Technician Printed Name: Level: Clock, I Misc. e Reference; No. of Assistant Printed Name: /level: Misc.: T-' ShO-T, NOTO Tl!(,,above repot and any consu!tatloi v4th the truslomw representative or conlracto rerr ding the results of the in5ppoicn, repres,?nts the goad faith opiWallaftl— technician assigned to the proi^ct. Costenter agrees with the MSURStlf theInSPUCtiOr drvJ confirms that the personnel of Desert VDT, LC j"Desertl have performed [quirserviro, in occordancewRI, -,hecuitorr-,'s specifications ufthe relevant codes and standardsandthe scope OF ,te Inspection. Desert ass,irnes no'Daher rosponsib lily forthe report!.. Custorn:lr, by signature below, verifies time and material In wholl, and that the project local -an was r.,ir damaged by petsar.nef or eq:t1prnpraand was left In satisfactory to iditinn-inless cthezw-se noted, DESERT DISCLAIMS ALL WARRANTIES, EXPRESS OR IMPLIED, INCLUDING THOSE OF MERCHANTABILITY, FITNESS FOR ANY PARTICULAR PURPOSE AND WORKMANLIKE QUALITY AS TO ANY ITEM, MATERIAL OR PRODUCT PROVIDED, INSPECTED OR TEST ED OR THE SERVICES PROVIDED IN CONNECTION WITH THE INSPECTION. In no even: 01111 Dpw(IN liability, W';h respect to ileqI5 Inspected (in,dudhillo-ty [dWiLy, perraining to the scope of the Inspection and/or Vie results of the Inspect -on) exceed the charge of Desert lot the inspection I Agreed and Accepted: Date: —F bipdName: Phone Na.: C; DESERT NOT Ticket No. UT -f Ultrasonic Thickness Report VZWNese Vw cit.com I Page of Date: „New Construction El maintenance Customer:Ultrasonic Technique: THICKNESS Material: Contractor: Address: Norninal Thickness: City, State, ZIP.- Item Description: AD— i�! Job Location: C e j III —A 'VCRequestor Name: ou -&V Scope of Inspection; C-4f(�L0b-&1c' Part Temperature: Phone Number. C-2 1'y r4 'TQ Inspected From: /TrIL-11011 PO Number: /71-OLC17y 16,ogy Surface Condition: C/.rqvm/ Work Order: Specification: Job Number: pralOIJ Procedure: APZ-1162zl Branch Location: Region Code: 0i 7 R. -jL Manufacturer:&/VAPV/W� Serial No. -0, 05 h Manufacturer Wave Mode Type size Frequency Angle 01 Serial No. MHz Longitudinal i CAI -:'jh(qkrfe4s 16 A W: -.- - . 70 133 3 W r 3yo 3 V To, K 12 13 A T. — 21 --tA 22 A/�M 337 23 23 24 2S *33(o a 3 4OL!;r 337 14 6 7 is- 16 •26 17 eJ 27 5- (4 +`-- 1 -3 28 29 V, W, 13 s33 9 11 19 20 Total Hours- / Trave I Time; PC:t L 30 ....... Per Diem; Technician. Siguture: El Computer and/or Camera f-1❑Generator Va"'Thickness Meter El misc.all Markers: — Couplant: Ve 5 0 No, f Technician Printed Name: I — Reference: Misc.: Miles- No. of Personnezi. Assistant Printed Name: LeueL— TP -1 ab0V0j`eP()fk and any L0R5Vltati0hWith tile cusLol'ief representative of contractor regarding the results of the inspection, represents the good faith e?inlon of the trrlmlr;an.isilpriato Oil, project. Custrinier.-,grem "Ath e results of the inspectiur, and curilh fit, that the persurvw: of Desel L NOT, LLC(" De,ert") have pe.-foinned!heir seyvkes in accordance %0-h Ih= rt-stornee5 spPrificaticn; of rhe tPIv.vnit coriA.a And standArdi and the scope of ,he inspection. Desert assumes nu further responsibility the reports. Cwwlw. :ry slgvane belaw, veritas tme and materal in whole and that lie provct location was out damaged by personnel or ?quipre,tandiras left ir, sat:sfortory conditlun, unless otherwise noted. DESERT DISCLAIMS ALL WARRANTIES, EXPRESS OR IMPLIED, INCLUDING THOSE OF MEACHANTAOILITY, FITNESS FOR ANY PARTICULAR PURPOSE AND WORKMANLIKE QUAUT`f AS TO ANY ITEM, MATERIAL OR PRODUCT PROVIDED, INSPECTED OR TESTED OR THE SERVICES PROVIDED IN CONNECTION WITH THE INSPECIIUN. In io event shall Desert's liability, with rmpert le, items inspected (InC.idingany liability portaining:o tl'—, scop[ of the Insrectlon inu/or the MUItS Of ills impel cion) exceed' fie charge of Desert for th-., ins p vclion' Agreed and AcceRjed: Date: :;i;;r:jUFjnLtiLecd "me: Phone No.; rM 1; energy TASK REQUEST Contractor: Master Services Agreement No: Task Req No: Desert NDT, LLC, SA 1204004 N-15.0087 Upon receipt of this Task Request, CONTRACTOR is hereby aulhorl7erJ to perform No Work Identified hereln nn nehalf of COMPANY pursuant to the teens and conditions contained in lire above reforenced Agreement. , SCOPE OF WORK. The Work will be performed in accordance with the drawlnrgs, specifications, and Inslruellons. ](,my, attached hereto and IdenUGed in the List of Attachments set forth below, and will be scheduled as required Through the direction of COMPANY's Co-itract Coordinator as ldenlii ed herein, (Use additional cages If more space is necessary) Project I.D. or Work No.: Atmos Contract Coordlnntor: Phone No.: John Nekuza 214-426-7052 Project Name; X-ray Services at Atmos Energy's Request CONTRACTOR'S COST SUMMARY: TOTAL IS (J One) I FIRM I I ESTIMATE Work Hours Labor {S) Rate Sheet Material ($) Other ($) SCHEDULE - The Work will begin by TOTAL. ($): 1 -Oct -14 and be completed by NOTE; Invoices may be sent In one of the following ways: (Email preferred) 1. Email: accountspayablo@atmosenergy.coln 3, Mall: Atmos Energy Corporation 2. Fax: 214 350-3210 ATTN; Acct Payable P,O. Box 650205 Dallas, TX 75265-0205 Rate Sheat 30 -Sep -15 Include the following Information on invoices to expedite tho payment process: 1. Agroomont 2, Task Request Numbor 3, Job location 4, Contract Coordlnalor's Name 5, Project Name 6. Cost Canter LIST OF ATTACHMENTS: COMPANY and CONTRACTOR agree that ilio following deccnbed attammunls. If any, aro incnrprimind, hnrnlrn In thnir nnilraly as if fully and comriVely revaillen herein 2, CONTRACT R EREBY ACKNOWLEDGES ACCEPTANCE OF THIS T K EQU Name: David Ezzeil Tillu: VP, NDT Operations Date: 10/3/2014 THIS TASK REQUEST IS ISSIJ90 ON BEHAI,F OF COMPANY (FINAL APPROVAL f A�RIZA ON) By; — Name- John Nekuza G/ _ Tille: Conshucliun Analyst Date; "Z blsfribrlflonr Confracfor, Confracf Coordrriefor Ur! Nral , Corporate Procurement L/o Afftrclr} Form Dale: 5-10.2013 DESERT NDT A SHWC=KCO.P W Desert NOT, LLC PO Box 13988 Odessa, TX 79768 Ph: (580) 225-2108 billing@desertndt.com Please Remit Payment To: 3172 Momentum Place Chicago, IL 60689-5331 Bill To Task: N-15-0087 Atmos Energy Corporation PO Box 650205 Dailas TX 75265-0205 2!1612015 Ticket #RT11584 6" Weld Charge Magnetic Particle Kit Date Invoice # Terms Due Date Site Location Lead Tech Customer PO # Customer AFE # Well Name Other Billing Info Invoice 2/16/2015 222554 C16 Not 30 3/18/2015 Coppell, TX 211 Betts, William R 180.27016 Prologis FCC: Marty Kirby 1 4.75 4.75 1 38.25 38.25 Total $43.00 Radiographic Testing LJ k-0III Address: t`DESER-F N07 S�'aty • Olallty • Smvrcr WwAr-desertndt•eom Job :-ocation: Requestar Name: Pnone N! ember, it K-A.AY NO, Z. Ticket No.. n _Page 1 of Date: BILLING INFORMATION: AFE: /— PO Numberi Work Order: — Job Number: Q11 ............. — —_— - - �.�... Mise.: .... �._ Code: J/p Reg,on Cade_— - el ICU fly WVE V1AlL prpE N0, WIRELOCATIONI Or PENT WIRE sF3urCE FIUVT rl�• T I 512E se SE1 & 1 5117E StnF Yes Na E _r_z _ _ ❑ - - E" El _....... ❑ ❑ El El_ ------------------------ El 1-1 -. EJ El .- - ❑ El ❑ E3- -. ❑❑ ❑ I❑ 1 7E 7 - El 0El El z 3 4 9 10 12 13 14 15 - 16 -- 17 18 19 20 zi 22 23. 24 25 1 branch Location: --__—- —_........._._'- SHIM TITK REMARKS TERM AND ABBREVIATION$ LOCATION---F-1 IhA•1[OHM'PiNrrNA_R;r1 S.P. ticPiCRiCntPCHOjI-Y .li. 1RSIilUIY(PYSlleW COr15ti'i1Cl:On i 1�/IalnteflanCe 1.P 0. Ih•)t::'f. var PrNURATI•TN L.t' U.11001 (IC')':Iv a5 Dt>f•I UDF UL. LU IIILtI UY! =P ('ICIYG Pa1tOSi.•Y i -nP STOD: SSO Film: II" 1xitnf/A1 Cl:A+ASPY •I f• HOILn.'t •:AD :1. and TOM ,/�+ rpm' ) Ir a;!Mip ' 41USI:Tr7 li. (PACKS rti •UPI/hA•IEH 601v �j ��/ rF C.c N^t+F,7P TIC (J5I4.Y nn' rc ;:1 r,L;'N,TI n (IN01 11 (; nOTiClht C,IaAiCR I �✓'y 11 / !�/ :in'IcI EnsrnHTwvrt(-5 IeCI1nIEaa "Pre: BT NIItN -IIn D11[ 6L. IhIEfINM I;YD[or'pi l?OSLM1G ulnas ons 11:1 C.IISh)F IIIDFACUT .S.t. ISD. nil U.StJ>u.Cu 151oNS 1+.11, PINhOLE _......____�._—.. NOTICE _._..,...,_._.... . _Technician Prilril d Name: Q� IhP abuvc•mpat.+nd.,ny pntlllLJfiau Vrl;h thCtUstomcr n•ntescr±a:in•or rnnlrn-Ic; n,g; •deu,•hP •rnd(50( 1. /J� /r ( "�L_Li t :hr.+nsP^cu+n,•i•Pl esanls iPe yvuJ laith unin+un of lhe•Tec!un_fan nssly:Vdmw'rrniaa instomer agrees :YliP ___._._//r/ f/ j�a� �ffJJII77 hr rw.p,or the mgo•rtitx)and n•P(.urvl-al �nn•.^r)rnuclol L�xnrt YLST; L_C ("C7essa"l lmoe po+L, nu•d time ���---IIX1rr LF__[._ .ervru:,I'+atcrdaVrn,,Ah the t.)+h:•-:SSU^:dIC-:Ivil)oft'iCL,,nnpIIPian<7,tandarctantl lhF unm=-d Asnlst rIL P11n#euiNjam(/E/�: nn uapec ��:,. trscq .)sscr-s nc•luun.: rr +. v6i: V, r)• Ott rodiopranhs and/w epnl:•. Cuxmncr. ITVf��//���eJ� IrRtlnlUrc hei9v, vCfi(iCc i r'.: and nw. a1 In I.:.rnnd thnt I • : r•rnfsd Ivt Wn wa, noldanla.Od hV It", auuv; � ! — 7 _ {L% • J �—((//((%% n egam. •.:n, a+:d "1, 1.41 to- Ibn. t,5. -e1 _•w x noted. DESERT DISCLAIMSALL AIARRANTRS,E'BPRrS5 OR IMPLIED, INCLUDING THOSEOF MERCIIANiADILITY, FINES.S FOR ANY PARTICULAR Total Hours: Pe:- Dien: )VRPOS=A40WORKMANLIKE QUALIT Y AS it)ANY Li IN1, MATLRIAL OR PROPUr- PROVfDED,;NSPECTED OR IESTED OR THE. CRVICES PROVIDED IN CONNECTION V/ITN THE I45PEMON. In no-.cnl shat I1r5Ptl's I". aiY, Na. Of Welds: _ Film Clilantlty� r'r,pP:l al ru•aa In�P,:rb:d (incrudln%anV R lUl(tVperr.+iuinRm oI 11•e rrl:e N e !—,, .tion and/- thn rM-5 v ' :6 4 .n5P^.Pen; nxeed i. ^ chdrRe n! C/P;P't Hn Pr uup_rr'm•r. 4Rreed and Accepted: - �Qate: Printed Name: ❑ Station iNe ine — tPdeld einfoi cement: Level: Lev —J�- el: _ No, at Personnel: mMiles: ro Phone No.: DESERT NDT Ticket NU. M'r� Magnetic Particle Report I/ of 6.1101y cluality-S.111- wwNeserindt.colu _Paye_ gate 77 M-ma�' 7'1..'�_ -z. Now Construction Maintenance Technique: Medium: Color ocusto Yler: A ❑ Contractor: Address: City; State, ZIP: Manufacturer; Job Location: r-kl Batch: Recil-lestor Name: y_a__'__ Lighting:Jz//�� _u Phone Number': Z/ Procedure:/�6�// P0 Number:cc Acceptance Criteria_-- Temperature: ;70'P"4-- Material: Work Order: Number: AC/DC: Surface:�:Iie UJob Misc.: Z-70 Region Code: / —ilfz- Branch Locatloi)5 01 Production Stage; Ej En Process 0- Final El Other For Welds: 0 Prop Area D Root Pass EJ intermediate -"Final Pass 'V77 'U 7— f T1 -1 /417--6 ED 0 Ej E I [Ell D 6 0 ED 0 0 3 4 00 ED 5 0 ED Q 0 Q ED ED F] ED 1:1 n [__1 ED 0 1:1 1:1 1:1 1:1 7 ED Q ED F-1 El 8 Ij Ij Ej ED ED 1:1 Q 1:1 1:1 9 1Ov. ...... 12ED ED [j ED 0 [j ED 1:1 1] 13 0 0 0 0 —_Cl 0 0 14 0 0 0 00 0 0 15 ED Q Q_ Q Q [__1 ED R 1:1 16 0 ED ED ED E-1 El ED ED 1:1 EJ' ["3 _E_1 F-1 ED ED ED 0 ED ED ED 0 Din ......... — - 0 0 ED 0 0 20 1--] ED L:j 0 0 ED ED ------------ EICOMPuterand/OrCarnera _L DryPowder: To a Hour Per QA'ni: Technician Signature: Generator F'Mag Yoko El Misc. Markers; 14AM:T-avelThne: 71-1F, WCP2: 1 I_-- No. 9(Velds-, 0 — 1 Technician Printed Name; Level: wf,//f"Ck Reference: misc.. No. of Personuk eAll Assistant Printed Narne: Level- 'Ali A"/ 7, R., REN — The, above, repofl 111d with 6'U'n1r;'CAor rpglrdmflthefesult.� of Elie Inspuoir,n' faith opinien ofthe technician as,1pr0to Ihe projort. Customer agrms With the results of the Inspertlon and confirms that the iiwsojinul of Desert NDF, LI,C their services in accordance with ilmd(Rationsafthe roluvant codes and standards and the scope of 01r., 111slifulon. oesnrt assunios no further responsibility for the felx1fts. Customer, by sllptalulr. below, verifies time and material in w1lok"nild that Use project location was not daninEted by personnel Qj cquip%ient dod W,15 101 in SILMA001Y cnndlbnn, unless Otherwise noted. DESERYDISCIAIMS ALL WARRANTIES, EXPRLSS OR IMPLIED, INCLUDING THOSE OF JACRCHANTABILITY, rrFNF.SS FOR ANY PARTICULAR PURPOSE AND WORKMANLIKE, QUALITY AS TO ANY ITEM, MIVILRIAl. 013 PRODUCT PROVIDED, INSPECTED OR TESTED OR THE SERVICES PROVIDED IN CONN[-,'CTION WITH THE INSPECTION. In no (want shall Deceit's 1P he inspection. to the Scope of the inspection '1116A Eq_� q � ' , itits ol'qlo �Ia�i.LtLlr! LI) !��cce�Ll - Agreed and Accept d: ' ad NamePhonUe No.: P—Lint 7 16 3 Contractor: Mastor Services Agreement No: Task Roq No: Desert NDT, LLC. I SA 1204004 N-15-0087 Upon receipt of this Task Request CONTRACTOR Is hereby authorired to perform thin work irinnified herein on behalf of COMPANY pursuant to the terms and conditions eonlalned in the above referenced Agreement. , SCOPE OF WORK: The Work will be performed in accordance with the drawings, spocifications, and instructions, if any, attached herato or'd Identified In (lie List of Attachments set forth below, and will ne scheduled as required through the direction of CUMPANY's Contract Coordinator as Identified herein. (Use additional pages If more space Is necessary) Project 0, or Work No.: Atmos Contract Coordinator: Phone No,: John Nekuza 214-426-7052 Project Name: X-ray Services at Atmos Energy's Request Item • Task Desorihtipn This task Is for x-ray services for Mid Tax and APT pe, rate shoot at Atmos Energys request far 2015 budget . A copy of this task will need to accomeany your invoice to accounts payable. F'uncfProj No. ask x .Type Fx . rg. ° or CO CC FERC Sub -Acct. Service Aree •/6 or $ CONTRACTOR'S COST SUMMARY: TOTALIS (JOne) I FIRM ESTIMATE Work Hours Labor (5) Rate Sheet Material ($) Other ($) SCHEDULE - The Work will begin by TOTAL ($): 1 -Oct -14 and be completed by NOTE: Invoices may be sent In one of the following ways: (Email preferred) 1. Email: accountspayable@atmosenergy.com 3. Mail: Athos Energy Corporation 2. Fax: 214 550-3210 ATTN., Acct Payable P,O. Sox 650205 Dallas, TX 75265-0205 Rate Sheet 30 -Sep -15 Include the following information on involces to expedite the payment process: 1. Agreement 2, Task Request Number 3, Job Location 4, Contract Coordinator's Name 6. Project Marne 6, Cost Cantor LIST or ATTACHMI!NTS: COMPANYane CONTRACTOR agree tPal the fallowing dormr,bed attachmenls, If any, are incorporated, hear h, In tholr nntirety as if fitly and completely rewrlUen herein - 2. CONTRACT R EREDYACKNOWLEDGES ACCEPTANCE OF THIS T K EQU thy. 00 Name: David Ezzeil roe Title: VP, NOT Operations Date., 10/3/2014 THIS TASK REQUEST IS ISSUED ON BEHALF OF COMPANY (FINAL APPROVAL 1 AUTiHOR, 7.A By: ON} �jy Nam: John Nektria 6-' Title: Gonslruclitxr Anufsl trate _ -Casa t)lstributlan: Contractor, Contract Coordfnnfor (Orf I�nag, Corporalo Procureniertf (w/o Attech) Form Date, 5-10-2013 DESERT NDT C17 invoice Ar)Kii 0.CGIPAY( Desert NDT, LLC Date 11/25/2014 PO Box 13988 Odessa, TX 79768 Invoice # 215944 Ph: (580) 225-2108 billing@desertndt.com Terms Net 30 Please Remit Payment To: Due Date 12/26/2014 3172 Momentum Place Site Location Grapevine, TX Chicago, IL 60689.5331 LeadTech 582 Bishop, Chadrick S Customer PO # Customer AFE # 180.27016 Bill To Well Name Prologis Park Task: N-15-0087 Atmos Energy Corporation PO Box 650205 Other Billing Info FCC: Marty Kirby Dallas TX 75265-0205 ii ii ill 15; 1112512014 1 Ticket #RT140688 70 MM Film Charge 1841 3.951 726.80 Total $726.80 - �Ia I / Ticket No - RT 140688 Radiographic Testing w Page 2_ Of Safety • DualHy • Service www.deaertndt.com pate: f- , 0 Customer: Arm AFE: 1 ❑ Contractor: ri er P@ uiaer. Address: Work Order: City, State, ZIP: Job Number: Job Location: APWAd I• ' Misc.: Requester Name: ,e Code: /kj Phone Number: Region Code: `Y Branch Location: 1x0t�' , 37 3 -'► — 2- - 1,379- 4- 5 f ? " Z -� 6 /-22-3-9- 7 _ 1 /' a -1-- f 4' 9 x1Z_q 210 3 .• 10 - „ p / Z -- 11 12 If 14 / M _ 15 X& L5-. / a -� , 16 17 — 19 22 / t _ — 23 24 25 I.P, atADEQUgTEpENETRATION S.P. SPHERIrJLLPOR09Ty RS. RIGHTOFWgYSIDENew Construction ❑ Maintenance ❑ Station R1 Pipeline I.P.D. 1HADEQUATEPENETRAVON CP. CLUSTER POROSITY D.S. ONCHSIDE DUETOHIGH-LOW P.P. PIPING POROSITY T. TOP I.C. IHTERNALCONCAVITY N.B. Hot B. BOTTOM STOD: SSO Film: Weld Reinforcement: I.F. INCOMPLETE FUSION C.R. CRAM T.Q TOPQUARTER 1,F.Ct. INCOMPLETE FUSION DUE TO AA. ACCUMILATIONOF B.O. BOTTOM QUARTER DISCONTINUITIES COLD IAP DLSCONTNURIES 1�11 B.T. BURN THROUGH I.U. INTERNAWNDERCUT Technician Signature; R.S.I. ELONGATED RAG INCLUSIONS OU_ OUTSIDEUNDERCUT � ISI. ISOLAnSLAG INCLUSIONS P.H. PINHOLE Technician Printe Mame: Level: The above report and any consultation with the customer representative or mntractor regarding the results of a'Tl the Inspection, represents the good faith opm on of the technidan assigned to the project. Customerailmas with JZ+ the results of the inspection and confirms that the personnel of Oesert NOT, LLC (' Oesert") have performed their Assistant Print6d Name: Level: :ervicesinaword ancewlththecustomer'sspecificationsoftharelevant codes and standardsand thescope of The Inspection. Desert assumes no further responsibility for the radiographs and/or reports. Customer, by Signature below, verifies time and material in whole and that the project location was not damaged by personnel AdazAacolo Or equipment and was left In satisfactory condition, unless otherwise noted. DESERT DISCLAIMS ALL Total Hours: No. of Personnel: Per Diem: WARRANTIES, EXPRESS OR IMPLIED, INCLUDING THOSE OF MERCHANTABILITY, FINE% FOR ANY PARTICULAR Z a PURPOSE AND WORKMANLIKE QUALITY ASTO ANY ITEM, MATERIAL OR PRODUCT PROVIDED, INSPECTED OR TESTED OR THE SERVICES PROVIDED IN CONNECTION WITH THE INSPECTION. In no event shall Desertfs liability, Noof Welds Film Size/Type: Miles: wnhrespecttoitemsInspected (including any lisbllitypertainingtothe the results . ���� y of the Inspectbn) exceed the charge of Desert for the Ins ecda0. / Agreed and Accepted:,.,� Datee:% Prt am Phone No.: �- "ASK REQUE0T Contractor! M"ter Services.Agrooment" No; Task Roq No: Desert NOT, U.C. IMM6.46154 N-1$-0487 URon receipt of this Task:Requast, CONTRACT -6R is-heroby eulhodzed-toperform the Work identUd herein on behalf of COMPANY pursuant to the terms and opndlUons cootalnW iii the above refer?nced.A gr'eemeiht , SC.OP6 OF WORK: Thi3'Work.w'itl ba €ieOrrned hi accordance with The drawings, specifications, ant{ Ind.1mctions, if any, attached hereto acid Wntlfted in the 1-10. of Attachments set forth below, and Will be sghe.dgled as .required throbgh Ute direcilon of COMPANY`s Contraci Coordinator ae Identified herein, .(Use addiffonal psoas if more space isndcessary) Project I.D, or Work No.* .Atmos Contract. Coordinator: Phone No.: John Nekuzo 214,4267705,2- TOTAL 14,426>705Z- CONTRACT'OR'S COST SUMMARY- TOTALIS (4 One) - FIRM . .w. I -STIMATE w .. Werk fioar9 _ t,al3nr:{�.j . kikte Sheet -Material ($J Other ($j TOTAL ($): Ikota Street 3GtiECI.l1LE-TheWork.wiltbegiiitiy 1=Ort-14 and beQompletedby 39�Sep=16 NQUi . Invoicesmay be"se.tit In one of the following ways: {Email preferred) I. Emati; accraur3 spay titer i3Trpgsefrergycom 3. Mall: Atmos Energy Corporation 2. Fax: 214 550.3210 ATTN-. Acct Payable P.O. Box 660206 Dallas, TX 76265.0205 lnpltade the following. Int€ormation-on4invotces•to expedite the payinent proOess: i. Agreerrrent 2. Task Raquot Nurabsr a. JOb".Loaatlon A. Contract Courdinator e;Name 6. PrOJQct Name 6. Cost09fiter L113T OFATTAGHIMENTS: COMPANY�bnd COUTRACTORaoreSthat the foltoWingde6mrood atlaahmenta, if any, are Incorporated. herein. In tholrenpretyaa U fully end coinpletetyfkivritfen herelrf 406NTt A0m ; WIV ACKNOiM .-?Gn AOCO'i OR 7Ht TASK REQt1t sSi IS (SBUi~O tIN B fiA1 Es DF CtJNfPAiYY OF THis 3 • . 4U (FINAL APPRO1/Al..l 'IN j BY. Nante:.D t'fd"E - -ll. "" Narna::JeimNetsuxa " 'rills;:... •t 0Ti`" 9T tlo' h:.. T106? -Cobsiruotlon Anal al - 'i)ste: lOf/8 14: Dote: } ;�f�jrf� `fitii:;=�?,�f�lfa�Ygr.;= ..�1t.:.frlbQrm(i .Cry �#rfslrF3a ;. or afa�$'pl# UCcrper2!!• iN/9�4ffiiFf� _ 'tom Date; 610443 Cis a=r « DESERT NDi A SwwCCq fON.>NN Invoice Desert /VDT, LLC Date 12/10/2014 PO Box 13988 Odessa. TX 79768 Invoice # 216523 Ph: (580) 225-2108 77.40 billing@desertndt.com Terms Net 30 Please Remit Payment To; Due Date 1/9/2015 3172 Momentum Place Site Location Coppell, TX Chicago, IL 606895331 Lead Tech 211 Betts, William R Customer PO # Customer AFE # 180.27016 Bill To Well Name Prologis Task: N-15-0087 Atmos Energy Corporation Other Billing Info FCC: Marty Kirby PO Box 650205 Dallas TX 75265-0205 12/10/2014 Ticket #RT11527 Mobile X -Ray Crew - R!T Mobile X -Ray Crew - OIT 24" Weld Charge Mileage 10 4 16 86 Total 95,00 950.00 123.00 492.00 12.25: 196.00 0.90 77.40 $1,715.40 DESERT NDT 7 Ticket No. Radiographic Testing yPage 1! of T Safety - Qualify - 80"11C. wwwAosortildt.com Date: Customer: w ------- .601.jN.6:Ntqff ---N— . AF LO--- E -J Contractor:_0K PO Number: Address: — Workorder:- Job Number: City, State, ZIP: Job Locatio n: 0 Requestor Name: Misc.: j 6 AfetA Code: Phone Number Region Cctde:6)Lj Branch Location: v --- - ----------- --- ---- .... ....... ------- -------- --- ------- ------------------ Ni- OF PIC, ....... *. Exp- -..*-..: . . F, - - SOU -LNII if r m -: 1 T)a Q, 1 -2--0 17 11 2V -- W-1 3vtl 1500-/-Z-O ❑15 El 375 7-�" X1 ---- ---N - 0 H, 3 6 57-7 1 -'-2- z 1373- 7 7_ P, P El 3 ZY -'a 65, 0 '-Z 11 3 W-7 9 X. IK - 560-1-2-0 M' -20 El 376-2Y'' - 5 W- 10 57 0-1-2 - -0 11 WEI :W Zq,, 3 W-7 12 kK 7-7�--77 0-1-2- EY El 3 W — 7 13 0--i —7Z— 0 -- I. --E 3 Z5 . 14 6 7 - ---- Ey ED] -❑ 7 F 5 16 ilb- 1-2-6. 7 z< -1-3-W-7:1- 17 0 0 18 0 ❑ 19 20 21 22 - 23 El 10 0 25 El I.1' IPIM1Of(lIIATEPF1E11IAI1DfI s.p. si,DviICALI-OROSIfY jRGU r of wAy sum: New n Maintenance D Station [�rPipcfflne UADE( UAMPENEIRAflON Ill$ fly U.S. vilcii SIDE 111111111;!1111110� e vur LTO 111011 Low i Mosily I. TOP 1.1- 11ITFINA C t1CAVIfY 11.11. HOLtOW DEAD 0. 901M'm I.F. PwLLL—, STOD: lj.R�i�i�,cernent: *L cr RICOMPI. CH FUSION C '11, CRACKS r.o. TOP 1JUARTER J.f.C.L. UjCOPAPIEIEr 151011 UUF. to A D- ACCUMI(Allol; Of B.Q. BOTfONI QUAIDIR COLLA LAP IJ15LONJINLJITIES Oj. 111,111H ""'DUTFINAt IRIOERCUT A L,5.I. ELONG ell $10 INCLUSIONS O.U.)uOUTSIDE IINDHIQI I Technicio iature: =1 1. 5,1. Sol A I LDY 11 AG I SIUN litilloll the inspection, represents it filith Ppullcow of file to tile project.C"Lomor igmes Rl, Printed Name Level: Techni�lan Prin Wt r Q co�lfirjm deal the person -P of D,,,eL N01, LLCI,mv pedomml Owl, "Ices Ill "Ccordan" "ith Ill. tile "'Eq—'t CotlPsand 5t -dards and VID scope of I'le 4,,pectloo 0,—rt —further rqSpQll5ILEIty for the report:. C-1 ' 'J'Lo-, hp Assistant Pi t d N Level: Tc ue 1v t� t ,,by Ile, , o 'Itfuttle" hel.tv, mill" 0111, and matorlal In whole and 111,11, ill(- project I—Rroi mis-cImlj;Lx 'o , 'I JAL orInfullimolt a was left In DESERT DISCLAIMS ALL WARRANTIES, EXI,IIFSSOI MPLIN), INCLUDING TDOSE OF MhACIIANTAPILITY, FINESS FOR ANY PARTICULAR PURPOSE AND WORKMANUKE QUALITY AS TO ANY ITEM, MATERIAL OR PRODUCT PROVIDED, INSPECTED OR TESTED pet SERVICES PROVIDED IN CONNECTION WITU nIE INSPECrION, Ill 11. QvCet ,hill 01.5et'S Total Flours: Per Di No. of Personnel; NO. of Welds: I-MrItity: Miles: m with re pCet 0 il"Ji" iml—wd lind to thascopoof 00, lospQC03111meol [Ile. ChA(up of for the 1115putlasi. -70M IT C, Agreed and Accepted: Date: 10 -7 - _.Priv n N 1 Phone No.: 41 m e: T-4— - S–q4,3–qg1q– ,fire � r S� rr•. 1 ; TASK REQUEST Contractor: Master Services Agroomont No: Task Roq No: Desert NOT, LLC, JSA120x1004 N-15•tlof37 Upon receipt of this Task Roctfest, CONTRACTOR is heroby auillorired to perform liar: i0lork iden(fied here:irn on behalf of COMPANY pursuant to the terms and conditioris conlairied in the above referenced Agreement. , SCOPE OF WORK: The Work will be performed in accordance with Iho drawilig.;, specifications, and 11intmelions, if any, altochod horuto and identified in the List of Attachments se(forth below, and will be scheduled as required ihrough the direction of COMPANY'S Coniracl Ccardinator as idanlified heroin. (Ilse additional pages if more space is necessary) Project I.D. or Work No,: Atmos Contract Coordinator: Phone No.: John Nekuza 2,1+1-426-70.52 Project Name: X-ray Services at Almos Energy's Request CONTRACTOR'S COST SUMMARY: TOTAL IS (4 one) I FIRM I ESTIMATE 'Mork Hours Labor Rate Sheet Material (S) Other {S} SCHEDULE - The Work will begin by 1 -Oct- tat 'rOTAL ($): Rate Sheet and be completed by 30 -See -15 NOTE: Invoices may be sent ill one of the following ways: (Email preferred) 1. Email: aecountspaysblo@atmosenergy.com 3. Mail: Atmos Energy Corporation 2. Fax: 214 550-3210 ATTN: Acct Payable P.O. Box f350205 Dallas. TX 752650205 Include the following information on invoices to expeclite the paymont procoss: i. Agroompnt 2. Task Roquost Nurnbor 3. Job Location 4, Contract Coordinator's Nanta 5, Projoct Nsnnu 6. Cost Contor LIST OF AT7ACHMf5NT5: COY/?ANY and CONTRACTOR ayrwi Wal lit« fallmrdnag dnscnlred allawfDaNs, if .yny, aro incotporalnd, herein, in Ihuir rnlirolyas if lolly and completely reirrillen herein 1. 2. 3. CONTRACTt�SR�EREBY ACKNOWLEDGES ACCEPTANCE OFT T SK EC1U6C: 6y: Name: David Ezz Tille: VP, NDT ( nate: 10/3!2014 nns TASK REQUEST IS ISSUED ON BEHALF OF COMPANY (FINAL. APPROVAI. I AAVTPORI%A1 ON) Mame: John Nekuza Tiilo: Conalnrcaion Anaixst - hale;. 77�Zr2 Dtstribufion; C,ontraclor, Contract Conrdtnntnr (Orlglnat), Corporatrr Nroctu•enn.nl(wln Altar.A}�� •�� Foran Dale: 6.10-2013 DESERT NDT C19 A S-kk(OP CO -A., Invoice Desert NDT, LLC Date 1/13/2015 PO Box 13988 1/13/2015 Ticket #RT11557 Mobile X -Ray Grew - R/T 10 Odessa, TX 79768 Invoice # 219330 Ph: (580) 225-2108 123.00 246,00 billing@desertndt.com 3 12.25 36.75 Terms Net 30 Please Remit Payment To: Due Date 2/1212015 3172 Momentum Place Site Location Coppell, TX Chicago, IL 60689-5331 Lead Tech 211 Betts, William R Customer PO # Customer AFE # 180.27016 Bill To Well Name Prologis Task: N-15-0087 At!vios Energy Corporation Other Billing Info FCC: Marty Kirby PO Box 650205 Dallas TX 75265-0205 Total $1,310.15 1/13/2015 Ticket #RT11557 Mobile X -Ray Grew - R/T 10 95.00. 950.00 Mobile X -Ray Crew - OiT 2 123.00 246,00 24" Weld Charge 3 12.25 36.75 Mileage 86 0.90 77.40 Total $1,310.15 DESERT NDT Ticket Na. Radiographic Testing eserli dt.com Date: INM MILLING INFORMAVON: Customer: . . ... . ... "15toMer, r; PO Numbi!r: F-1 Contractor; Address: Work Order: City, State, ZIP: Job Numb Job Location: Misc.: J Requestor Name: W47 Phone Number . . ...... . Region Code: Bt amh Location '7 WITHIIN ND. X,RAY NO, M I ()CATION C WALL PIPE or WIRE PENT SOURCE PILM SHIM IREMARK5 T SIZE SET �.' TH 'S's 010 It 5IDE $10E WIRF El -CM 37 3 El El El El El Fl:' 7 F1 9 F] El 10 11, El 11 ❑ ED . .......... 12 13 El El 14 16 El El 17 18 19 !0 El: . . .......... Ll 0 El 0 0' El T9RMS AND'�_BBRE517A_TIGS_ LOCATION New Construction El Maintenaiice Station 2-,"Ipoine STOU: SS() Nim- Weld Reinforcement: W 1-11.1 - ov, I4i'Rh.hILUNGIVIIT ,1.15 /l/'•{+,1V nrACjl Do ACII)FAIIA11Dtio, fiJ, 'I rTov tPJARIER (04 J:AP OISCO14 ftlum.% FIPRMTlIft -j6tju1J Techni ignatur A -11.3,1`11-1v X4S GN "I;j'5 ONS U 0.11 MELIN01,1101 .1111, . 11 . 5 . 'L__ NOTICE ___ : I �ec 'inici _ F P ', In -d t" ' Na Level u alcove repOlt,and any ctlnwhaliorirli!hn z,Ijtujn,.j 01 r+n:p,+CUurf, tep+•'s.: :, 41'e poen (ailh OPIRInn ',+the Iw•hnulJn a3i Kned to Ilse P=,: e41. f,USIOrnC1 ap/Ce5 lvitf / J//� � — 5515tant Printed Name: Level; Ily In, Mi. "'dioc,aphs a J!,,- "eport" Ciji,wino, by k1jut the P'o.ect v'g' . . felt In ecindahm, OESERTDISCLAimsm I z5�40( VeWi- t"lip of 1,RI?AFITIFS,R-$PqESSOR{-,IPLIEtl,ltiCLUDTN(iTilO.".idimi.rlCl]AtITAU:--PY,FIPJESSPOI(A?4YPARTICULArI Totil Hours: /2— Per Diern: No. of Persiormt-1; -Z RPOSE AND WORKMANI. ]Kr QIJAUTY AS TO ANY ITEM, MATERIAL OR PROmicr PROVIDED, If's VFC qj) 08 STED 00 TIM SERVICES PROVIDED IN MVNEC.7 ION WITH THE INSPC'TIOK. It, no m -ll ihafl 0*t'l'..bjjjty Film &-2?' "S:1 -t IQ mpe(Jon .;iinjol No, of Welds: the the ifI%Piktf0n' greed and Accepted-- Date; 211alted Name-': Phone No.: _0 _6 lau\4) Am, ST -1 A& kid nOrg . TASK REQUEST rantracfor. Maslor Services Agroaniant.tJos TaskReq Na: esertNDT L.L.G. SA1204004 N•iG-8467 Upon receipt of this -Task Request, CONTRACTOR is hereby nuthorized to perform the work idenlfiod heroin on behalfof COMPANY pursuant to t1w terms and conditions contained in the above referenced Agroomool. SCOPE QP WORK- The Work will be performed in accordance with the drawings, specifications, and instruollons, If any, attachod hereto and Idonlified in the List of Attachments set forth btelow,.and will ba scheduled as required through the direction of COMPANY'S Contract Coordinator as Identified heroin. {Use addltional pages if more space Is necessary) Project I.D. or Work No.: Almos Contract Coordinator: phone No,: John Nekuza 214.426-7052 CONTRACTOR'S COST SUMMARY: TOTAL IS (Jeno) t = FIRM � i ESTIMATE Work Hours tabor (S).- : Rate Sheet Material ($) Cutler ($) TOTAL ($}: Rate Sheet SCHEDULE - The Work will begin by 1-Ool-14 and be completed by 30 -Sep -15 NOTE; invoices tnay be sent in one of the fallowing ways; (Email preferred) 1. Email:. acpountspayable@atmosenorgy.coin 3. Mail: Atmos Energy Corporation 2. Fax: 214 $50.3210 ATI'N: Mot Payable P.Q. Box 6602055 Dallas, TX 76265.0205 Include the following infortrintlon on Invoices to expedite the pnymant process: 1. Agroamant 2. Task Request Numbor 3, Job Location 4. Contract Coordinator`s Name G. Project Name fi. Cost Center LIST OF ATTACHMENTS,, COMPANY and CONTRACTOR agree Taal Ilia foilowitildawribod atiactsrnents, If any, oma Incorporatod, hereln, in ihairnfillrotyas If fully and completely rewtilten heroin: 1. 2. 3. CONTRACT R ERliPY ACKN.OWi.V049 ACCEPTANCE THIS TASK RRQUEST 16.ISSUEt) QN aEHALF QF COMPANY OF THIS I, . K : 13QU (FINAL APPROVAL / A ;r G�fZIZA. , i?N) By: ... { w'' By Name: David Ezzeli Name: John Nhkum Title:UP, NDT Operations Tile: Conrilruallon Ansi! til Date: 10/3/2014 Date: -r . t71str1barfoir:: 0antractor, `Contract Coordinator (Orlglnnt ; `Corporate Procurement (w1b AUach} I Forrn Dale: 6.10-2013 DESERT NDT/ico C20 1/8/2015 Ticket #RT11556 Mobile X -Ray Crew - R1T Desert NDT, LLC Date 118/2015 PO Box 13988 3 123,00 Odessa, TX 79768 Invoice # 218894 Ph: (580) 225-2108 159.25 Mileage bi Iling@desertndt, cam 0.90 77.40 Terms Net 30 Please Remit Payment To: Due Date 217/2015 3172 Momentum Place Site Location Coppell, TX Chicago, IL 60689-5331 Lead Tech 211 Betts, William R Customer PO # Customer AFE # 180.27016 Bill To Well Name Prviogis Task: N-15-0087 Atmos Energy Corporation Other Billing Info PO Box 650205 Dallas TX 75265-0205 Total $1,555.65 1/8/2015 Ticket #RT11556 Mobile X -Ray Crew - R1T 110' 95.00 950.00 Mobile X -Ray Crew - O/T 3 123,00 369.00 24' Weld Charge13 : 12.25 159.25 Mileage 86 0.90 77.40 Total $1,555.65 Radiographic Testing INFO: AILIO 5 Con'Iractor: Address: City, State, ZIP: Job Location: ff ell _ ReaquestorNarne- ji ex Www dosertfidt'Con) Ticket No, Page of Date: BlILING INFORMATION: AFE: PO Number: Work Order: Job Number: ApMise. Code: Apr— 110te-1 Phone Number; (Z Region C do: Branch wcatios$ "Al &I T I0j SOURCE F1011 X-RAY NU. rr BY com WCAYION WAL, IsPE :Ol, V"" PENT SIZE SET & SNIN T89 vis NU EXP. 0 Stop &Jnf, 2' cc) 3 21 4 o' 6 7 1 _2 3 10 . 11 1776 — - 12 13 E�] 75- 14 15 16 .. ........... 17 0 El 18 19 El 0 20 21 .. . . ....... Ell El 22 7 . . ...... . ....... . ❑ . ..... 23 E03! El 0 240 25 El I_E] TERMS AND f BBRFVfATIG4,S S.P ;PJIFFI l7inni1T I LOCATION R i wrvi cFwiv 111construction EJ Maintenance i I Station iPiipeline I ,NA01QUATI 104C C r 0k 5101 POAC�l I , lIAMN Pp. U 5 W)t PW S'K)D� 7So F Weld Reif iforcement: �6a,,417_4 IlJ` I Of I MV 111 1. I Irroll1r. I T" ra� "I', R CRAUS no- I )ill T -1. 1 if- GLIFIRIM, co�llq-c r 67 -Ir I.:c ;IAIOI, AMIN11141101 -X 1,1 HURN If-. . .. NI II O111111infl61l OLAGJt 9:C. A-1-1 H.11"INGn0hr:TFU""' 15.1. BILA10 INLWWq� IU PH NOTICE Technician Printed Name: Level: -All -P- Olt, fA 1, howl', wn.-d to thk Custclin" 'G__;O, Jr- Laml pl-clot ...... .... je Ih., 1,f I Ilk, 11-lew -.1 s(Alld"d, t.k? A .1"In"I'll!"l, lv, 1.hll.��,.Vht, mtw";. ,,, Assistant Printed Narrr Level: i5c, 1110 twitV, Vllllfln5 I -mo .,I wb�flM I:- ,yhoIe,md Him VIC p,0jL,(1 toCj-A,s,j WJ; -t% ' :,:,jeed by III, : -!. - k "Ild — I I'll I ill I al 6t' -a. Y w j i I ,,, . I I -v is , rued. DESS RT MCI. 1 M 5 ALL 11 1 WAI LAN I H -S, rX ill I 4S OIL IMpi 1111, 1(4( IA. UlMi I HW,' Of Mr]WHANTA111 ITY, FINESS rf"R ANY PARTICIR AS -rOurs/ Per Diem: ------ Na of Personnel; -URIUSE A40 WOHK'AANLIKE QUA" M AS TO ANY ITEM. MATERKI, OR PRODUCT PROVIDED, INSPECT ED on 43 TESTED OR TdE SERV ICES PROVIDED 1 N CONNECTION WITH THE INSPECTION. I vwv v a Ii I I's I t bill tv, No. of Wel&;: FII Lijanclty.- Ts m 7 I' 16 e114_ Gam-. ----- Agreed and Acce, d; Date- RrInted Nome, Phone No.: -2 awi ' Pf{c energy TASK REQUEST Contractor; Master Services Acgroonient.No:, Task Roq No, Desert NDT, LLC, SA1204004 N-15.0087 Upon receipt of this Task Request, CONTRACTOR Is hereby aufhoriretl to pnrfonn the Work Identlied herein on behalf of COMPANY pursuant to the terms and condllisrns wntained in the about; referencud.Ayreunlunt, , SCOPI 'OF WORK: The Work will be performed in accordance with the drawings, specificalions, and Instructions, If any, attached hereto and Identified in the List of Attachments aettorth below, and will be scheduled as required through the direction of COMPAN1"s Contract CowdIriator as Identified herein, (Uso additional pages If more space Is necessary) Project I.D. or Work No.: Atmos Contract Coordinator: Phone No.: John Nekuza 244426-7052 Fuisc ro ` o.,: risTa'sk`tI7::::: 1rxp::T.y p :`: ;:Lxp: Or9: '' °/dor'S:. ; e;Q. Ct::'-.:::: FtrRC :.::::.: -.Sub-Acott CONTRACTOR'S COST SUMMARY: TOTAL I5 (4 Ono) � FIRM I ESTIMATE Work Hours Labor($) Rate•$hoot W Material ($) --- Other ($) _. TOTAL ($); Rate Sheet SCHEDOLE - The Work will begln by 1.Oct-14 and be completed by 30 -Sep -15 NOTE: Invoices may be sent In one of the following ways, (Email preferred) 1. Email: accountspayaWo@atniosenergy,com 3, Mail; Atrrips Rnergy Corporation 4. 2. Fax: 29550-3210 ATTN; Aapt.Payable P.O. Rdx =660205 Dallas, TX 76265.0205 Include the following InfQrmatfon on invoices to expedlto the payment process. 1. Agreement 2. Task Roquost Ni1mber 3, Job Location 4, Contract Coordinator's Nmne 6. Project Name 5. Cost Conter LIST OF ATTACHMENTS; COMPANY and CONTRACTOR volae ictal then fotlwiing dosmikod aunohnrenis, if any, art) Incotporatod, heroin, In tholrenttrt:ty as it fully and complaiely reweltion herein 1. s. ISRgRYACKN0W1-EDGES ACCEPTANCE OF THIS TAgJKAEQ11ra7_, By: Name: David Ezzell. Ttillo'NP, NDT P.per6bons Date; 10/3/2014 " THIS TASK REG1VESTI$ tSSUEQ.ON BEHALF OF C041VANY (FINAL A017ROVAL/A .3 ORt2� By; _ - Name: ,fohn Nekuza Title: Corrstrucllon Anal 51 Date: r blstflbutiori:: Contractor,__ControcrCoardlrraror (4rlcf1nalJ, •�Corpornfc+Aroourarrrrtnt (w/a AEtaCEr) �,� Form Date: 5 10.2013 DESERT NDT C21 .� n 6RAWCOR r-Ovr al, Invoice Desert NDT, LLC Box 1 pate 12/22/2014 Od7 Odessa, TX79768 Invoice # 217619 Ph: (580) 225-2108 123.00 369.00 billing@desertndt.com 5 4.25 21.25 Terms Net 30 Phase Remit Payment To: Due Date 1/2112015 3172 Momentum Place Site Location Coppell, TX Chicago, IL 60689-5331 Lead Tech 211 Betts, William R Customer PO # Bill To Customer AFE # 180.27016 Task: N-15-0087 Well Name Prologis 24" Atmos Energy Corporation Other Billing Info FCC: Marty Kirby PO Box 650205 Dallas TX 75265-0205 Total $1,417.65 12/22/2014 Ticket #RT11542 Mobile X -Ray Crew - R/T 10 95.00 950.00 Mobile X -Ray Crew - 01T 3 123.00 369.00 4" Weld Charge 5 4.25 21.25 Mileage 86 0.90 77.40 Total $1,417.65 Radiographic Testing L.N Customer: Contractor; Address: City, State, ZIP: Job Location: Requestor Narne: Phone Numbed' X-RAY HO. Ry No. INFO: wrrHim corif LOCATION YES tin DESER r ND T j Ticket No. "I'll, Quality Page of sc,l:. I .1. liuser tilt] I.rain Date. BILLING INFORMATION, AFC: PO Number cc Work Order: Job misc-: code: Region Code: Branch Location; 10i WALL PIPE NO wirlE SHIM T SIZE 1. SFT a PENT SOURCE FILM TNRKEMARK5 willf 0 0 slut SIDE Ek p. 11 o'- I - z-0 15 oj 7y 7, .3 6- 7 z 0 7- 3 0 I-ty L:j 3 71 0- 4 s_, _ ...... _o_ED. [.135 7& 6 El 01 7 El El El- El 9 10 11 El El 12 D El — 4- 13 El _' El 14 ri is 16 17 0 El 18 0 El 19. ❑ F-1 20; El z1 :::❑ .. . . ...... . ..... Z2 La El _0 TERI'M AND A13BREVIATIONS LOCATION P I?%XQ,IW P(V5 I RAT 60 z , WCAL I'MMW RA V WIT III" WAI %lr'F P 0 MIND,(: pjr I'll'"PATION iP COSTI," PC110SI.1 LS ;,;IL I %I0) LI -, : 0 -il5H tOW P. vll.ffb fjy,)!_Iy 1. (,P C "'rfa NAI C R..A1jI:V i' 104VA BLAU R. Et .1 -OKI r f FIJS'01`1 -'.R OWK$ •t1. OP QUA:? IT r. F.0 t. NOmp.r I r f I. win r JC'O Af. A,CL V LAI -U`! Lif 0.M 'RWON I, 0.11.1i (A' VL, I)III-N IIN % TRIBIh _11110WA. 11;1 INTER )AL UI. _IIWA; I 51. CCN6AM0 S.Ar INCMIGNS 0-E OUISIM 1-11IN "I 51 1.%C,! A -ti) SIA6 IKI j� UVS� P ff. P114110j NOTIrE -.7 obov, epull'od-Y Hifi III- -uslorrer I qserllal Ve of contmtoi 'chz,dhh( -.k- :vsnll I of hv, ; I - I y th e u D. ff t,i I 111 aill III I th! I Ift - 64. 1, 1 to 11'a II—'.l- Co sl am e/ 19, iuet Milli he I" ,it c of 11—h5plCti.. i -I 40hiff "'i that of f: I h I I ( (''Ie -W I i(:-, P='I_flcd thea Sfahlf,; 41Ll :h, ,cape !f )eswshe, -r tl v,j),biAj N, the ,ach.p-alilis I/,-- mpar s. Ca5lalver. b - ,g ::Jr C, belay —iffe, I.fle aed matclial I., On V-- P"Ix, I 1h, -I a ........ ... I IN :"a"'VIV0111W -II:01). DESERT PISCLAINIS ALL JRPOS^c AND WORKNIANLIME QUA MY AS TO ANY ITE1.1, MA fE RIAL OR PRAIDIR I PIt6VI0IV,IMPI.C1L:ItIII ESIED OR THE SEIVPCES PROVIDED IN CONNECTION WITH. TOM INSPECTION, If, �zl 0eht Sha: D- -,ell ', Oh I, 'n" .-g mny alrildv perfainirig to the •--ofav (the (he iev- �1"Iwec -,IexccedI kgreed and Accepted: T_Didte. 1 4 Npw construrtion El Maintenance STOD: SSOllrn F: , co Al 7- C(, ❑ Station V<5111ine ---------- Weld Reinf-pirceinent: Technician PrI tqdNrnM &V/' VF5 Assistant Prirtepd arse: o tf o 1. Aoilf_4 �z Total Hours. Per Diem: No. of Welds: d Filril Qt 70 M nted Name: J. I _Jcll� . Am" Level: Level: No. of Personne;: 2. Phone No.: DESERT NDT c22 r. 'i;.. a, .. a tiw;�icaCour.4yr Invoice Desert NOT, LLC Date 12/16/2014 PO Box 13988 1. Mobile X -Ray Crew - 017 1 ; Odessa, TX 79768 Invoice # 216970 Ph: (580) 225-2108 12.25 122.50 billing@desertndt.com 86 0.90 77.40 Terms Net 30 Pease Remlt Payment To: Due Date 1/15/2015 3172 Momentum Place Site Location Coppell, TX Chicago, IL 60689-5331 Lead Tech 211 Betts, William R Customer PO # Customer APE # 180.27016 Bill To Well Name Prologis Task: N-15-0087 Atmos Energy Corporation Other Billing Info FCC: Marty Kirby PO Sox 650205 Dallas TX 75265-0205 12/16/2014 Ticket #RT11534 ' Mobile X -Ray Crew - R/T 10 95.00 i 950.00 1. Mobile X -Ray Crew - 017 1 ; 123.00 123.00 24" Weld Charge 30 ; 12.25 122.50 i Mileage 86 0.90 77.40 i Total $1,272.90 Radiographic Testing L -INF6. ,,e Customer: E I l Contractor., Address: City, State, ZIP: Job Location: Requestor Name: Phone Number:,( X-AAYNd, 3 >( .... 4..... . 5_ 6 1)< 7 X_ 8 >( 9 10 11 12 13 14 .15 - - 16 17 18 19 20 21 22 23 24 DESERT NDT � S.ftq - Dually, S w. wwa,deserindt.com It-ITI 5- 5' q_y_ EQCATf()N CODE YES NO WALL PIPE . OF 7 SIZE Region Code: By N 01 WIRE' PENT UT & WIRE# SOURCE SIDE FILM El El 1 6 -7 ®;37 2 W-7 v 2-- . . ... . .... Elj?75'2-. 33. 14/- 7V D -i-i- 1Y EJ .3 7,52-V 3,7SZ , Ff E I 7zp- P -E] -375 a3�'3 ED; E] El El El El, . . ... . .... D E-1 , Ff Fi: 0 Ticket IVO. ,;;--`T ....... .. . Date: BILLING INFORMATION: Branch Lo Ttiil, MUMS . . .......... — — ---- 'I 2s TER MS AND ABBREUiRTi6NS I LOCATION New Construction -1 maintenanco INAFA011ATE lmijbnoi. %... 1.:)tlf)54y A5 qlc.:Ir C, wiy SIDE L F scation Pipoirle P." PFA01 ltfik't I'Mr!]WION CF : ' _U!,T: R 1`00!Sj IV uA UIT171. 513r. DUE To 1110. PI' -IPIFI(l I1oRo;tvv TOP STOD, SS0 Film, �inforcemenL: IWj All' IF -I. INCOMPI!J HIMIMM ID A V, ACCVit)IlI,(`if4 -IF P.Q. ki�a_ 1.1, 1111 rIlt:A L (WICAVVY Wit. 1,011. " '".1 IF 11011"LN4 I.P. cl: Rli Ta 7 C(2xl roll All 1) Tits Technik IF 1. ajf;`I rIjRDjGI1 I.J. III:-NNALDAILIF (u, FL L.5.1 l'I4!A'F A!,:WIjr8 V.U. Ot ME, Uh.l.,11rilt Fill - )$UL 41 it) UMM . V I F1 taink . ........... /I NOTICE Techl)jklan Printed Levei: — 7It, 11, M 4 4try the cusl� "it thu ';- III'. itlMi, Ition, Loot; falkh opliflon of [flu technic an p,,tj,1 Assistant Printed Name: Level: Alli 1) awpnuo, no t"r,ijur re5poli5lijility I., 1)-c tv. ��A, andto, fly- V ;tgtl.Awe tulov,e" "I""s 10 -le -nn Vih.l, "."I P e, file projec: 13zal fl, W111 IlGI :,.afrd V 0Tr It "quipment ,n 1 W,15 ,I, .; i�,z lly, ludc��i Ihei-fse noted. DE5SRT DISCLAIMS ALL X; s.5 " I - M ERCHANTAIIII.IfY, f INLSS I I Ht ANY PAR111:111AR Tota! H o u rs• Per Diem: No, of Personnel, NARRANTIE5, ( PIFF. DA MPIJ . NCLUDPqrTIjOSEO ------- 1UPPOSE Af,0 WORKMANLIKE QUALITY AS TO ANY I FEW, MATERIAL OR PRODUCT PRIJ14 JED, INSPECTED DR 2- rESTEDGRFHESEP.VICES-P.DV;-jEL)IN'-LJNNF.CillifAWiritTlICINEPECTION.Iiinaevontd:.IIID,',.-t'& :,lbitIv, No. of l0les; g!72,/ ,,I irVIijbI-k,pe,:AI-jF-� Fo-In, cope • ar --1 J.0 f resul I I.,., fill! 6Q, m b�_11 70 MIt, Agreed and Accepted- Date-), r,,,,d an' 0: Phone No.: : - . . ..... _M4 energy TASK REQUEST Contrrctnrl Master services Acdroolnent No: Truk Raq No: Desert NDT, LLC, SA1204004 N-15-00137 Upon recelpt of lhis Tusk Request, CONTRACTOR Is hereby amhorlxed to perform the Work klentfted hereln on behalf of COMPANY pursuant to the terms and conditions contained in the above refpr6ti0d Agreement, , SCO.P1i OF WORK., The Work Wit be performed in accordance with Ih-e drawings, speciflcptions, and fnslrucllons, if any, attached hereto and {doniified in the List of At set forth below, and wifl be scheduled as requlred through the direellon of COMPANY's Corr tract Coordinator as Identified hareln, (Use additional pages if morn space Is necessary) Project l,b, or Work No,: Atmos Contract Coordinator: Phone. No.: John Nekuza 214.4?6.7052 CONTRACTOR'S COST SUMMARY',- TOTAL IS (J One) 1 7, FIRM �- I STIMATE Work Hours Labor M Rate Sheet Matorial ($) - - -- Other M TOTAL Rate Sheet SCHEDULE - The Work wiif begin by 1.00.14 and be completed by 30 -Sep -15 NOTE, lnvo(ces may tee sent in.one of.the fallowing ways: (Email proferred) I. Email: accountspayablo@a atmosonorgy,com 3. Mail. Atmos Energy Corporation 2, Fax: 214 55.0-3240 ATTN: Acct. Payable P.O. Box 060205 Dallas, TX 76265.0206 Include the following Informntion.An Invoices to expedite fhe payment process: 1. Agraemant 2. Task Roquost Nt(mbor 3. Job Location 4. Contract Coordinator's Name G. Project Nanta 6. Cost Canter LIST OF ATTA¢HMENTS: COMPANY and CONTRACTOR agree ural Ilre following deroribad atlachmrmtG, If any, wa fncorf1or4.t0,.heroln, in lhnlronfirelyas ff fully and eompfetely fevnflten herein' 2. CONTRACT R ERI OYACI(NQWI.FDGi S ACCEPTANCE THIS -TASK REQUEST IS ISPP4D ON 811HALF OF COMPANY OF THIP (. K EQIf(FINAL APf'FtavAL / A ORIZA 8y: 13y: Name:- DWd Ezzell Nemo: John Nekut,3 TI(Ie;;VP, NDT Operations Tlile; Construction Ane��t Date: 10/3/2014 Date: ;0 A �ffsfribuflon::Contrectar,.-Cont ractCoordfrlator(DrJ+�fna!}, CoToratoPro carernentfwloAffach) Form Date, 5-10.2093 ODDESERT NDT A &mAwMR Cm+rwv Desert NDT, LLC PO Box 13988 Odessa, TX 79768 Ph: (580) 2252108 billing@desertndt.com Please Remit Payment To: 3172 Momentum Place Chicago, IL 60689-5331 Bill To Accounts Payable Atmos Energy Corporation PO Box 650205 Dallas TX 75265-0205 Task: N-15-0087 Invoice C23 Date 11/17/2014 Invoice # 213892 Terms Net 30 Due Date 12/17/2014 Site Location Coppell, TX Lead Tech 538 Ward, Jason Customer PO # Customer AFE # 180.27016 Well Name Line W Freeport, Prologis Park Other Billing Info FCC: Marty Kirby Total $1,258.00 ® Ticket NAT 140580 � Radiographic Testing Page of so" -OmIlty. OF– www.desertndt.com pate: r� Customer: AFE: p ❑ Contractor: jy� y t2 PO Number: -Address: Work Order: j„/ City, State, ZIP: Job Number: Job Location: r Requestor Name: Misc.: 4%le �► Code: Phone Number: Z, Region Code: Branch Location: 4 -J-7-0 J -Soo � .gyg Ale 4 ✓ " 3 JV6 5 6 Rxti a vg 3 woe I ✓ 9-� a - o ✓ • $1601" 3 ✓ NO 3 Wd ✓ ✓ .Sd� tY 3 SYS ✓ 12 tZ ���-� � ,SOa Z " � ✓ 13 ,..L •SAOz"3 t 14 61(Q 0- - . o x ,S b� ✓ 15 &it lr a - --a ✓ .W" 3 vi 16 a W! 17 ja Xtet 0-1- 7, 0 2 r 3 !ve ✓ 18 90 °' a/le 19 80 t V-_'.5-00 v I/ 24 RJejR 20 e-(- -o N 3 21 22 23 24 25 R<ewConstruction ❑Maintenance ❑ station P4ipeline LP. INADEQUATEPEriEmAT10N S.P. SPHEWCALPOposOY pS. RtGHTOfWAY9.DE I.P.D. INADEQUATE PENETRATION CP_ CLUSTER POROSITY D.S. tl1TCHR0E DUETOOM-LOW P.P. PIPING POROSITY T. TOP hC. INTERNAL CONCAVITY H.B. HOLLOWBEAD B. BOTTOM I.F. INCOMPLETE FUSION C.R. CRACKS T_O. TOP QUARTER I.F.CL INCOMPLETEFUSION DUE TO A.O. ACCUNTLATION OF BA. BOTTOM QUARTER COLD UAP W"NTINIATIES B.T. BURNTHROUGH I.U. INTERNAL UNDERCUT E.5.1. ELONGATED SLAG INCLUSIONS O.U. OUTSIDEUNDERCUT ISA. ISOLATED RAG INCLUSIONS P.H. PINHOLE STOD: SSO Film: /� a� Weld Reinforcement: M T - Technicia ame: Level: The above report and any consuttatinn with the UlStomer representative or contractor regarding the results of the inspection, represents the good faith opinion of the technician assigned to the project. Customer agrees with the results of the inspection and confirms that the personnel of Desert NOT, LLC J"Desert') have performed their serAces In accordance with the customerlsspedfications ofthe relevant codes and standards and the scope of the inspection. Desert assumes no further responslb211tV for the radiographs and/or reports. Customer, by signature below, verillestime and material in whole and that the project location was not damaged by personnel or equipment and was lekin satisfactory condition, unless otherwise noted. DESERT DISCLAIMS ALL WARRANTIES, EXPRESS OR IMPLJED, INCLINING THOSE OF MERCHANTAOILITY, FINESS FORAM PARTICULAR PURPOSE AND WORKMANLIKE QUALTTYAS TOANY REM, MATERIAL OR PRODUCT PROVIDED, INSPECTED OR TESTED ORTHE SERVICES PROVIDED IN CONNECTION WITH THE INSPECTION. In no event shall Desert's liability, with res pectto items Inspected (Including any tiability pertainingto the snipe Ofthe Inspection and/orthe resAcs ofthe Inspection) exceed the charge of Desert forthe Inspection. Assistant Printed Name: Level: / Total Hours:/� A(/ No. of Personnel: Per D1=-- No. of Welds: ' Film Size/Type: pv-$0 — Miles: '7D 8Y - Agreed and Ac epted. Date: Printed Name: Phone No.: r� &-arm., 'o 0%1.- 'S energAT TASK REQUEST to�t WNW, Is Wiriome" Task Roq Nd. 100serl MPT, t Lo, Utpon r2c*pt of 00 Task Ftoqk)aot,,C0NTRAdTbR-19 hareby�aulhorlzed to pa*rtt the Work *n1fied heroin on hthalf of OPMPANY pvrvant.tQ.:lhe-t.orMs.rind 900VE bF- WO K, ThteV60- I bd 44fe dravilp& -4.0 IderAtifigo Iry tI o:Ljst through the Pa06 if More 50ce is 666606q) Proje.ottl). or: Work No.-, Atmos Contract' Guardirtator: phony Rp.4 40t M!S4.. - -?I 4 t3 -7Q52 Pr9ject Narne., low ww.. 7 'A 7A . . . . . . . . . . . . . . . . . . ,10 PONtRACTOWS-010ST SUMMARY: TOTALIS.(40* 7��MA TOTAL Nato $1hest and be completed bY NOTE;- 40volowt04 ybe-sont In one. offtfolWlItgwayo: -_(Email pridorred) S. Mall; AtmosgnorgyCorporatlon 2. kx: -2145#0421.0 ATTN: Awt Payable P.O. 1 ox 60205 Dallas, TX 76266.0205 glov-on Involm.-t potilto the ppy.mont prodM! I-W-OPATTAONMENTS: WhOANY-00 WWRAOTC)ROrWhat thErtbilowing daWbed ottacbmols.1fany.are Incorporated, hpToln.in ftotrenfttyou 11;(dy W- "At". BA0040TWOE VitS TASK MOVEtr 10 ISSUED DN 8911400*7 669PA-NY (FINA 08 x OF A APPROVAL 0" IZMQN) Bylowo ------- -- - - v nur-.Roftotwo An Date, 4, 6 DESERT NDT Invoice C24 A SHAWCOG CONYANY Desert NDT, LLC PO Box 13988 Odessa, TX 79768 Ph; (580) 225-2108 bi►ling@desertndt.com Please Remit Payment To: 3172 Momentum Place Chicago, IL 60689-5331 Sill To Task; N-15-0087 Atmos Energy Corporation PO Box 650205 Dallas TX 75265-0205 12/18/2014 Ticket #RT11539 Mobile X -Ray Crew - R/T Mobile X -Ray Crew - O!T 24" Weld Charge Mileage Date Invoice # Terms Due Date Site Location Lead Tech Customer PO # Customer AFE # Well Name Other Billing Info 12/18/2014 216567 Net 30 1/17/2015 Coppell, TX 211 Betts, William R 180.27016 FCC Marty Kirby Job Name Prologis 10 95.00: 950.00 2 123.00 ; 246.00 4 12.25:: 49.00 86 ; 0.90: 77,40 Total $1,322.40 Contractor: Master Services Agreement No: Task Req No: gesso NDT LLC. SA1204004 N -1"a o067 Upon rereipt of this Task Request, CONTRACTOR is hnrnby aulhorDnd to perform the Work Identtied herein on behalf of COMPANY pursuant to the terms and conditions contained in the above referenced Agrearnent. , SCOPE OF WORK: The Work will be performed in accordance with the drawings, spacificallons, and instruclions, If any, attached hereto and Identified in ilio List of Attachments set forth below, and will be scheduled us required through the direction of COMPANY s Contract Coordinator as Identified herein, (Use additional pages if more space is necessary) Project I.D. or Work No.: Atmos Contract Coordinator: Phone No,: John Nekuza 214.426-7052 Project Name: X-ray Services at Atmos Energy's Request CONTRACTOR'S COST SUMMARY: TOTAL IS (J One) FIRM t ESTIMATE Work Hours tabor ($} Rate Sheet Material (S) Other (S) TOTAL. ($): Rate Sheet SCHEDULE • The Work will begin by 1-Oct•14 —and be completed by 30 -Sep -15 NOTE: Invoices may be sent In one of the following ways: (Email preferred) 1. Email: aeeountspayable@atmosenergy,com 3. Mail: Atmos Energy Corporation 2, Fax: 214 550.3210 ATTN: Acct Payable P.O. Box 650205 Dallas, TX 75265.0205 Include the following Information on invoices to expedite the payment process: 1. Agreement 2. Task Request Number 3. Job Location 4. Contract Coordinator's Name 6. Project Name 6. Cost Canter LIST OF ATTACHMENTS: COMPANY and CONTRACTOR agree that the following dor>onbod aliadrmmtiln, if any, nrn Incorporatnd, horain. In tholr onlirety as it fully and completely runitlen herein 2, CONTRACT R EREBY ACKNOWLEbGES ACCEPTANCE THIS TASK REQUEST is ISSUE[} ON BEHALF OF COMPANY OF THIS T SK EQU (FINAL APPROVAL f A HORIZA ON) By; 9y: _ Name: David Ezzell Name: John Nekuza Title: VP, NDT Operations Title: Construrlion Analyst Date: 10/3/2014 Uato: 77e Distribution: Contractor,_ Contract Coordinator (Orialnol), Corporate Procurernerli (w/o A(tacl►5 Farm Dale: 5-10-2013 DESERT NDT Z {� Ticket No. Radiographic Testing I of 2- .11, eserindt.com tate: IWO! BILLING INFORMArioN. A ---------- - --- J, C2.nt a r: A PO Number. Cto Address; Work Order: Job Number. Job Location: Misc., �Requestor �yC:;, Name; C a de; (0 q Code: Branch Location iff U�— CM WALI N4 Pon vvua E t I It. lAMER 7- 2 E-1 I 3, 4 R 0 0 7 -------- o n- ........... . 12 J 13 14 01 is L3 Cj! 18 n C) 21 010 i4------ ul ff - — ------- K"---- TERMS-ANO Ft6iATICNS LOCATION 1-4-1 �PCIIIIL pqcons.trucuon maintenance �ta.tlon F01 r V P A PIP-tIGPIGAWIly 1, STOD 11C fill IWALCOTIM11v H(1t,0%v0tA1) ,,, - Irr :a""' ," r INCOurtflE toslua "att 1.0 "'I", i ��W a el V11V 1, 1 fxkljmht kFu$IoNDur,o AC ACLUM-LA-101101 2 re: UI EVeN NtaUVGlI II .1LAN j ESI ktU 66Ik1)5tA4I(I1tU5I0h', R TIC Teciintift'n Printed Name; :bu ab,I, 'lop the results of the msnP.Nnn lwoh,rnt that UrnVVINVAKI of be—t "I. LLC('()e%e1t'1 Wo peqoeMtd 0)W )CR, j.—ff— rda— AV th the CU iormrl jptcdtcaibns of the relevant todA land 11a.1da, ds —d, he %Copo of Level; trem5pcfIWO CesflaSSM65 .1 0 1011M NIP -011 IIV for the faialoAraphlardlo, lepottt Cvlome, Assi * stant Printed Name siffnature heln-n'. •er;lles drie and fflalollal,o whu 04no 1W file walnot lam; of qqviomen; and was felt •, fallslactolv clandfithm. noted PZSe FIT DISCLAIMS ALL 4N.1 RTICULAR otal Hours: I ptir Diem: No. of YP4 YY Personnel: PURPOSE AND WORILMANIAXE QUALITY A5 TO ANY ITEM, MAIFEWALORPROIJUCT PRO4IDMINSPIFL1100ft —Z— I TESTEDOR THE SERVICES PROVIDED IN CORNKTIONW17H THEINSPECDON.16rowm No Jr Wi.-Id t Film ant' Miles: 10 'V Agreed and Accepted; Date, Printed- Nome: PhOu IN DESERT NDT C25 A 5-11CIA CCIOAur Invoice Desert NDT, LLC Dake 12/2,12014 PO Box 13988 Odessa, TX 79768 Invoice Al 215942 Ph; (580) 225-2108 72.00 billing@desertndt.com Terms Net 30 Please Remit Payment To: Due Date 1/112015 3172 Momentum Place Site Location Grapevine, TX Chicago, IL 60689.5331 Lead Tech 582 Bishop, Chadrick S Customer PO # Customer AFE # 180.27016 Bill To Well Name Prologis Park Accounts Payable Atmos Energy Corporation Other Billing Info FCC Marty Kirby PO Box 650205 Dallas TX 75265-0205 I 12/112014 Ticket #RT140690 Mobile X -Ray Crew - R/T Mobile X -Ray Crew - O/T 24" Weld Charge Mileage Subtotal 12(212014 Ticket #RT140692 24" Weld Charge Subtotal 10 3 20 80 4 95.00 950.00 123.00 369.00 12.25 245,00 0.90 72.00 1,636.00 12.25 49.00 49.00 Total $1,685.00 Ticket NoAT Radiographic Testing g e of I -qif:0, ]try - S—IL. �Page __L j 0 Sao rt n d t. co ni U v/W Date: INFO. BILLING INPORMAT1014--, custorner: A ATE. ❑ Contractor: Address: Work Order. City, State, ZIP: Job Number: Job Location Misc.: ------- . ...... Ilk- ReqUestor Name: Code: -21LI- Phone Number;Number;RiCode: Region oL4 Branch Location: X,116NO. BY LOCATIONCODE' WALL V, e. 11P OE 1Qj 6 TTjK - - 1. � . -. . .-tagom wikfi PENT 1910Rfif FILM rXp.• SET& WIRER f $im 2 4 2a 3 6 7 AV- ap Ic 3 `00, 10 xg- -S3— h - X Z,: -34— C) 7.- L33x - 12- A?-- AS 31" 3 8--1 13 xg- 3L. i- z zw 14 —o- --e) --!d—ar- -a-s-i 1-241-t -3- 15 jjz- --is 1-3157 3 A-1 . . . ...... 16 -2W- 17 LJ6 -2-C) 3M-24" ar-71- 18 19 IF-, 4Z 6-1- zznd v 3 R-1 . . ..... ... 21 22 23 24 25 VNew Construction ❑ Maintenance F1 Station I;d Pipeline .P. !NADEaUA-IE PENETPATION S.P, SPHERIC41.POROSITY 9.5 FUGHTOFWAYSIDE I.P1) INAI)rQt)Alr PI I4fTfIA10N CP. UUSTL;tI`GROif;Y D.S. wa I ym OJETOHIGPAOW P.P, PIPING aOROSry NITERNALCONCAVVY 11,11. fiOUCW BEAD : T. TOP B. Bar, 0 111 STOD: SSO Film: Weld Reinforcement; �f, INCOMILETE FUSION r -R- CRACKS TO, TOPQUARTER 1.111 ( I INVOMPIfir FUSION bj)f Ili Ar) Afflim 11 Allr)N of ILL HOT RIM QiARIFft &C COLO LAP Disco 'IT-,NUIT--ES B,T BUM THROU01 Jj IITFQNALuN,')fuCUl Technician Signature. 1:1511. FI.QNGA'Eo 5LA0 IN1I.vS1QNS O.U. OUTSIDE UNDERCUT I.S.I. ISOLATED SLAG ilial;-SIONS P.H. PINHOLE Technician Printed Karne: Level: QIQ A40' e fell(ift afiO Any consultation Wth the ruitoiner repfew-ritit1w or rontiamr regarding she msi.hs.f the lospLcIlon, represents the good falthop)nIon of the to the prujLtt Cvuilrer -jumesw4h Assistant Printed Name: Level: the results CI t:le Insp0,.t;c,- and co,'i.,rns L^at The perw,lel of Orserl NOT, LLC ("Dosert") hwe parlon— their sPrqlfe, In accof d", "ill, fill, (1111IMP", stirfillrAtin—If tl.F tj�.Pvanl rode; andstandAuk and the cipe f thelil 'fe5;)Qnmbilily fur the radiwraphsandloi repo)ks. Customer, by i)elow, tine that the loratlon was not damaged by if, Av 4144c�2& iblnadurc, ver,fies; and watedzI in Whole and prole,1 personnel or equilinvot and was rfl In sAllsfoctrify Condition, anlv,,imhi,RvisP not ed. DESERT DISCLAvAb ALL WARRANTIES,, UPRESS OR IMPLIED, INCLUDING THO$EOF MERCHANTABILITY, FINESS FOR ANY PARTICULAR PROCII.H.rPROVIDLO, INSPECTED OR I Total Hours: No. of Personnel: z Per Diet -n: ...... . . . .... 40.. PURPOSE ANO WORKMANUKE QUAUTV AS TO ANY 416M, MATERIALOR TESTED OR THE SERVICES PROVIDED IN CONNECTION WITH THE INSPECTION. In no ownt shall lmcrt'�, Ilabil-ly ksi pestto C"Cluding any liablky pwt. Ling to t1ir, stApe of lbe andlur timmutts No. of Welds: Film Size/Type: MU5��--k Z-0 of rite inspi,dIon)etcecdthe 4 r --T"* Agreed a Apsepted, -1 Date; L044. Iq e Na jot_X4"1Phone No.:j- -1nd r_- Ticket NoS,'ff Radiographic Testing saitiv W P - a . ge -4 of -------------- - Q'iAtily - S."k. I—- ------ _ WWW.deserfildt.com Custonier:'4TW.5AFE: - - - - - - - - - - -_Zj40_jt4 . ........ ------_.---------- -- Contractor-..'btj_V4r . ..... Work Order; City, State, ZIP: Job Number; - — ------- - Job Location;Gr ---------------- -- Requestor Name: Misc'; Code: ---------- Phone Number: _-..---•--------• - Region Code: Branch Location: "M"� 7 -.7 .......... 2 3 4 L 8 9 10 12 14 -------------- — ----- 16 17 19 20 21 22 23 24 25 Now Construction main Maintenance Station P"Pipeline P RADEQUATE P(INI-MIMIGN ST. SPIII W(AL PORD51 IY R.S. AIGHTOrWAYSDE p..," :HADLQUATr I'METITMIOU C.P. CLUSTER WROM11( U.S. till( AI) DUE 10 HIGH LOW P.R. PIPING I'lMosilly [411ANALCONCAVIly 51 fl. 11011DIN MAD 510N G.R.(.A. I i. fir.OWILCIEWAA(.X5 1:0. 'NComwE 1. TOP R. W)TI WA I.D. IOP QUARTER __ —4-- STOD: 0 Film; ��Id kL�in or— cement: L, T c rusloto Dur To A.D. AMIMILA11101101! H.Q. ROTI Lim (umill . It COLD TAP DISCOMINI,-111(S O.T. BURN IM. 44TERNAL UNDERCUT I S 1. 1:1 ON010 StAfl, INCLUSIONS D.U. OUTSIDE LIM)FACUI Technician SI natu e: I.S.I. ISOLATED SIAG WCUMOUS VA] PINHOLE 0, 7 Te7uniciall Print d N me: Level: Tho above napaand any cauullalion wbb 111( t'lrstmn(r repress native or cOnIPoCIM regarding the a$ujjiQf if"!inspection, tepresullt, the good faith oplalon of the technician assigned lothe uiiruc� , will. Cha rPsullsThai, Level: AeMcas in With the cl'Sl )" spulficaRom of Lila relevalit codesand suodallk all,] th—cope of ssstant Pr nted N ie: The i'l,paction. D[SeII nismnes Ia ftalthef resPonsibIlity for thn.adhl;,"phs A"d/.' refill,(sctit,lulner, In low, olles whole material In .111 Will thi'l 11w pI ujit(t location was lint dallmpd by personnel MIpallfrabev e "171 of equipment and left h, ti'G1'.t.Y _ndlifwas :m, imim othwimisr, noted. DESERT DISCLAIMS ALL WARRANTIES, FXPR $5 Oil IM1111CF), INCLUDING TIJOSE OF MERCHANTAIMBY, WNESS MR ANY PART ICUIAH 11 11 - ------------ - — ------ Total Hours; No. of Personnel: Per Dief PURPOSE AND WORKMANLIKE QUAL11-YASTO ANY ITTM, MATERIAL Oil PRODUCT PRDVII)F.1), INSPECTED OR TESTED OR THE SERVICES PROVIDED IN CONNECTION WITIi THE INSPECTION. III no (Weill shall OMNI'S liability, NO. of Welds: Film Size/Type: miles: with lospo'l 1. 1 -T, (1-1 ling any liabifily fivrMiningto (Re copp of theinspil,ki jf aadif,,, wwl(s Agreed andAcclepted, --- Daie�_ Name: Phone No.: - ht. energy TASK REQUEST' Contractor: Master Services A41roomont No: Tank Rtiq No: Desert NDT, LLC. SA120400d N-15-0087 -w Upon receipt of [his Task Request, CONTRAC-OR in hereby rlulhaived to perform the Work !dentftod h8reln on hohalf of COMPANY pursuant to the ?erms and conditions contained in the above referenced Agreement SCOPE OF WORK: Trio Work wit be performed in accordance wllh the drawings, speaificallon.s. and insiruclions• if any. altarhod here!o trod Identified in 1f a List :if Attachments set forU1 below, and wiC be scheduled as required Through the direction of CUMYANY's Contract Coordina:or as Identified heraln. (Use additional oagas If more space s necessary) Project I.D. or Work No.: Atmos Contract Coordinator: Picone No.: John Nekuza 214-426.7052 CONTRACTOR'S COST SUMMARY: TOTAL IS (4 One) ��FIRh1 I ES� Work Flours Labor {$} Rato Street __ Material (Sj other ($) SCHEDULE - The Work will oegin by 1 -Oct• 14 TOTAL ($j: Rate Sheet and �e corneieled by NOTE: Invoices may be sent In one of the following whys: (Finan preferred) 1. Ernall:account }payable@atmosenergy.com 3. Mnil: Atmos Eviergy Corporation 2. Fax: 214 550-32'10 ATTN: Arcl Payable P.O. Box 650205 Dallas, TK 75265-0205 30 -Sep -15 Include the following information an invoices to expodito the payment process: 1• Agreement 2. Task Request Nutnbur 3. Joh Location 4. Contract Coordinator's Nairn a. Project Name 6. Cost Center LIS"' OF ATTACHMENTS: COMPANY arse CONTRACTOR agtnt3 eua1 th j :ollnwirg gnsr. 9mU illummnnin. if 7ny, am ir:;oronrcled• herelo, in Ihe.r wwrely as ! hilly and eompietely reNdtlen herein 1 2. 3. BY ACKNOWLEDGES ACCEPTANCr OF THIS -,,fame- David EzZall --'_..._..__..-------_----------- iiiia: VP, NDT Operations Date; 10/3/2014 _ THIS TASK REQUEST IS ISSUCD ON BEHALF OF COMPANY (FINAL APPROVAL. /ATJI RIZA ON) BY: rNamw John Nokuza t f Tidc: Comitruclimi nate:�- (Dlstribullon: Cantraclnr, Canfrafrl Caardlitra4ar (Orii1lrial), CarporatoPro 0ur•cimslit (w/oAf aclf) u -� Furm f]alo- 5-10-2ol.l DESERT MDT C26 ASM+Wf_rq C04o44�� Invoice Desert NDT, LLC Date 2/9/2015 PO Box 13988 Odessa, TX 79768 Invoice # 222078 Ph: (580) 225-2108 246.00 6" Weld Charge billing@desertndt,com Terms Net 30 Please Remit Payment To: Due Date 3/11/2015 3172 Momentum Place Site Location Coppell, TX Chicago, IL 60689-5331 Lead Tech 211 Betts, William R Customer PO # Customer AFE # 180.27016 Hill To Well Name Prologis Task: N-15-0087 Atmos Energy Corporation Other Billing Info FCC: Marty Kirby PO Box 650205 Dallas TX 75265.0205 2/912015 Ticket #RT11576 Mobile X -Ray Crew - RIT 10 . 95.00 950.00 Mobile X -Ray Crew - OFF 2 123.00 246.00 6" Weld Charge 3 4.75 14.25 Mileage 86 0.90 77.40 Total $1,287,65 DESERTNEIT, Radiographic Testing INFO: Address; ........ . . City, State, ZIP '�_b location:'— J ReqUestor Name: Phone Number: (*,2 RAY NO. I LOCATION Ticket No, Page R of Date: I BILLING INFORMATION: AFE: I 2_7 PO Number: Work-ordor, P of Job Number: M.sc.: 0 eze Region Coft.... . ., 0 IV - C 7- . . . ..... (;001, WALL NO. wiRE OF PENT SOURCE i^fit P.1 T i 51EE SET Of VC5 no WIRE if It SIM i SIDE 7-1- Branch Location: CL ."IMIMAIMS THK Fig-4t*O . ..... . ... . ........ ___ ®—_!_ _____ _____ 3 Ej ...... . . ... . .. . .. .............. ...... . . ........ . .... 0 Ell El El El El El El 8 J El El 9 El El' 10El El . .......... . ........❑- . . ...... . ......... . .... 11 0 Fj 12_E1 . ......... ... 13 0 0 14 E.1 01 ff 01 16 0 El 17 ED El 18 19 20 . ..... . ..... zi Eli 0 U 22 El 23 El Z4 El El 25 E] -E-1 LOCATION _T 7ew__C TERMSANDABOREVIA to cfnsLrjcUcfn Maintenance El Station F-1 Pipeline :11AM QUAl V PfUl. 111,1110h P vp lrll(nl 110409-Y S. flll�pi Jr NYPY-10 JW PE 1111 RWIX4 (... 1.14%10 -N,W), I, I . nrc(, 'wF. I:j v I). I• tCP STOLE- 55U Filrh. We I d &!n 11.p I IGILO V 2�-U. A, TC.,,' forcement: C04/7q j I'vt 1(. A," Ar' -.11,11-A IMIC: `ItTry Q,APT'.R - _L(o&Tr WI 1) IAII 0)5-0?)_tfIUI_IES 8 Technician nature, nature I EL,RfWt!) K.5 -L LOWIIA -14:1AISMINS IS Of A'IJ%IMi'NUOY4I 1 PINI ULL NOTICE Technician , Printed Name: Level: ,d Ih !-t _T fil, ii, ve rewtmid any thp Cjmn)eI,QPfvw,:"lv- r- '"A h,� It"Ill 1,1411 of the tKl1l1l-JB,I 4&11l, -a,: 0 * he Ojerl. (:;Tofflef agr"s Mr lo, I 'If un— : I r.r. And I 11(nWisr- III, of DZSvt VDT, LIC (`DL,1P.0) hall, th0l _ t wrte� Name: Le ve 1: with 11'1) (00101"t'! 1f),!(If!Cj60M Of I '.-' h-'OlAnt vodo, awf -t, -, q.:], d h�- vap of Igo �w —ifir, Imi—mo that t ............ /41 AjTh f Men Ihel•,-IA/ C— (11 let. FSS C) R IMPLIED, INCLUDING T113SE OF MERCHANTAFfUTY, I'ME55 FOR ANY PA14 rICU or Diem- Na� of Personn�.,I: URPOSE ANDWO KNI F, V,Isnl� N'TIES, EXPR' LAR 'rotal Hours: ANLIKE (JUAI [IV A% Ill ANY In N1, MATERIALOR PRODUCT PROVIDED, INSPECTED (Ill I Z, WFD on THE SEMPICES PROVIDED IN Ni W,TH TICE INSPECTION, lq,)* pvvw Iwfl *),,,,r*, 1; h.,],, 11111 fesfjer.: I� ...... �I, fnsppct�c I vcladirte, �i y ity pv,i.-ijijijf; to P � s(ovsof -fit- Inspe:1 c- and"It thorp5ul-,� No. of Welds: ril:rJIVity: -7,p WIPes: MA I 1ha :Xt "d the I _11- - 00 —4 agreed and Accepted; Date:P d N Phone No.. Magnetic Particle Report DESERT IND ZZ1.111• Ountlt w w.dosert TicketNoAT - s P.. ' Diem: 't'e'a! Hour.. - 'an Signature: - TBC 1r IG 1-7 Computer and/or Cam _ra Dry Powder: ] %' f9- Generator - — - ) -- Markers: f t4AM:{ irael Tithe: Welds: 2echnicia, P,(inteeddN ie.:: Level: MagYoke -- I Rfer _nce: (oMisc.: M' s: No. of A/ssiistant Printed Nva/mei �+ Leve 7 ( / . LY u P -eA Personnel: Z /�si7ft A C.Pa/�� !r_ Thu ohrrve report and any cansuhatlon with the custamnr rcprrsentative or contractor rrttardiitx the resorts of the inspection, repnacuts the (food faith opinion ofthe technician . ssihned to the project. Customer agrees with the results o1 tho ingwctinn m d COOP, nu that the personnel Of DP.Sert NDT, ILC 1"Desert") have petfafined their services in accorda nr.e with the cuskwuai's specifications Of the relevant codes and standards and the 11:0)",01 copeof the inspmeslam inspection. Dert assuntet nn further rslbifity for tile reports. Customer, reporCustomer, by sdQnw atore belo, verifies time and material m whoie and that the project location was not damaged by 1wrsnnnel or equipment and was left in satisfactory condition, unless otherwise noted. l)ESr:RT DISCLAIMS ALL WARRANTIES, EXPRESS OR IMPLIED, INCLUDING THOSE OF MERCHANTABILITY, FITNESS FORANY PARTICULAR PURPOSE AND WORXMANIIKC QUALITY AS T•O ANY ITEM, MAI CRIAL OR PIWDUCT PROVIDED, INSPECTED OR TESTED OR THE SERVICES PROVIDED IN CONNECTION WITH THE INSPECTION. In no event shall Unser is liabllit ,with respect tc items inspected lincludfng any liaWIRY Perlaininl; to file scope of tile. inspection ants/Ur the res UIS of the inspection) exceed thU charge of Desert ler the inspecllun- Agreed and ACC pted: Date: a e: Phone NO.: Page =, of ()� ndt,cofn, Date - s P.. ' Diem: 't'e'a! Hour.. - 'an Signature: - TBC 1r IG 1-7 Computer and/or Cam _ra Dry Powder: ] %' f9- Generator - — - ) -- Markers: f t4AM:{ irael Tithe: Welds: 2echnicia, P,(inteeddN ie.:: Level: MagYoke -- I Rfer _nce: (oMisc.: M' s: No. of A/ssiistant Printed Nva/mei �+ Leve 7 ( / . LY u P -eA Personnel: Z /�si7ft A C.Pa/�� !r_ Thu ohrrve report and any cansuhatlon with the custamnr rcprrsentative or contractor rrttardiitx the resorts of the inspection, repnacuts the (food faith opinion ofthe technician . ssihned to the project. Customer agrees with the results o1 tho ingwctinn m d COOP, nu that the personnel Of DP.Sert NDT, ILC 1"Desert") have petfafined their services in accorda nr.e with the cuskwuai's specifications Of the relevant codes and standards and the 11:0)",01 copeof the inspmeslam inspection. Dert assuntet nn further rslbifity for tile reports. Customer, reporCustomer, by sdQnw atore belo, verifies time and material m whoie and that the project location was not damaged by 1wrsnnnel or equipment and was left in satisfactory condition, unless otherwise noted. l)ESr:RT DISCLAIMS ALL WARRANTIES, EXPRESS OR IMPLIED, INCLUDING THOSE OF MERCHANTABILITY, FITNESS FORANY PARTICULAR PURPOSE AND WORXMANIIKC QUALITY AS T•O ANY ITEM, MAI CRIAL OR PIWDUCT PROVIDED, INSPECTED OR TESTED OR THE SERVICES PROVIDED IN CONNECTION WITH THE INSPECTION. In no event shall Unser is liabllit ,with respect tc items inspected lincludfng any liaWIRY Perlaininl; to file scope of tile. inspection ants/Ur the res UIS of the inspection) exceed thU charge of Desert ler the inspecllun- Agreed and ACC pted: Date: a e: Phone NO.: Aja%T—s_ _ ener +ri y TASK REQUEST Cunkractor: Master Services Agreoniant No: Task Req No: Desen NDT, LLC. SA1204004 N•15-0067 Upon rere:pt of this Task Raquest, CONTRACTOR Is hornhy authorised to perforin the Work Identfied herein on behalf of COMPANY pursuant to the terms and conditions conialned in the above referenced Agraornent, , SCOPE OF WORK: The Work wilt he performed in accordance with tiro drawings, specifications, and instructions, It any, attached hereto and identified in the List of Attachments set forth below, and wttl be scheduled as required through the direction of CONtPANY's Contract Coordinator as Idenlif-ed herein, (Use additional pages if more space Is necessary) Project I.D. or Worts No.: Atmos Contract Coordinator: Phone No.: John Nekuza 214-426-7052 Project Name: X-ray Services at Atmos Energy's Request CONTRACTOR'S COST SUMMARY: TOTAL IS (Jane) FIRM ' ESTIMATE Work Hours Labor ($) Rate Sheet Material ($) Other ($) TOTAL ($): Rate Sheet SCHEDULE - The Work will begin by 1 -Qct -14 and be completed by 30 -Sep -15 NOTE: Invoices may be sent in one of the following ways: (Email preferred) 11 Email: accountspayabte@atmosenergy.com 3. Mall; Atmos Energy Corporation 2. Fax: 2114 580-3210 ATTN: Acct Payable P.O. Box 650205 Dallas, TX 752135-0205 Include the following information on invoicos to expedite the payment process: 1, Agroomant 2. Task Request Number 3. Job Location 4. Contract Coordinator's; Noma 6. Project Namo 6. Cost Center LIST OF ATTACHMENTS: COMPANY and CONTRACTOR agree that the following downtrod attachments, if any, are incorporated, ne:rein. In Jrrir anikely as :1 fully and completely rawdlten herein 2. 3. CONTRACT R EREBY ACKNOWLEDGES ACCEPTANCE THIS TASK REQUEST IS ISSUED ON BEHALF OF COMPANY OF THIS T K ECU (FINAL APPROVAL 1 A ORIZA t7N) dy:®.®._._. By: Name: David Ezzeil Namn: John Nekuza Title: VP, NOT Operations Tilln: Construction Analyst Date. 1013/2014 —� Date: Distribution: Contrelctar, Contract Coordinator (Orf lnaf), Corporafo Procurement (w/o attach) —� Farm Data: 5.10-2013 DESERT NDT c2 A SPAWCON(:W: Hy Invoice Desert NDT, LLC Date 3/7/2015 PO Box 13988 Odessa, TX 79768 Invoice # 224828 Ph: (580) 225-2108 billing@desertndt,com Terms Net 30 Please Remit Payment To: Due Date 4/6/2015 3172 Momentum Place Site Location Coppell, TX Chicago, IL 60689-5331 Lead Tech 211 Betts, William R Customer PO # Customer AFE # 180.27016 BIIITo Well Name Prologis Task: N-15-0087 Atmos Energy Corporation Other Billing Info FCC: Marty Kirby PO Box 650205 Dallas TX 75265-0205 3/7/2015 Ticket #RT11594 24" Weld Charge 2 12.25 ` 24.50 Total $24.50 DESERT NJDT Rad`graphic Testi ty IV Ff Safely • Anality • Scryg ico - wwW.dDserrndt•Gom Date: — "`--- ----" -- ' "�"—_.__.__-_...._......_ 7 / .._.-_...._.--.__-.-..._........ __.__.._.._...____..._.__.w.. ..----._...- ,.. ,. • _1N;:Q. t ... , . �iL�iNi� JNFC3�31+iA'i'3C�N: ...: , .._–Costo ger. -.---.._—_._._----_..____ ..__._.__ _..._.. AEE:__._ _.__..,�.__._--__.__..._.__._._._.._..___.__...__._.v__..-._____ E_Contrac_tor,_rC!<c//C� PO Number:�"C. / Address; Work Order: City, State, CIP; Job Number: f"O%- —F----------_----- __._ Job Location: Misc.: Requesl,or Name:Cocle: /rp PhonE Number' �,/ » Region Code:© [: Branc. Location; qr2 /7 :: r... IIVT(filrFf;; ;:: �.'�. •� r 'YE". _ _..I .._, �__ �.,:.,'":__ -` _._. . f1Y:.'�.'.: � . ..LOCf:. ...•[,'•NAL3.: I:. PIP�c i:... .. a �. t�- -� 8•ffAYNO;,..� ,-.'- f.: LrJCA710Fft,.� ... 4t/lr(£.., .-,.... - f.:.�.� ''.-_ �•_E...: .', :"-:i::-i�.� :` .: .. �. . Sili(V1;'�� i Nd ��•'- h � _ � L-.SUURC6:'�_.:aYCM1'Y:.•"�.. ..:: i;.-. i. �: ftF,MfiRKS ,.• cXF. ,( ...,::;::... TrJ ia•. r. .`i 3 ❑ ❑ s El El [I El- - - -- - -- --._ El El El El 10 1... 14 ❑ ❑ is El 16 ❑ ❑ T_..- __-..__..0 El 18 © ❑ 20 .—_._ _ _..._.._.__ ❑ ❑ 21 ❑ ❑ 22 0- El 1-1 s- --- - -- --...---_ _ o --- - -- - _ _ - ._ _ -- __— - - ------ -- __ -- - -- -- -.Jy_-�'Lb�A'f[�JN:.;:"-•� Now Construction ❑Maintenance ❑ Station Pin�line I.I'. I11API(-JUAIE PINETItATION S.P. SPIICkICAL POROSITY R.S. RIrjVT OF WAY SIDE. - Y I•P.D. INADEOUATE PEN FIbYHOn :.I'. (Lt)St£R PUhUS)IY U.S. PITCH 51111' -----------------------------------•••------ •----------------_--... ____-__. Dt1F7o111G1VIFY P.P. 1MLOiPOEASD'f I TOP STOta: ��ry+ SSO FiirY}; J WL•`ICiR cement: I.C. VJ(Inco pLF; NCA`flD' R.R. CRACXS'/ REAM It. RntT(HA a A J 1// ir'•� � % �,II 1.F. INCORlPtTTf7U51(IN i.R- [kA(K5 t-q, fUP(ilN.IffElt 1•FXA- IfJCOh1PlETE Ft151071 UVL i0 A.O. ALCIRAIIALJDN of R.O. AotTUtl QUAkTfR_...-._.__............._....._...... ....._..._ ..-._.....__. _.._. .,-_.._..--... __—_— COLD IAP I»SODtIUtlIIDIES I'ochnici Ure: I.IJ. INTEIVtAL DN RCurT �. 1.5.1. ISotATCP StnG RfCf I;IUSIO... O.U.f1VT5111'11DUER[U! . r USfOfJi P,H, I'Itt110EE ELV11CA7EO SIAG tt.......--^.........N..^^_.__.............._..___.._._____.____._.._L_.......... ._.__.... ........ _..,.._.. li g_NOTJCF, :. :'; :.'.;i.:._:::` Technician Pri�rlted Name: Le Thc-boy ve_._ _ ,c tlruporl and any repre5ent5 tconsullatlon"iYi131 the nratonu•r reP:esnnlatFro nr uuHr¢Inr reganliny, the cavAs of s 1 the IAspecu)), ile. out) Inith upinlun of te lechnictan nssl'ne(t to Tito 5"01"t.CUSto,nl'rrVees vtith W - Ole resuks of tl)g inspec ttnn pod cnnliuns that 18C personnel UI IJe5ef1 NOT. LLC ("Ilesurt") h)ve petfonned their-""""""'""'"-r" ""'�'""""'"'-"'— `--��+"-t/-'• -•- — _-_--..__--._.___.... .._-.._ -__, s^rvlces ill-"ofJmxe vntb the custunuls specifications of the relevant codes and staudarcls and the scope of Assistant: Printed me: Level: the inspection. De5cr1 155nn)VS no hrdher t esponsibility for the o)dinLtrapbs and/or cv,to ne" repro ls. by sgpvrtum hplUvt, verifies time and nmlerial in vrhnte and that the proicct l0i.atlon was lot dan+aged b'! personnel ,.L_•V pn!qu4unent RnU m^s felt in satl5f:)ciorY cmldlomu l, nless othcn'rlsc norod. DESERT DISCLAIMS ALL - - ...5✓ L---'--'-""-'---"--'--`-'-- WARRANTIES,EXPRESSORIMPLIED,INCLUDINGT11051E OF MERCHANTABILITY,FINESSFORANYPARTICULAR Totai Hours:Per Diem: ✓j No. of Personnel' i PURPOSE AND WORKMANLIKE QUALITY AS TO ANY ITEM, MATERIAL OR PRODUCT PROVIDED, INSPECTCOOR TESTED OR THE SERVECLS PROVIDED IN CUNNECTiON WJTN THE INSPECTION. In no event shall Descry% tiahflily,-""T""-""'u•_-. _...-. ___.__.._.____..—. .___- _ __ - - No. of Welds: / Film Ctuantit • ) Miles: r,ilh rrpcu to items insprcled (htciuding allyIlabdity Penalniur to Lha scone of ihcinspec Linn and/or the revdts i I y' i .^ Of the insp,^^.coon) aacen<I the charfin of Desert fur the in :pectlun. _-__-__--__-__--_-____-_______•.__.____......_....--._.---_.. Agreed and Accepted:Date: A ' d Name: Phone No.: TASK REQUEST Contractor: Master Services AgreementNw -- Task Roq No: Desert NDT, I -LC. ISA1204004 N-15.00137 W Upon receipt of this Task Reryuest, CONTRACTOR is harehy aulhnfived to perform the Work identf:ed heroin on behalf of COMPANY pursuant to the terms and Londitions contained irs the above referenced AgroomenL , SCOPE OF WORK: The Work will be performed in accordance with the drawings, spocificalions, and instnicitons, if any, aliachod herato and Identified in the Lk t of Attachments set forlh below, and will be scheduled as required Through the direction of COMPANY's Contract Coordinator as idenlihed herein, (Use additional pages if more space is necessary) Project I.D. or Work No,: Atmos Contract Coordinator: Phone No,: John Nakuza 214426-7052 Project Name; X-ray Services at Atmos Energy's Request CONTRACTOR'S COST SUMMARY: TOTAL IS (J One) 1 FIRM I ESTIMATE Work Hours _ Labor ($) Rate Sheet Material ($) Other ($) SCHEDULE - The Work will begin by TOTAL ($): i -Oct -14 and be completed by Rate Sheet 30 -Sep -15 NOTE: Invoices may be sent in one of the following ways: (Email preferred) 1. Email: aceountspayable@atmosenergy.coin 3. Mail: Atmos Energy Corporation 2, Fax: 214 550-3210 ATTN: Acet Payable P.O. Box 650205 Dallas, TX 75265-0205 Include the following information on Invoices to expedite tho payment process: 1. Agroomonl 2. Task Roquost Number 3. Job Location 4, Contract Coordlnnlor's Name 5. Projoet Name 6, Cost Center LIST OF ATTACHMENTS: COMPANY and CONTRACTOR aUrre Ural the follawin6 described attachfnenfa, it any, aro Incotporatod, heraln. In Iholr entirely as if fully and earnpialely rewfilton herein" 2. CONTRACT R EREI3YACKNOWLEDGES ACCEPTANCE OF THIS T SK EQU By: Name: David EzzeEl Tille; VP, NOT.Operations Dale: 10/3/2014 THIS TASK REQUEST IS ISSUED ON BEHALF OF COMPANY (FINAL APPROVAL / A T IORIZ%ON) Ry; _ Cs Name: John Nrakuza Tlllc.; Conslruction Analyst _ Date: t)lstrlbut/on; Contractor, Contract Coordlnatot' (Orlglnnl), Corportrto Nrvctrrernatlt (w/o Aitnch) Form Dale: 5-10.2013 TDW SERVICES, INC. OD*V A subsidiary of -D. Williamson, Inc. 1444 N Cockrell Hill Road Suite 105 Dallas, TX 75211 Phone: 214-467-8113 Fax; 214-467-8728 TOLL FREE: (800) 828-1988 ATMOS ENERGY - 1025062 PO BOX 650205 DALLAS, TX 75265 Attn: A.P. C28 Visit our web site at wvwvw.tdwiliiamson.com ATMOS ENERGY 1400 PATTON PLACE CARROLTON, TX 75006 ' S-�,�'t -. i"'�'i r" _..�'-=moi INVOICE:JC183751. Please Reinit to: Invoice Date: 1/6/15 TDW SERVICES, INC, doll Number: 612-1412-035 FLANGE ASSY, 4"-600 RF L -O -R D Terms: Net 30 Days PO Box 972118 Customer PO: 180.23315 Dallas, TX 75397-2118 Customer Agent: 0098 Visit our web site at wvwvw.tdwiliiamson.com ATMOS ENERGY 1400 PATTON PLACE CARROLTON, TX 75006 ' S-�,�'t -. i"'�'i r" _..�'-=moi \y s f��s.S-a ✓s?..-. _. C 'J�r�-'�� ��Vj } r..� �..- `2�-`• 06-6423-0460-00 FLANGE ASSY, 4"-600 RF L -O -R D 2 2,026.16 4,052.32 -79 06-6423-0660-00 FLANGE ASSY, 6"-600 RF L -0 -RD 1 3,122.66 3,122.66 -79 06-8041-0460-00 KIT, BLIND FLG 4"-600 RF W/STU 2 134.00 268.00 DS,NUTS GASKETS MTR'S REQ'D 06-8041-0660-00 KIT, BLIND FLG 6"-600# RF W/ST 1 293.00 293.00 UDS,NUTS GASKETS MTR'S REQ`D 07-0312-0000-00 PLUG, 4" L -0-R 2 454.94 909.88 07-1265-0000-00 PLUG, 6" L -O -R (D-89) 1 632.10 632.10 Marty Kirby 469-261-2141 PO# 180.23315 r e4' t 5 m Products: $9,277.96 Services: $0.00 Miscellaneous: $0.00 Tax Amount for XOOOX: $4.00 Freight Amount: $250.00 Total Tnvoicc: $9,527.96 INTEREST ON PAST DUE ACCOUNTS: 1. THERE IS A FINANCE CHARGE OF 1.5% PER MONTH (ANNUAL PERCENTAGE RATE, 18%) ON UNPAID TNYOICES wYIRCH ARL+ MORE THAN 30 DAYS OLD. THE 1.5% FINANCE CHARGE IS CHARGED BEGINNrNG WITH THE 31ST DAY FROM BILLING DATE, THEN AN ADDITIONAL 1.5% ON FHLST DAY OF EACH SUCCEEDING 30 DAY PERIOD THEREAFTER, INCLUDING ALL UNPAID FINANCE CHARGES. 2. THIS AGREENIENT SHALL BE GOwEMNED BY LAWS OF THE STATE OF OICLAHOnIA. INTEREST CHARGED ON ALL PAST DUE ACCOUNTS. NOT RETURNABLE FOR CREDIT WITHOUT PRIOR PERMISSION, T/J INSPECTION, INC. 6600 S. Sooner Rd Oklahoma City, OK 73135 405 -205 -2760 -Office Atmos Energy Corporation Attn: Accounts Payable/ Cost Center 4124 P.O. Box 650205 Dallas, Tx 75265-0205 Project Manager Bobby Chandler job Name = ologis Park �- Work Order # 1180.27016 C30 Date 3/16/2015 Invoice # A9226 i/J WSPECTION, INC. Payments/Credits 0.00 vickie.allen@tjinspection.net 405-285-2760 tjinspection,net 405-285-2793 Balance Due $4,248.00 Timesheet /J INSPECTION. I a 910 NW 139th Street Parkway Edmond, ®K 73013 Ph: 405-285-2760 Fax: 405-285-2793 Email: timesheets@tjinspectian.com Date: 3/15/2015 Employee's Name: Josh Mathews Client Company: ATMOS ene Classification: Other Job Location Coppell, Tx. County: Dallas State: Tx. Date Miles Job Name AFEIWork Order NuMber PO Number Daily Task 3/9/15 200 Prolo is Park 180.27016 D,E,V 3/10/15 200 Prolo is Park 180.27016 D,E,V 3111/15 200 1 Prolo is Park 180.27016 D,E,V 3/12115 200 Prolo is Park 180.27016 D,E,V 3/13/15 200 Prolo is Park 180.27016 D,E,V 3/14/15 200 Prolo is Park 180.27016 D,E,V 3/15/15 200 1 Prolo is Park Per Diem D,E,V Job Description: Line W (24") Line Relocate Please check how you would like your paycheck sent: Direct Deposit Job Start Date: 11/10/14 Job End Date: Work Codes ntra%st OC.oJt/inti /`l4it0- -rdev7' CoEmployee's Signature: a p� .Y.... pp........... 6 Days 1 oty 6uw) spment (WASj: city Meter Sets $totlanlnstallation,;:::::' :.: I -Station Installation `" •:; :' v 1 = _ ! llo 01-15- ME,, energy, `BASK REQUEST Contractor: Master Se'rvfges Agreametit No; Taelt Req Ndt T/J Inspection, inc. SAO13 03006 N-15.0046 Upon recefp(of Mis Task Request, CONTACTOR is hereby authorized to pbrfotm the Work fdentf(ed herein on behalf of COMPANY pursuant to the terms and conditions coplafned in the above referenced Agre6616n(. SCQPR oP WOPI<: The Work %vfil be performed In accordance w((h the draviings, speclffcalions, and l6structfons, If any, attached hereto and identified in the List of Allacbment$ set forth below, and will be scfieduted as required through the direction of CQMPANY's Contract Coordirialor as fdantlfied herein: (Use addl(Ional pages if more space.is necessary) Project 1,17, or Work No.: Atmos Contract Coordinator: Phone Nd,i John Nekuza 294.428-7052 CONTRACTOR'S COST SUMMARY: TQTAL "15 f4 orae) FIRM F- 88iifVIA`p1= Work Hours Labor ($) R840 Sheet, ... Material ($). , . Other ($) TOTAL ($): Rate Sheet SCHi=DULE - Tho Work will begin by 9-0c(i14 and be completed by 3Q -Sed -1 ti NOTE: Invoices may be sent In one of the following ways; (Email preferred) 1. email; accolintspayable@atntosanerg yxpm 3, Mall: Atmos Energy OQrpOratlon 2. Fax: 2145-50-3216 ATTN: Acct Payabie P,O, Dox 850205 Dallas, 7.X75265-0205 )nc(tacEe the fo)14wing Information on irtvotce_s to expedite the payment.pr6l;66s: 1. Agreernenl 2, Taste Request Number 3, dot? 1,.9cal(on 4i C9p1r6gt Cgordirtalgr's Name 5. project Name 6, Coed Centgr LIST Or ATTACHfpSENTSI COJd1PAf�Yand CQNTRAQTQR agree that the (ollq%%ing described allachmenis, If any, aro fncorporaled,_ herein, In their entirety as if fully and completefy rewritten herein: 1. 2. CONTRACTOR 1411013Y_ACKNOWLIERGES ACCE!'TANCE THIS TASK ReaUr:ST Is IS$UE17 ON BEHALF OP COMPANY OF THIP T tE.Ql1)=$T: (FINAL APPROVAL �AUTHo I TION] By; $y . iJame; Narne; 46hiil3ef�u,�a. Title:.- Tide: Conslruclf n Analyst Date: Date:. pisfrlbutftinr Contractor, G9ptract G9.4tillna(or fOrlgirial), Corporate Proouremvht (WQ% Atfaph) Form Date: 640-2013 T/J INSPECTION, INC. 6600 S. Sooner Rd Oklahoma City, OK 73135 405 -285 -2760 -Office [1 -1 - Atmos Energy Corporation Attn: Accounts Payable/ Cost Center 4124 P.O. Box 650205 Dallas, Tx 75265-0205 Project Manager Sobby Chandler/ dab Name Prologis Park Work Order # 1180.27016/— C31 Date 3/23/2015 Invoice # A9237 TIJ INSPECTION, XNC Payments/Credits $0.00 vickie,alien@tjinspection.net 405-285-2760 tj inspection. net 405-285-2793 Balance Due $4,248.00 I Timesheet TIJ INSPECTION. Date: 3/22/2015 Employee's Name: Josh Mathews Invoice # _1 Client Company: ATMOS energy Classification: Other Job Location Coppell, Tx, County: Dallas State: Tx. Date Miles Job Name AFE/WorkOrder PO Number Daily Task 3/16/15 200 Prolo is Park 180.27016 M Leak Survey, D,E,V 3/17/15 200 Prolo is Park 180.27016 O..ReUremenis .,. •,', ' D,E,V 3/18/15 200 1 Prolo is Park 180.27016 Q Measuring Station Installation D,E,V 3/19/15 200 Prolo is Park 180.27016 S. Potholing D,E,V 3/20/15 200 Prolo is Park 180.27016 U.:X.Ray.Services,::':': D,E,V 3/21/15 200 Prolo is Park 180.27016 D,E,V 3/22/15 200 Prolo is Park Per Diem D,E,V Job Description: Job Start Date: 11/10/14 Job End Date: Line W (24") Line Relocate Please check how you would like your paycheck sent: Direct Deposit Joih-matfi-ewof Employee's Signature: �y I c&v d,%,L+m .6ohky _GgawdXer Contract'O.oiriany. Approval.':.: Work Codes A,_Leak RepairMalns K NewDevelopment(WAS).. 13.1,'akRepairsServices..:::::... L;3arge.CapacifyhleterSets.;:;' ....,`.: C. Leak Repairs Above Ground M Leak Survey, D. InstalLNewServices '' ::' ; '` N. Fabrication _:; :' .': E. -Relocation P.rojecls : ..':'.: `- .: O..ReUremenis .,. •,', ' F.AC)wClearing.:'.''.`.;` :':.`:. ..: ...'.'. P.'Painting.:.'.:. G. Integrity Work .. Q Measuring Station Installation District Reg _Station installation.:.:.. 1. Steel Service Line Repl Project .' .. S. Potholing J. Compression Work U.:X.Ray.Services,::':': V..New:Flpellnelnstajlalio_n..` .�•. "r :.�, ..' : 1a1C......... lli.... M..L1....4 .. -' .6ohky _GgawdXer Contract'O.oiriany. Approval.':.: �t=$n F C 0 - energy TASK REQUEST Contractor: Master Services Agreetnerit No: Task Req No: T/J Inspection, Inc. SAOB-030(]ti N-15-4049 Upon receipt of this Task Requesl, CONTRACTOR Is hereby authorized to pbrfoiot the Work Idenffled herein on behalf of COMPANY pursuant to the terms and condlflons contained In the above referenced Agreement. SCOPE OF WORK: The Work will be performed in adcordance with the drawings, speclffoatinns, and instructions, if any, attached hereto and Identified in the List of Attachments set forth below, and will be scheduled as required through the direction of COMPANY's Contract Coordinator as tdentined herein: (Use additional pages if more space.ls neces$ary) Project I.D. or Work No.: Atmos Contract Coordinator; Phorie No.: John Nekuza 214-426-7052 Project Name.: project inspection at Atmos Energy's Request CONTRACTOR'S COST StittnNiArZY: TOTAL I a td Otte) I r FIRM r ESTIMATE Work Hours Labor ($j Rate Sheet_ __ Materlal ($)... Other ($} TOTAL ($): Rate Sheet SCHEDULE - The Wo,* twill begin fiy 1-061:=14 and be cornpleta. 6y 3t)-SeP-15 NOTE: Invoices may be sent In ope of the following ways: (Email prefefred) 1..Email; ac"cauntspayable@afniosenergy.com 3. Mail: Atmos Energy Corporation 2. Fax: 214 550-3210 ATTN: Acct Payable R,Q. Box 650205 Dallas, TX 75265.0205 lnc�ude the following information on Invbices to expedite the payment, process: 1. Agreement 2; Task Reguest:Number 3. Jab 1 opaflon 4, Contract Coordlnator's Name b. Project Name 6, Cast Center HST OF ATTACHMENTS; COMPANYand CONTRA¢TOR agree #het the fallowtng described allachmenls, if any, are lncorporoled.,. hereto, in their entirely es If fully and complelely rewritten herein: 1. 2, 3. CONTRACTOR HEREBY ACKNODULEDGES ACCEPTANCE THIS TASK REQUEST IS IStUEd ON BEHALF r7F COMPANY OF THIS Tiff t2E.QUEST: (FINAL APPROVAL IAUTHD I TION) By; By; Name:Nar* John Nekuza Tilie: _. T111e: Construction Anplysl - Date:Y9114 Distribution: Contractor, Contract Coordinator (Origlna!), Corporate Procuremenf fw/o'Aftachj Form Date: 5-10-2013 T/J INSPECTION, INC, 6600 S. Sooner Rd Oklahoma City, OK 73135 405 -285 -2760 -Off i.ce ALI �j Atmos Energy Corporation Attn: Accounts Payable/ Cost Center 4124 P.O. Box 650205 Dallas, Tx 75265-0205 C32 Date 12/15/2014 Invoice # A8943 Project Manager[Bobby Chandler. ljob Name Prologis Park Work Order # 180.27016 X --------- ---- ----- ------- Price Amount Ql;Y - ------ DescrIptlon - --------- Atmos Day2!8rl��hru 1 13114 -Josh Mathews," j 6 1 A' 680.00 4,080.00 Atmos Per D!... :12/14/14 z' 168.00 168.00 Subtotal for Inspector Josh Mathews - $4248.00 — -------- - . ..... -------- Inspector -Josh Mathews Subtotal $4,248.00 Sales Tax (0.0%) $0.00 Total $4,248.00 T/j INSPECTION, INC. Payments /Credits $0.00 vicl<ie.allen@tjinspection.net 405-285-2760 tjinspection.net 405-285-2793 Balance Due $4,248,00 Timesheet TIJ INSPECTION. Date: 12/14/2014 Employee's Name: Josh Mathews fnk 1 nnn+inn I nnnoll Tv Invoice # A9945 Client Company: ATMOS energy _ Classification: Other nntfnfw nnilac State- Tx. Date Miles Job Name AFEMork Order Number PO Number Daily Task 12/8/14 200 Prologis Park 180.27016 D,E,V 12/9/14 200 Prologis Park 180.27016 D,E,V 12/10/14 200 Prologis Park 180.27016 D,E,V 12/11/14 200 Prologis Park 180.27016 D,E,V 12/12/14 200 Prologis Park 18027016 D,E,V 12/13/14 200 Prologis Park 180.27016 D,E,V 12/14/14 200 Prologis Park 180.27016 Per Diem D,E,V Job Description: Line W (24") Line Relocate Please check how you would like your paycheck sent: Direct Deposit �OaSt2 �flt'�28Z4`'eS' Employee's Signature: Jab Start Date: 11/10/14 Job End Date: B. Leak Repairs Services C. Leak Repairs Above Ground D. Install NOWServlces E. Relocation Projects F. ROW Clearing S. Integrity Work H. Paving I. Steel Service Line Repi Project J. Comoression Work N Work Codes L. Large Capacity Meter Sets M. Leak Survey N. Fabrication O. Retirements P. Painting Q. Measuring station Installation R. District Reg Stott on Installation S. Potholing T. Cathodic Protection UJ X Ray Services V. New Pipeline Installation Zokh- � Himmler• Contract Company Approval eve - energy TASK REQUEST Contractor: Master 5ervfces Ag'reeinPrit No; Task Req No: T/J Inspection, Inc. ISA08-03006 N-15-6046 Upon receipt of this Task Request, CONTRACTOR is hereby authorized to perform The Work identfed herein on behalf of GOMPANY pdrsuant to the forms and conditions contained in tho above referenced Agreement. SCOPE OF WORK: The Work will be performed in accordance with the drauiings, specifications, and instructions, if any, attached hereto and identified in the List of Attachment$ set forth below, and will be scheduled as required through the direction of COMPANYs Contract Coordinator as identified herein. (Use additional pages if more space is necessary) Project I.D. or Work No.: Atmos Cop.tract Coordinator: Phone No.: John Nekuza 214-426-7052 Project Name; Project Inspection at Atmos Energy's Request CONTRACTOR'S COST SCinfifviAR'r: i vTi,E !S f V One) I r FIRM r ESTIMATE Work Hours Labor $ ` (} ..Rate Sheet_ - Material ($)... ,. Other ($j _... . TOTAL ($): Rate Sheet SCH,;PULE - The Work wifl begin dy 1-Oct=14 and be cornoleted by $o-Seo=15 NOTE: Invoices may be sent In one of the following ways; (Email preferred) Email: accotintspayable@ainiosenergy.cbro 3. Ma" -I i Atmos Energy Corporatlon 2. Fax: 294 550-3210 ATTN: Acct Payable P.O. Box 650205 Pallas, TX 75265-0205 Include the following Information on Invoices to expedite the payment process: 1. Agreement 2. Task Regge$t Number 3, Jab Location 4; Contract CoordlnMdr's Name 5, Project Name 6; Cost Center LIST of ATTACH MptMif COMPANYand CONTRACTOR agree that the following described attachments, If any, are tnc_orporaled,_ herein, in their enaraty as if fully and completely rewrftteri herein: GONTRACTOfi HEkEBYACKNOWLEDGES ACCEPTANCE THIS TASK RECzUnT is i$Stjtb 014 BEHALF OF COMPANY OF THIS T9Sl. REQUEST:• (FINAL APPROVAL 1AU4-F TION) By y BY Name: Name: Johh Nekbza - — Title: Title: Construction Analyst . Date: Dater % ^ Dtsir)bulion: Contractor, Confract,Coordinafor (Orlgfna}), Corporate Procuremenf(w/o Attach) Farm Date: 540-2013 C33 T/J INSPECTION, INC. 6600 S. Sooner Rd Oklahoma City, OK 73135 Date 1/12/2015 405 -285 -2760 -Office Invoice # A9066 r Atmos Energy Corporation Attn: Accounts Payable/ Cost Center 4124 P.O. Box 650205 Dallas, Tx 75265-0205 ljob [Bobby Chandler,, Frologis Park F180.27016 X [Project Manager Name Work order # TIJ ZNSPECTION, INC. Payments/ Credits $0.00 vickie.allen@tjinspection, net 405-285-2760 - tjinspection.net 405-285-2793 Balance Due $4,248-00 T/J INSPECTION. l a 910 NW 139th Street Parkway Edmond, OK 73013 Ph: 405-285-2760 Fax: 405-285-2793 Email: timesheets@tjinspection.com Date: 1/11/2015 Employee's Name: Josh Mathews s Job Location Invoice # M{?LQ Client Company: ATMOS energy Classification: Other Coppell, Tx. I County: Dallas State: Tx. Date Miles Job Name AFE/Work Order NU ber PO Number a - Dally Task 1/5115 200 Prolo is Park ' 180.27016 D,E,V 1/6115 200 Prolo is Park 180.27016 D,E,V 1/7/15 200 Prolo is Park 180.27016 D,E,V 1/8/15 200 Prola is Park 180.27016 D,E,V 119115 200 ProlO is Park 180.27016 D,E,V 1/10115 200 Prolo is Park 180.27016 D,E,V 1/11116 200 Prolo is Park 180.27016 Per Diem D,E,V Job Description: Line W (24") Line Relocate Piease..check.how you would like your paycheck sent: Direct Deposit �as�c/l�Gu�%se's Employee's Signature: Job Start Date: 11/10/14 Job End Date: 6 Days JPWdU-M -0khry `-QremdIej- Contract Cori.- 'an - ":arov-W: z `* Z "-- t rz Of R, g energy TASK REQUEST C actor: Master SeNlObs Agrdom66t No, Task Req Nd; T111711111spectlon, Inc. ISA08-03006 Upon receipt of this Task Request, CONTRACTOR is hereby authorized to piirf&m the Work Iden(fled herein on behalf of 06NIPPAY pursuant to thd (dims and pondiftis coplained In the above referenced Aqre9rhont. SCOPE OF WORK, The Work will bb Performed in accordance wl[h the drawings, spqcIftatlons, anti friptWetionp, If any, attached hereto and ldenuflpd In the List OfAttachments set forth below, and will be scheduled as required through the direction of CQMPANY's Contrac(Goordlne!tor as Identified herein; (Use @0111onal P8988 If more space Is necessary) Project LD, or Worl( No.: Atmos Contract Coordinat9r: Phone Na.; John Nekuza 214.426-700 CONTRACTOR'S COST SUMMARY: TCOO 8 (V Qnq) 1— riRM: f ESTIMATE Work Hours labor ($) Other ($) TOTAL !3* Sheet $CHF=PVLE - The Work Will b6gin by 1,0ptv'14 and be tomolebod I)y NOTE: Invoices may be sent in P.nd of the following ways. (Email pkefeyred) 1. "01, 4p�pq'ntgo.pyabfeOali-fiosenergy.com 3. 191 Minos Eqiergfy tqrpdr4tion 2. F.qx: 214 5$0.3210 $0-32'.1.0 ATTN. Acot.PaypW6 P.O. 13ox 650206 Dallas, TX 75265-0205 tnqWde flio foll9wing information 6n Invoices io 0xpa41'tQ the poytpo;# p*rbcos . i�, 1. Agreement.' ?i TA0.13qqqqst Number 3. Jot ]Lppal(on 41 Cqntraq(QqoydjnAt0r'q Nkmq 6., Project NaPnp Q, qppt Center LIST Or ATTACHMENTS{. qQ . h4PA.NYa0.GQNTRA0TQRqgcae %al the iollowing.de. sGrlbad @ttachrnenls. if any. Arq Inqqrporaled..-hekrelm. In their entirely as V (01Y and c.ornpletely.rpyi.dtie'ii'herelh: 1f - 2, 3. CON` q4CTO,k'H1=kE'BYACRNOWL:EDG�,§ AC60UNCE THIS TASK REOUEST IS 18VUE6 ON. 13t HALF OP COMPANY OFTHI$:-T IRNUPT (FINAL APPROVAL 1 AUI VO) 0 &N B AVA JAIName; John [�tekirza Date: ' 4 Form Date: 646-2013 A 1J INSPECTION, INC. 6600 So Sooner Rd Oklahoma City, OK 73135 405 -285-2760-Office Atmos Energy Corporation Attn: Accounts Payable/ Cost Center 4124 P.O. Box 650205 Dallas, Tx 75265-0205 Project Manager Bobby Chandler Job Name Prologis Park Work Order # 180.27016 Atmos Day R... 112122 to 12/27/2014 - Josh Mathews Atmos Per Di,.. ,1212812014 In VO4 c A- wrwfo 4 f (� U. db C34 ,. Date 12/29/2014 Invoice # A8999 8'j 680.001 4,08"01 � GG. CA. 1 J 168.00 168.00 J Subtotal $4,248.00 Sales Tax (0.0%) $0.00 Total $4,248.00 TIJ VSPFCTXON, rroc. Payments/ Credits $0.00 vickie.allen@tjinspection.net 405-285-2760 tjinspection.net 405285-2793 Balance Due $4,248.00 "imesheet TIJ INSPECTION INC. 910 NW 139th Street Parkway Edmond, ®K 73013 Ph: 405-235-2760 Fax: 405-285-2793 Email: timesheets@tjinspection.com Date: 12/28/2014 Client Company: ATMOS e Employee's Name: Josh Mathews Classification: Other Job Location Coppell, Tx. County: Dallas State: Tx. Date Miles Jab Name AFE/Work Order blurnber PO Number Dally Task 12/22/14 200 Prolo is Park 180.27016 D,E,V 12/23/14 200 Prolo is Park 180.27016 D,E,V 12/24/14 200 Prolo is Park 180.27016 D,E,V 12/25/14 200 Prolo is Park 180.27016 D,E,V 12/26/14 200 Prolo is Park 180.27016 D,E,V 12/27/14 200 Prolo is Park 180.27016 D,E,V 12/28/14 200 Prolo is Park 180.27016 Per Diem D,E,V Job Description: Line W (24") Line Relocate Please check how you would like your paycheck sent: Direct Deposit osfi e�RV Employee's Signature: Job Start Date: (11/10/14 Job End Date: 6 Days. oli,G�%rmtrCfer Contract Conparzy„Approval SRI ?h energy. TASK KCIUM. Contractor: Mastet Services Agreetner t blot Task Req Ndd T/J lnsoecllon. Inc. iSA08-03006 N-16•6049 . Upon recelpt of this Task A# quest, CONTRACTOk Is hereby authorized (o pbrWrn the Work fdenthed hereln on behalf of COMPANY PUrsuaril to tha tdrm's and condltlgns.corltalned In 1.h$ above referenced Agreement. SCQPF- OF WORK,, The Work wfll bb Performed (n atebrilance v{ith the dravrin&, specf((catlons, and instruo(lons, If any, atlached hereto and 1denflnod fn the Ust of Alfachmenls set forth below, and will ba scheduled as required through the dfrectlon of CQMPANY's Contract Coordfrrafor as (dentlgQd hereln: (Use ndditlonal pages if more spaoe Is necessary) Project I. D, or Work No.: Atmos Contract Coordinator: Phone No.: John Nekuza 214-426-7052 CONTRACTOR'S COST SUMMARY: TOTAL IS (4 Quo) F FIRM I— IWIMAT1✓ Work Hours Labor ($] - ..Rats Sheet. _ . , Material' O... Other (v) .. ............_.... TOTAL, Rate Shoot SCH9PVLE - The Work 01ij bd& 63 1=6ctv14 arjd be 0omPjela� by 30-SOJ)A1 NOTE: Invoices may 0e sen.t In q.06.6.f the following ways; email preferred) 1. 1=mail; apcot —94. dyable@atrri,osenergy.06ffl 3, Mallf Atmos I_nbr'y CRrlSoratton 2. Fax: 214 6 -di) -8210 AT -T!4: Acet Payable P.Q. Box s6o206 Dallas, TX 75265.0205 incltatle the follq.Wirtg Informa#ion on lnVbIq s is expedito the payrnoilt_orc)cess: j, AgreamenE 2. TPP fcReyuestNumber 3. Jo� Location 4; Cgntraet Coordinator's Narrie 5, project Name 6: Cost Center :IST OFATTACHfAEO.TSl CQMRANY and CDNTRAQTQR agree That the foltowfng described agachmertis, If eny, are Incorporated, hereln, fp ihelr er¢lrety res 1f ruily and completely revrrilleri hereln: 1, 2. CONTRACTOR NEREgYACKNOWLEDOES ACCEI77'ANCE THIS YAW Rr:CQUES7' gi',I lkElb 0013�HALF OP COMPANY orTHIl f ttEQ0ES,T: 4FINALAPPROVAL/ AUTHO I TION dame;IT Narita, _Jc?1}iiNekgza T106.. ;. - — 7(Ue: (;onstruc(fon An I �.a.ys t . 7 -- dorm Date: 6=10-2013 i1J INSPECTION, INC. 6600 S. Sooner Rd Oklahoma City, OK 73135 405m285®2760 -Office MAINE� Atmos Energy Corporation Attn: Accounts Payable/ Cost Center 4124 P.O. Box 650205 Dallas, Tx 75265-0205 Project Manager Bobby Chandler Job Name Proiogis Line W ' Work order # i 80.27016/ C35 /I P/ ic�7� Svt,{" � i 4 s Date 11/17/2014 Invoice # A8802 �-';. YFx -z x';, F-' �,��s'. :;�� '�.; y,`a£" �-'� �z.���^.. MIRT -z �. �::,..�';.1•�`�� . ����-+_- �-��.,. ��i. �_� �.--��'�_"'---.�'='; rte'`.-�, r3 -- s�x:.''': -� _t '�`' _ >. a- -�-..�+.�.� ��" . s:. �'. �?Y�.a:-n.�,_,:� Atmos Day R... 1111 to 11/15/2014 6 680.00 4,080.00 Atmos Per Di... 11/16/2014/ 1 168.06 168.00 - -- Subtotal $4,248.00 Sales Tax (0.0%) $0.00 Total $4,248.00 T/J INSPECTION, INC. Payments/Credits $0.00 vickie.allen@tjinspection.net 405-285-2760 tjlnspectlon.net 405-285-2793 Balance Due $4,248.00 Timesheet Invoice # MOIL TIJ INSPECTION HV 910 NW 139th Street Parkway Edmond, OK 73013 Ph: 405-28542760 Fax: 405-285-2793 Email: timesheets@tjinspection.com Date., 11/16/2014 Client Company, ATMOS energy Employee's Name: Josh Mathews Classification: Other Job Location Coppell, Tx. , County: Dallas State: Tx. Date P.O.-N m al y,as 11110114 200 Prologis Line W 180,27016 D,E,V 11/11/14 200 Prologis Line W 181.27016 D,E,V 11/12/14 200_ Progolis Line W 182,27016 D,E,V 11/13/14 200 Prologis Line W 183.27016 D,E,V 11/14/14 200 Prologis Line W 184,27016 D,E,V 11116/14 200 ProI66!s Line W 185,27016 D,E,V 11/16/14 200 1 Prolo*cils Line W 186.27016 PerDiemD,E,V Job Description: Freeport Pkwy 8& SH. 121 (24") Line Please check how you would [Ike your paycheck sent: Direct Deposit Employee's Signature; Job Start Date: 11/10114 Job End Date: 6 Day. 1 V' dvkm K_1 va' entergy. TASK REQUEST 'Contractor: PAaster SeNIl 6s Agroarn t No: Tilsit Rdq Nd: T/J fnspecllon, Inc. SA08-03006 N-15.0049 Updn recelpt of this Task Request, CONTRAdTOR Is hereby authorized to perUrn the Work Identiied herein on behalf of COMPANY pdrsuarit to the farms and conditions coptalned In IhQ above referenced Agre6mant. SCOPE OF WORK: The Work wQl be performed In accordance with the drawings, specillcations, and instruopons, If any, attached hereto and Idenlilled In the List of Attachments set forth below, and %vill be scheduled as required through the direction of COMPANY's Contract Coordinator as Identified herein, (Use addillona) pages'lf more space Is necessary) Project I.D. or Work No,: Atmos Contract Coordinator: Phone Nb.: John Wit= 214-426-7052 CONT RAC;TUR'S.005T-SUMMARY:. .TATAWP (Voile)iT; f;ffZl� Es fMAYE::. f . Work Hours Labor ($? Rato.Sfi.eet.... Materlaf ($3 TOTAL.($} Rate. Sheet $CHHDULE The. Work 0. begin.by 1-oct-14.. aril be.0mpleledby all-Sep=15 NOTE: Involcos.may be sent In. end 0 the following ways: (Ercall pref+ _i'red) . 1. l±tnall; acaountst?ayable@afniosenergy.cotii 3, Mail' Atmos Hnergy.orporatlon 2. Fax: ,2.14 0-007 21 t) AT7 N Acct Payalite P.Qt'QoIC 650205 Galias, TX 752'6 205 Inolode th:e fof-IgWing Wormatfon on involees fo expe..410 the p' yj�ont prbcess:i I. Agreement 2> Task R@gyest Number 3. Job Logatlon 4; Cpnlrabt Coordlpgt4.r's Name 6, project Name 6, Cost Center LIST Of A7TACHMENTSfCOMPANY and CONTRACTOR agree that lhe.follet4g described ellachrnents, If any, arQ inr4rporaleil, herelo,.ln ihetrentirely es If fully end completely rewritten herelo: 1, 2, 3. CONIRACTOR,HEREBYACI<NOWLEDOPS ACCEPTANCE THIS TAW REQUrsT is IS -61 81) ON BEHALF OF COMPANY OF THi$ T f ttE.QUfiST: (FINAL APPROVAL- I AUTHO Jz TION) gy; 41rJ 8y: Mame; ` blame; John NbkOza _ Title:.. TIlle: l✓onsUucUon Anaiyst Date: _ Date: ...... �7ZZ --. Dfstrlbuflon: Contractor, Confrac(Cooldirrafor (Original}, Corporate Procurerrrerrt (sy/C� Attach} Form Date: 5;10-2013 IJ INSPECTION, INC. 6600 S. Sooner Rd Oklahoma City, OK 73135 405 -285 -2760 -Office Atmos Energy Corporation Attn: Accounts Payable/ Cost Center 4124 PA. Box 650205 Dallas, Tx 75265-0205 Project Manager Bobby Chandler Jab Name Prologis Park E180.27016 Work Order # C36 Date 12/31/2014 Invoice # A9026 T1.7 INSPECTION, INC. Payments/Credits $0.00 vickie.allen@tjInspection, net 405••285-2760 tjinspection.net 405-285-2793 Balance Due $2,040,00 Timesheet TIJ INSPECTION, 1 e 910 NW 139th Street Parkway Edmond, 0K 73013 Ph: 405-28"-2760 Fax: 4.05-285-2793 Email: timesheets@tjinspection.com Invoice # na Date: 12/31/2014 Client Company: ATMOS energy Employee's Name: Josh Mathews Classification: Other Job Location Coppell, Tx, County: Dallas State: Tx, =Date Mlles Job Name AFElWork Order!. . PO Number Daily Task 12/29/14 200 Prolo is Park 180.27016 D,E,V 12/30/14 200 Prolo is Park 1130.27016 D,E,V 12/31/14 200 Prolo is Park 180.27016 D,E,V P Painting . Vork :,; ;: ` Q;•Measuring.Statlon Installation R Ofsgrlcl-Reg Statlon.Installatlon y1ce Line Rept Project ` S;Potholing >slon Work T CathgdEc Protection . " V. New Pipeline Installation Job Description: Line W (24") Line Relocate Please check how you would like your paycheck sent: Direct Deposit Job Start Date: 11/10/14 Job End Date: H.: 3 Days Work Codes pairs Services L [ arge Capaclly_Meter Sets. pairs Ab9Ve Ground - M Legh Survey ew Serylees `i " " " N Fabrication ori -.Projects.;. ::; `.` O Retlreliieills _ ; .' arhig P Painting . Vork :,; ;: ` Q;•Measuring.Statlon Installation R Ofsgrlcl-Reg Statlon.Installatlon y1ce Line Rept Project ` S;Potholing >slon Work T CathgdEc Protection . " V. New Pipeline Installation jw, Survey (Itne staking] ' oil Employee's Signature; Confrac#. om.pany,,�pprovai il-�� C RON energy TASK REQUEST Corifraatar: Master SerVlGss Ayrdohidnt No; Task Req Ndt T/J Inspection no. SAOt3 03006 N-16-0049 Updn receipt of this Task Request, CONTRACTOR is hereby authorized to perfotm the Work ldenthed herein on behalf of COMPANY pursuant to the terms and conditions coptalned in tho abovQ Mforenced Agreement. SCOPE OF WORK The Work will be performed 1n accordQnce with the draMngs, specifications, and instructions, If any, attached hereto and Idenlifidd in the List of AttachmeRia set forth below, and will be scheduled as required lllrough the direction of COMPANY'& Contract Goar&gator as Iden(1110 herein; (Use additional pages If mors space.ls necessary) Project J.D. or Work No.: Atmos Contract Coordinator: Phone No.: John Nekuza 214-426-7062 CONTRACTOR'S COST SUMMARY. TOTAL'15 (V Ofte) = r fRM r ESTIMATE Work Hours Labor ($j Rate.Sfteet.... Material (�). , . Other ($) ..... ....... ...... TOTAL ($): Rate Sheet $CH9PVLR - Thb Work+Nlil begin by 1-Oct:14 anis be completed Iiy 30 Sep=l5 NOTE: Invoices may be sent In olid of the following ways: (Email preferred) I.. lrmalj; Bgdotintspayable@sfrriosenergy.couti 3, M6M Atmos Energy Oorlioration 2. l=ax: 294 $50-32'10. ATTN: Acct Payable P.Q. BoX 650205 Dallas, TX 75265.0205 Include the following Information on Involces to,' eXpedlfe the payment pt•ocess: 1, Agreement 2, Task Rc!ggqpt Number 3. Jots Localfon 4; 6, Project Name 6, Copt Center LIST OF Ai7ACHM IJTS.,r COJ.9P/WY and CONTRA¢TOR agree Thal the tollgwing described attachments, if any, arg Incorporated,_heretn,.Ip lhefr enifrety as If fully and completely rewritten hereln: CONTRACTOR Htk5bY ACRNOWLGDGEs ACdEPT'ANCE THIS TASK RE0Ur=9T is ISSUED ON BEHALF ol= COMPANY OFTHI$ .RVgUMiT; (FINAL APPROVAta/AUTHO I TION) ay; BY: jJanie; Namb; 16hri Nok za Title: _ Thio: 'ConsirueQon Anplyst Date:. Daus:. Dlstrlhufroilr Contractor, Contract Cgq{dlr?afor (Orlr�lnal), corporate Procure>rrenf 6v/o Attach form Dale: 6-10-2013 T/J INSPECTION, INC. 6600 S. Sooner Rd Oklahoma City, OK 73135 405 -285 -2760 -Office Atmos Energy Corporation Attn: Accounts Payable/ Cost Center 4124 P.O. Box 650205 Dallas, Tx 75265-0205 Project Manager Bobby Chandler Job Name Prologis Park Wark Order # 180.27016 _/ Atmos Day R... ;1101 to 1/03/2015 -Josh Mathews Atmos Per Di... 1110412015 IndaiId T/J INSPECTION, INC. vickie.allen@tjinspection.net tjinspection.net 405-285-276 405-285-279 C37 Date 1/5/2015 Invoice #A9040 ( ,a'" 680.00 168.00 Subtotal Sales Tax (0.0%)Total a Payments /Credits 3 Balance Due $2,208.00 $0.00 $2,208.00 $0.00 $2,208.00 Timesheet lJ INSPECTION, INC. 91.0 NW 139th Street Parkway Edmond.. OK 73013 Ph: 405-285-2760 Fax: 405-235-2793 Email: timesheets@tjinspection.com Date: 1/4/2015 Employee's Name: Josh Mathews Job location Invoice # t_t Client Company: ATMOS energy Classification: Other Coppell, Tx. County: Dallas State: Tx. Date Miles Job Name AFElWork Order Number PO Number Daily Task 111115 200 Prolo is Park 180.27016 D. Install New Services D,E,v 112115 200 Prolo is Park 180.27016 F ROW. Clearing :: D,E,V 1/3/15 200 1 Prolo is Park 180.27016 H. Paving . ' ` D,E,V 1/4/15 200 1 Prolo is Park 180.27016 Per Diem D,E,V U. X Ray Services V. New Pipeline installation W. Survey (line staking) �sfl c1U(.cri;�eYys �o6ii� �rcrndler Employee's Signature: Jots Description: Line W (24") Line Relocate Job Start Date: 11/10/14 Job End Date: Gvrr�t�: 1 D�- 3 3 Days Z Ff✓ (� 1 W ax&"l Work Codes tri 0« A. Leak,Repair Mains. IK, New Development (WAS) B. Leak Repairs, Services :' - L. Large Capacity Meter Sets .: C. Leak Repairs Above Ground P11. Leak Survey D. Install New Services N. Fabrication Please check how you would like I-. Relocation Projects.'.' ..'. '. .' o. Retirements ." your paycheck sent: F ROW. Clearing :: P. Painting Direct Deposit l's Intority Work Q. Measuring Station Installation H. Paving . ' ` R. District Reg Station Installation I. Steel Seryice 1-Ine Repl Project , ., . S. Potholing ; J. Compression Work T. Cathodic Protection . U. X Ray Services V. New Pipeline installation W. Survey (line staking) �sfl c1U(.cri;�eYys �o6ii� �rcrndler Employee's Signature: Contract. -Company Approval ce to energy TASK REQUEST Contractor: Master Services Agreement No: Task Req No: T/J Inspection, Inc. ISA08-03006 IN -15-0049 Upon receipt of this Task Request, CONTRACTOR is hereby authorized to perform the Work identfled herein on behalf of COMPANY pursuant to the terms and conditions contained in the above referenced Agreement. SCOPE OF WORK: The Work will be performed In accordance with the drawings, specifications, and instructions, if any, attached hereto and identified in the List of Attachments set forth below, and will be scheduled as required through the direction of COMPANYContract Coordinator as Identified herein. (Use addilional pages if more space is necessary) Project 1.0, or Work No,: Atmos Contract Coordinator: Phone No.: John Nekuza 214-426-7052 Project Name: Project inspection at Atmos Energys Request ltefm N. / 8 / O This as fs for projact Inspection at Almos Energys request for 2015 budget asries rate sheeL A bogy of this task will flWd to accom any your tn'volce to accoUhts payable. / ` • e �/ O s // • Furic/Pro Na- as ID Exp. Type I Exp: Qrg. °% or $ CO CC FERG SdV-Accf. ' Service APea CONTRACTOR'S COST SUMMARY: TOTAL 18 (4 Cine) l r FIRM r ESTIMATE j Work Hours Labor ($) Rate Sheet, , Material ($) . , Other ($) . TOTAL ($): Rate Sheet SCHiaDULE - The Work will begin by 1-001-14 and be completed by 3Q -Sep -1 S NOTE: Invoices may be sent in one of the following ways: (Email preferred) 1.. Email: accountspayable@atmosenergy.corri 1 Math Atmos Energy Corporation 2. Fax: W 550-3216 ATTN: Acct Payable P.O. Box 550205 Dallas, TX 75265-0205 Include the following information on Invoices to expedite the payment process: 1. Agreement 2: Task Request Number 3. Jo4 Location 4; Contract Coordinator's Name S., project Name 6: Cost Center LiST OF ATTACHMENT4, COMPANY and CONTRACTOR agree that the Following described attachments, If any, are incorporated, herein, in lholr erllirely ss If fully and completely rewritten herein: 2, 3, CONTRACTOR HEREBY ACKNOWLEDGES ACCEPTANCE THIS TASK REQUEST is isSUED ON BEHALF OF COMPANY OF THI$ T ( REQUEST:- (FINAL APPROVAL 1 AUTHO 1 TION) By: 14'Y� Name: r Name: Jdhh Nekuza Title: Titre: Construction Analyst Dale' VZ91 44 Date: Distr]butlon: Contractor, t7ontract Coordinator (t7rlglnal), Carparato Procurement k1a Attach) Form Date: 5-10-2013 T/J INSPECTION, INC, 6600 S. Sooner Rd Oklahoma City, ®K 73135 405 -235 -2760 -Office Atmos Energy Corporation Attn: Accounts Payable/ Cost Center 4124 P.O. Box 650205 Dallas, 7x 75265-0205 Project Manager Bobby Chandler job Name Prologis Park Work Order # 180.27016 C38 Date 12/1/2014 Invoice # A8872 T/J rNSPOCTZON, INC. Payments/Credits $0.00 vickie.allen@tjinspection.net 405-285-2760 tjfnspection.net 405-285-2793 Balance Due $3,224.00 Timesheet TIJ INSPECTION --,-INC. 910 NW 139th Street Parkway Edmond,, OK 73013 Ph: 405-285-2760 Fax: 405-285-2793 Email: timesheets@tjinspection.com Invoice # Date: 11/30/2014 Client Company: ATMOS energy Employee's Name: Josh Mathews Classification: Other Job Location Coppell, Tx. County: Dallas State: Tx. Jot) IPTIQn: (24) Line Rebwate Ple.a.i�p..Obpqlk hawyouwould like yo . q . r: . pay . pheck sent; j,f-h-Matrteivv Employee's Signature: Jot) Start Date; 1111U114 Job End Date: .6ohrhy- -G�mdf-er era P. nVA:1-po 'k* -* Order "- Date :i. _.- �,: Miles ...- , .:. 06, a e: uni er----;: P ber. Dal y7ask,::. 11124114 200 Prologis Park 180.27016 D,E,V 11/25/14 200. Prole ls.Park 180.2�.016 D,E,V 1112.0114 ..260.1 r: b." lo'. 16 1 s . P! a- k 180.27016 D,EY 14./27/14 200 . ...... ..... Prolo IsR Wk . ..... .... 180,27016. D,E,V 11/28/14 20'Q::P is D,I;V. 1-1/29/14 -26 1: or 180.2701,0. D,E,V:,: Prologis --P6T'k - 186.2701 6. P.eruem D, E,,V. - 777-77 Jot) IPTIQn: (24) Line Rebwate Ple.a.i�p..Obpqlk hawyouwould like yo . q . r: . pay . pheck sent; j,f-h-Matrteivv Employee's Signature: Jot) Start Date; 1111U114 Job End Date: .6ohrhy- -G�mdf-er era P. nVA:1-po energy, TASK REQUEST Contractor: Master ServlGes Agrcomarit No; IN Task Req Nei i TIJ (ns ecllan, ino SA08-03006 -416-000 J Updn receipt of this Task Request, CONTRACTOR is hereby authorized to perfoim the Work identiied herein on behalf of Cd MPANY pursuarll to the !arms and condiQons conta)nod In I.he abovo referenced Agreement. SCOPE OF WORK: The Work %vill be performed to accordance with the dra4dngs, speclCcations, anil;nsftction§, If any, allached hereto and Idenliiied In the hist of Attacbrnenis set forth below, pnd Wtl be scheduled as required through the direction of COMPAM Contract Coordinaltor as Identified herein: (Use eddiflonal pages if more space is necessary) Project 1,0, or Work No.: Almos Contract Coordinator; Phone No.: John Nekuza 214-426-7052 ProJec#Narne; Project inspectlon.at.Atmos.l*nergysRequest _ CON7RACTG.i `S.COST;SU iyiHi7YC ;:_:. _ OTAV1,91p-Ong) =:: :.:: ::-< iRmtSTWA Work Hourq..' , ....'.......::'. Labor ($) .:Rate.$j :., .::.` :.........::. .. . . `;.;:'DOTAL ($}: Rate Sheet_ SCHpmE.: --:i heWok will �ein,liy 1-Oct=74.: acid be.oit)Pletd DY 3q-Se11-4� NOTE: r"WAR ns`ik .intoe. of;�ta;fa#IQinrliig ways: 4Emaii;�referred) . frenal€, accout8payablai attnosei?efcUy Cirri. $, IVlaill Atmos E.Car nergyporation 2. FaK;:214;550-3.tQ ,ATT,: Ace :;aya. e ;. -• :. - $oX0P205.. .1a6, T}C 7$2$5•t)20$ InGjilde fhe foll9w t g f ormation on inYoice$ t e>spedite the paymeni, pr rc ss: 1, Agreement ? 9aslc jtegye$t Number. 3 Joii'I,Qgai(on -: q; Corttfaat Coordinttrr'.@ N.lne 5, Project Nance s. Cost Center LIST OF ATTAC WhNT$- bPMPARin.d OONXRA¢Tc?Rsgrea ih..at Ihe.tollowing described it a: tf any, s{� incorporated, hereto, fn lftelr egUretya& 1f ftrlfy and compfalefyrewrillgn herein; 2! 3. :..• . CONT RACTQ HEfiE13YAC}CNc_�1lVUE GAS ACCEPTANCE THIS `iAS{CRe(I dESTIS ISSUES ON 13 HALF Or COMPANY OF 7015... ...ft Qt3h$T: (FINAL APPROVALIAUTOO* 1 TION syABAgv} Marne; Narne; J6hfi NU&S Tide* ' Title: Cotisirucllon Anplyst . Date: Date, Dlslr%bul)dil Contractor, ::Conrraci.0.o4rs%/ll col (RX1gJpa1, Corporafe Procu/emehf 06,4166b) corm Dale: 5-10-2013 T/J INSPECTION, INC. 6600 S. Sooner Rd Oklahoma City, OK 73135 405 -285 -2760 -Office Atmos Energy Corporation Attn: Accounts Payable/ Cost Center 4124 P.O. Box 650206 Dallas, Tx 75266-0205 Project Manager FBobby Chandler' IJob Name Prologis Park, lWork Order[L80-27016 Atmos Day R...102/02/15 thru 02/07/15 - Josh Mathews Atmos Per Di... 102108115 - Per Dlern Inspector - Josh Mathew§/ TIJ INSPEMON, INC. vickie.allen@tjinspection.net tj inspection. net 6, 680.00 4,080.00 1 168.00 16,8.00 Subtotal Sales Tax (0.0%) Total 405-285-2760 Payments /Credits 405-285-2793 Balance Due $4,240.00 $0.00 $4,248.00 $9.00 $4,248.00 C39 AV'k-I Date 2/9/2015 Invoice # A9143 6, 680.00 4,080.00 1 168.00 16,8.00 Subtotal Sales Tax (0.0%) Total 405-285-2760 Payments /Credits 405-285-2793 Balance Due $4,240.00 $0.00 $4,248.00 $9.00 $4,248.00 Timesheet IJ INSPECTION. I 'A 910 NW 139th Street Parkway Edmond, OK 73013 Ph: 405-235-2760 Fax: 405-285-2793 Email: timesheets@tjinspection.com Invoice 4 Date: 218/2015 Client Company: ATMOS energy Employee's Name: Josh Mathews Classification: Other Job Location Coppell, Tx. County: Dallas State: Tx. 'Date Mllesil Job Game AFElWork,Order Number PO number Daily Task 2/2/15 200 Prolo is Park - 180.27016 D,E,V 2/3/15 200 Prolo is Park 180.27016 D,E,V 2/4/15 200 Prolo is Park 180.27016 D,E,V 2/5/15 200 Prolo is Park 180.27016 D,E,V 216/15 200 Proia is Park 180.27016 D,E,V 217/15 200 Prolo is Park 180.27016 D,E,V 218/15 200 Prolo is Park 180.27016 Per Diem D,E,V Job Description: Line W_(24") Line Relocate Please.ch.eck_how:.you would like your; Pa. ycheck:sent: Direct Deposit J0,V11-Ma-m-eivs Employee's Signature: Job Start Date: 11/10/14 Job Enol Date: 0 Timesheet /J iNSPECTION. INC. 910 NW 139th Street Parkway Edmond, OK 73013 Ph: 405-235-2760 Fax: 405-285-2793 Email: timesheets@tjinspection.com Invoice # I (' Date: 2/8/2015 Client Company: ATMOS energy Employee's Name: Josh Mathews Classification: Other Job Location Coppell, Tx. County: Dallas State: Tx. - Date Miles Job Name AFEIWork.Order Number PO Dumber Daily Task 2/2/15 200 Prolo is Paris - 180.27016 D,E,V 2/3/15 200 Prolo is Park 180.27016 D,E,V 2/4/15 200 Prolo is Park 180.27016 D,E,V 2/5/15 200 Prolo is Park 180.27016 D,E,V 2/6/15 200 Prolo is Park 180.27016 D,E,V 2/7/15 -- 200 Prolo is Park 180.27016 D,E,V 218/15 200 Prolo is Park 180.27016 Per Diem D,E,V Job Description: Line W (24") tine Relocate Please .check .how:.you would like your:paychcck sent: Direct Deposit �dsf c1t/La��ers's Employee's Signature: Job Start Date: 11/10/14 Job End Date: 6 Days Zoh-hy `Ch -a i�Cfer tracf. CompanyApproval':;::°` a energy TASK REQUEST Contractor: Master Se'ririces Agreernerit No; Task Req No:' 'f/J inspection, Inc. ISAOB-03006 N-15.6049 Upon receipt of this Task Request, CONTkA&,ok is hereby aulhorized to perWm the Work hientfled herein on Behalf of COMPANY pilrsuerlt to the terms and candilfpns contained In the above referenced Agreement. scm of WORK: The Work wfli be performed In accordance wl(h the drawings, spgcifloatlons, anis hstrue'ions, If any, attached Hereto and fdentifed In the Lis! of Attachments set forth below, and will bo scheduled os required through the direction of C OMPANY's Contract Coordinator as identified herein; (Use addltlonsl pages if more space Is necossary) Project I.D. or Work No,: Atmos Contract Coordinator: Phone No.: John Nekuza 214.426-7052 CON T RACTOWS COST SUMMARY: TOTALIS O one} F FIRM I— ItSTIMATE Work Hours labor ($} ..j7ato,Shee.t_ . _ . Material (}.. _ Other ($} .................. TOTAL ($); Rate Sheet $CI•IgPULH - The Work will begin by 1<OcV14 agd be completed Ely 30 -Sell -15 NOTE: Invoices may he sent in orae of the following ways: (Email pref6ered) 1. Enaall: acoountspayabfe@atlaiosenergy.corri 3. Mall; Atmos Energy CQrp,oration 2, Fax: 21.4 65.0-3210. ATM: Acct Payable H2O. Box 650205 Dallas, TX 75265-0205 lrlcjude the followitig information on in'voic'es to e'(pedltQ tlae payment, pr6cess: 1. Agreement 21 Tt RPk ieggest Number 3, J04 Location Q, Contract Coor0In6tpr's Name 6, pro)ect Nama ¢, Cost Center LIST b> ATTACHf11EIVTSI COMPANY and 0,0NrRAQTQR agree That Ibe following described attachments, if any, aro incorporated, heretn..lp their entirely as if fully and completely revrrltleri herala:- 1. 2. CONTRACTOR HEkE•BY ACKNOWLEDGES AC61fOT'ANCE THIS rAsi 11150156T IS 1$SUEb ON BEHALF or COMPANY QF THl$ T . < REQ j ST (FENAL APPROVAL J AUTHO j TION 8y; SY: dame; mama; Jdhri i�eku,a -- — -- -- Tule:. Title: Conskucl(on knalyst Date' Date: Djs[rlbutlorrt Conlrac(ar, Coir[ractCcjoriifltcoioY(O(lglnalJ, Corpora, to Pro 0ure,rrlent(w1bA(tach} Form Dale: 5-10-2013 C40 T/J INSPECTION, INC. 6600 S. Sooner Rd Date 2/16/2015 Oklahoma City, OK 73135 405 -285 -2760 -Office Invoice # A9162 Atmos Energy Corporation Attn: Accounts Payable/ Cost Center 4124 P.O. Box 650205 Dallas, Tx 75265-0205 —[— Project Manager Bobby Cha ndlerA ljob Name Frologis Parl(A I Work Order F18 0.27016X ----------- -- ---------- -------- Deg-6tion ------ -- MY I Price -------------------- Atmos. Day lR." 102 -OV -1 5 thru'02-1'4-15 6!jA 680 Atmos Per Di.02-15-15 1 168 Inspector -Josh Mathews TIJ INSPECTION, INC vickie.allen@tjinspection.net tjinspection.net Amount.- . ........ . 4,080.00 168.00 Subtotal $4,248.00 Sales Tax (0.00) $0.00 Total $4,248.00 405-285-2760 Payments/Credits $0.00 405-285-2793 Balance Due $4,248.00 n Timesheet IJ INSPECTION �,INC.tea. 910 NW 139th Strut Parkway Edmond, OK 73013 Ph: 405-285-2760 Fax: 405-285-2793 Invoice # Act l (oZ Email: timesheets@tjinspection.com Date: 2/15/2015 Client Company: ATMOS energy Employee's Name: Josh Mathews Classification: Other Job Location Coppell, Tx. County: Dallas State: Tx, Date Miles Job Name AFE/Work Order Numb PO Number Daily Task 219/15 200 Prolo is Park 180.27016 D,E,V 2/10/15 200 Prolo is Park 180.27016 D,E,V 2/11115 200 Prolo is Park 180.27016 C. Leak Repairs Above Ground . `.'':: `. ` .:..: M. Leak Survey , .:.': ; . :.....::' ..:. D,E,V 2/12/15 200 Prolo is Park 180.27016 :: :'i O. Retirements D,E,V 2113/15 200 Prolo is Park 180.27016 q.. Measuring Station Installation D,E,V 2/14/15 200 Prolo is Park 180.27016 D,E,V 2/15/15 200 Prolo is Park 180.27016 Per Diem D,E,V V. New Pipellne Installation W. Survey (line staking) �os�i �ir��ieu�'s Job Description: Job Start Date: 11/10/14 Job End Date: Line W (24") Line Relocate 6 Days Work Codes K. New Development (WAs) :1: D. Leak Repairs_ Services .. .::'.: L.. Largo Capacity Meter Sets C. Leak Repairs Above Ground . `.'':: `. ` .:..: M. Leak Survey , .:.': ; . :.....::' ..:. D. Install New Services N. Fabricatlon Please check how you would like E. Relocation Projects.;'::.' :: :'i O. Retirements your paycheck sent: F. ROW Clearing P. Palrt_ting Direct Deposit G. Integrity Work: q.. Measuring Station Installation H. Paving.::'. : -:.:: '.. R DtslrEct Reg Stalion.Installation .: : t.'- .' 1. I. Steel Service Lino, Repl Project. .:. S..Potholing J. Compression Work - T. Cathodic Protection ' U.XRayServices. ;.'.'-.; •::.'.: V. New Pipellne Installation W. Survey (line staking) �os�i �ir��ieu�'s �3066� �a�itr�lcClQr TASK REQUEST Contractor: Master Services Agreement No; Task Req No: T/J Inspection, Inc, ISAOB-03006 IN -16-0049 Upon receipt of Ibis Task Requesi, CONTRACTOR Is hereby authorized to perform the Work identfied herein on behalf of COMPANY pl rsuant to the terms and conditions contained in the above referenced Agreement. SCOPE OF WORK: The Work will be performed In accordance with the drawiggs, specifications, and Instructions, if any, attached hereto and idenoed in the List of Afiachmenls set forth below, and wilf be scheduled as required through the direction of COMPANY's Contract Coordinator as identified herein, (Use addiilonal pages if more space.is necessary) Project 1, D. or Work No.: Atmos Contract Coordinator: Phon$ No.: John Nekuza 214-426-7052 Project Name; Project ln$pectfon at Atmos Energy's Request Task • This Task is for project Inspect►ort at Aimos t nergils request for 2015 budget as per rate sheet A copy of this task will need to accompany your 10ofee to accouhts payable. Functional.Account•. • i MAccount.. • Fv t§fProj No.' Task IU Exp:.Type ``I?acjp:t?r'"•. `°Cor$ EO EC � FERG $ub74cc. ``SePv.ce:�4rea °doP CONTRACTOR'S DOST 3`vriiillriARY: TOi iL 13 (4 vno) f FtRiyt 1 r ESTIMATE Work Hours Labor ($) Rati: ;Sheet, .. - Material ($).. , Other ($) TOTAL ($); Rate Sheet SCHEpULE _ The Work will begin by 1-66t=14 and be completes( fly T 3D-5ep-75 NOTE: Invoices may be sent in one of the following ways: (Small preferred) �t. Bmail; aqoountspayalile@atmosenergy.Cgni 3, Mail• Atmos Energy Corporation 2. Fax: 214680-3210- ATTN: Acct Payable 1P.O. Box 650205 Dallas, TX 75265-0205 Include the following information on invoices to expeOM the payment process: 1, Agreement 2: Task Regyest.Numher 3. Jolt I,acallon 4, Cmtract Coordinator's Name 5, Project Name 6. Cost Center LIST OF ATTACHMENTS; COMPANYand CQNTRAGT(?R agree chat The fo!lowlhq descrlbe_d altachments, if any, are lncarporaletl,.herein, in 1hgirentrrely as if fully and completely rewritten herein:. 1. 2. 3. CONfAACTok HEREBY ACKNOINLEDG�S ACCEPTANCE THIS TASK REQUE51'•1S IS8LIED ON BEHALr OF COMPANY OF THIS TM ,,EQUEST: (FINAL APPROVAL / AUTHO j TION) By_ $y, Name; Nama; John N6Vya Trice: Title: Construction AnO • f Dole: Date: ; D]stributron: Contractor, ContractCoordlrrafor. UrlgfnalJ, Corporafe Procurement (wlq Attach) Porm Date: 5=10-2013 C41 IJ INSPECTION, INCA f k' 6600 S. Sooner Rd Oklahoma City, OK 73135 Date 2/2/2015 ,4,05 -265®2760 -Office Invoice # A912S �B1(( Asa Atmos Energy Corporation Attn: Accounts Payable/ Cost Center 4124 P.0, Box 650205 Dallas, Tx 75265-0205 i { Project Manager Bobby Chandler )ob Name Prologis Park Work Orde 1180.27016 TIJ aNSPECTrON, ,INC. Payments/ Credits $0.00 vickie,allen@tjinspection, net 405-285-2760 tjinspection.net 405-285-2793 Balance Due $$4,248.00 Timesheet IJ INSPECTION. INC. 910 NW 139th Street Parkway Edmond, ®K 73013 Ph: 405-285-2750 Fax: 405-285-2793 Email: ti mesh eets@tjinspection-com Invoice # Date: 2/1/2015 Client Company: ATMOS energy Employee's Name: Josh Mathews Classification: Other Job Location Coppell, Tx. County: Dallas State: Tx. Date Miles Job Name APE/Work Order Nurn er PO Number Daily Task 1/26/15 200 Prola is Park 180.27016 D,E,V 1/27/15 200 Prolo is Park 180.27016 D,E,V 1/28115 200 Prolo is Park 180.27016 D,E,V 1129/16 200 Prolo is Park 180.27016 D,E,V 1/30/15 200 Prolo is Park 180.27016 D,E,V 1131/15 200 Prola is Park 180.27016 D,E,V 211116 200 Prolo is Park 180.27016 Per Diem D,E,V Job Description: Line W (24") Line Relocate Please check how you would like your paycheck sent., Direct Deposit Job Start Date: 11/10/14 Job End Date: Work Codes 6 Days l o—il 6U YY1 �os/i <�ir� t%tis a�a,fi�Ci� ��artrCler Employee's Si nature: Conti act ,Coin :fin `'A caval;:;;': g p..._ Y...pp.... _..... _. . energy', TASK REQUEST Cor3traotor: Master SeNices Ajreofnept No; Task Reg Not T/i Inspection, Ino. 5A08-030 0 6 N-15-0049 Upon receipt of this Task Request, CONTkA&011 is hereby authorized to perform the Work Identified herein on behalf of COMPANY pursuant to the terms and conditions contained In Ilio above referenced Agreerb0t. SCOPE OF WORK: The Work will be performed Eta accordance with. the draWings, specitics dons, and jWrucuons, if any, attached hereto and Identified in the List of Attachments set forth below, and will be sebeduled as required through the direction of COMPANY's Contract Coordinator as Iden(lged herein. (Use additional pages if more space is necessary) Project LD, or Work No.: Atmos Contract Coordinator: Phone No.: John Nekuza 214-426-7052 CONTRACTOR'S COST SUMMARY: TOTAL- iS (V 011e) I r' FIRiVl i" i �TIMA7E Work Hours Labor ($) Rate.:Slteet, .. , Material $y... Other ($) ........ TOTAL ($): Rate Sheet SCHt<Di1LE - The Work Mil begin by l-Oct=14 ar}d be completed by 30 Sed=15 NOTE: Invoices may be sent In on.e of the following ways: (Email preferred) 9.. Email; scop_ttntspayabie@almosenergy.earrt 3, Mall; Atmos Energy Corporation 2. Fax: 21.1650-3210. ATTN: Acct Payable P.O. Box 65020.0 9.allas, TX 75265.0205 Incjilde the #ollgwing Information 011 invoices to expedite the pay. hielt.t. pro cess: 1. Agreement 2; Task Reggest Number 3. Job Location 4, Cpritracf Coorejirtalfpr's NAmo 6. Project NamQ $, Coat Center LIST OF ATTACHhiEtlTss COMRANY and CONTRACTOR agree that the following described attachments, [(any, are Incorporated, harem, In their entirety as if fulty and completely rewritten herein: 1. 2, 3. _ CONTRACTOR HEREBY ACRNOWLEDGES ACCEPTANCE OF THI$ Tp( ( RpQtJl ST: 8y: ~ THIS `fASKREQUEST IS I551lEil Otil BEHALF OF COMPANY (FINAL APPROVAL•IAt1TH0 I7 71 ON) Name; .Lahti Nbkuza v TIile: iagnstructfon Analyst , Dale:....... .... �j .`.. Dlsfr)burfon: Cotifraclor.:C,onlCact.Coordiriafor (Original), Corporate Procuremop( (sA'AtWlo Porm Date: 5=16-2013 TIJ INSPECTION, INC. 6600 S. Sooner Rd Oklahoma City, OK 73135 405 -285 -2760 -Office Atmos Energy Corporation Attn: Accounts Payable/ Cost Center 4124 P.O. Box 650205 Dallas, Tx 75265-0205 Project Manager Bobby Chandler, - job Name Prologis Pari(-,' Work Order # 180-27016 / C42 �-N-v. .p'rc '�7 Date 3/30/2015 Invoice # A9253 .- �It2t�1= Atmos Day R... Josh Matthews -03/23115 -03e115 _ 5 680.0 3,400.00 Y Atmos Per Di... 03/281153/296 2 / 168.0 336.00 Inspector Josh Mathews Subtotal $3,736.00 Sales Tax (0.0%) $0.00 —. Total $3,736.00 T/J INSPECTION, ZNC. Payments/Credits $0.00 vickie.allen@tjinspection.net 405-285-2760 tjinspection.net 405-285-2793 Balance Due $3,736.00 Timesheet TIJ INSPECTION. fr CO INC. 910 NW 139th Street parkway Edmond, 0K 73013 Ph: 405-285-2760 Fax: 405-285-2793 Email: tirnesheets@tJinspection.com Invoice # Date: 3/29/2015 Client Company: ATMOS energy Employee's Name: Josh Mathews Classification: Other Job Location Coppell, Tx. County: Dallas State: Tx. Date Miles AFElWork Order Job Name PO Number Daily Task 3123/15 200 Prolo is Park 180.27016 D,E,V 3124/15 200 Prolo is Park 180.27016 D,E,V 3/25115 200 Prolo is Park 180.27016 D,E,V 3/26/15 200 Prol© is Park 180.27016 D,E,V 3127/15 200 Prolo is Park 180.27016 D,E,V 3/28/15 200 Prolo is Park Per Diem D,E,V 3/29/15 1 200 Prolo is Park Per Diem D,E,V Job Description: Line W (24") Line Relocate Please check how you would like your paycheck sent: Direct Deposit Job Start Date: 11/10/14 Job End Date: B. Leak Repairs Services C. Leak Repairs Above Ground D. Install New Services E. Relocation Projects F, ROW Clearing 0. integrity Work H. Paving I. Steel Service Line Rep[ Project J. Comaression Work 5 Days Work Codes L. Large Capacity Meter Sets M. Leak Survey N. Fabrication O. Retirements P. Painting Q. Measuring Station Installation R. District Reg Station Installation S. Potholing T. Cathodic Protection U. X Ray Services V. New Pipeline Installation ��irt e�vs 60F,5la-an xer Employee's Signature: Contract Company Approval g� M MEER NO 600� -157 energy TIJ C% Ir TASK REQUEO I Task Rdq No: Upon receipt of this Task RBquest, GbNTRAbf.0k Is hereby authorized to per-Wrn the Work filentilled herein on behalf of COMPANY pursuant to th6 terms and qpnd]Uons contained in the above. r6brenced Agre6ibdnt SCOPE OFWORK, The Work %vitib4rierforinadln;jtcbrd nce with the drawings, spe�clftations, and fristrucyons, if any, attached hereto and Identified In the List of Attachments set forth below, and will be scheduled as required through the direction of COMPANrs Contract Coordinator as fdenlffiQd herein; (Use addittona) pages if more sOcois necesegry) Project I.D. or Work No.; Atmos Gon.traGt coordinator: Phorfq Nd, - John Nekuza 214-426-7052 CONTRACTORrS CO, ST SUMMARY. 707 A08,(40ne) I FFIRM — TIMATE Work Hours Labor .... Material ($ TOTAL Rate Sheet ,9CF19PI)LE - Thb WQrk V-vlq bdgiq bV I 6cV14 and be boMp P Ieldd by �Q-sb - -15 NOTE: Involce,9 may be sent In one of the following ways: (Email pkef.bXr-ed) 1. [Ernall, ti,.qpyntsppyahfe C6)pfniosener "' - -gy.corn 1. Mill! AtTos. Enbroy Cqrj5pratlon 2. Fax: 21.4990-3910' ATTN: Acot Paya0e P.Q. $oX 650205 Dallas, TX 75265-0205 Lno ode the foliqWiny inorm�lon on invblqq7 to qxpeWtQ1hep ym drtprocogs. t, Agreernprit 'on Na 6, qPs Center gs Task Rqqqp# Number 3. Jo449pall 41 Pt Project Me JSTGFATTACHME-N'M' CQMPANYand CC?NTRA(.'rQR agree %al fbefRllqwing described atIaLhmenfs, if any, T'ncorparaletl,_herelra, to their enOrefy as if furry and completely Tewfitleii herein: 1. 2. C014t:AAGTOk 14E*kE*BY ACkNOWILEE)Olf-t AcdtPYANCE THIS TASK REIWE81-11S 15t17tb 00 138HALF OF COMPANY OF THI$ Tn Iff.90,5STK(FINAL APPROVAL tAVTHO' T M —) JON) BYB .'. 2 fqqmo; 46hfi 1 Tfge-.. qon*vrllon Analyst. Date: ty U. Pq IDW— mih((- ' '- " 'h g��Or mr Farm Date: 6-10-2013 TDW SERVICES, INC. TDW A Subsidiary of T.D. Williamson, Inc. 1444 N Cockrell Hill Road Suite 105 Dallas, TX 75211 Phone: 214-467-8113 Fax: 214-467-8728 TOLL FREE: (800) 828-1988 ATMOS ENERGY - 1025062 PO BOX 650205 DALLAS, TX 75265 Attn: A.P. C43 INVOICE:JC177911 Please Remit to: Invoice Date: 10/14/14 TDW SERVICESINC. Job Number: 612-1406-006 , Terms: Net 30 Days PO Box 972118 Customer PO: 133264 Dallas, TX 75397-2118 Customer Agent: 0098 Visit our web site at www.tdwilliamson.com c aWE_ ATMOS ENERGY DALLAS, TX 75062 r L' .-mac_ tea..... - X - - Products: $181,489.44 Services: $0.00 Miscellaneous: $0.00 Tax Amount for X09SX: $0.00 Freight Amount: $1,000.00 Total Invoice: $182,489.44 Contact: Ruth Abernathy 972-855-4081 PO# 133264 31 Win A- 110 V lb0 �� 3 06-8041-2460-00 KIT, BLIND FLG 24"-600 RF W/ST 4 4,450.00 17,800.00 UDS NUTS GASKETS MTR'S REQ'D 06-8807-2460-00 STOPPLE(R) TEE, 24IN-600LB FIT 4 34,699.28 138,797.12 TING, STOPPLE(R) 24"-600 D-89 WBUNA-N O -RINGS 07-1270-0024-00 PLUG, 24" L -O -R & BUNA-N O-RIN 4 6,044.08 24,176.32 G F/600 STOPPLE FTG TR -0000-0002-00 FITTING, 2" T -O -R A-333 GR 6 C 4 179.00 716.00 ARBON STEEL & VITON O-RING F/6 " & LARGER PIPE ID Products: $181,489.44 Services: $0.00 Miscellaneous: $0.00 Tax Amount for X09SX: $0.00 Freight Amount: $1,000.00 Total Invoice: $182,489.44 Contact: Ruth Abernathy 972-855-4081 PO# 133264 31 el lb0 �� 3 �gl,z44,? . INTEREST ON PAST DUE ACCOUNTS: 1. THERE IS A FINANCE CHARGE OF 1.5% PER MONTH (ANNUAL PERCENTAGE RATE, 18%) ON UNPAID INVOICES WHICH ARE MORE THAN 30 DAYS OLD. THE 1.5% FINANCE CHARGE IS CHARGED BEGINNING WITH THE 31ST DAY FROM BILLING DATE. THEN AN ADDITIONAL 1.5% ON FIRST DAY OF EACH SUCCEEDING 30 DAY PERIOD THEREAFTER, INCLUDING ALL UNPAID FINANCE CHARGES. 2. THIS AGREEMENT SHALL BE GOVERNED BY LAWS OF THE STATE OF OKLAHOMA. INTEREST CHARGED ON ALL PAST DUE ACCOUNTS, NOT RETURNABLE FOR CREDIT WITHOUT PRIOR PERMISSION. TDW SERVICES, INC. (TD*A Subsidiary of T.D. Williamson, Inc. Y 1444 N Cockrell Hill Road Suite 105 Dallas, TX 75211 Phone: 214-467-8113 Fax: 214-467-8728 TOLL FREE: (800) 828-1988 Please Remit to: TDW SERVICES, INC. PO Bog 972118 Dallas, TX 75397-2118 C44 INVOICE:JC187157 Invoice Date: 3/11/15 Job Number: 612-1406-006 Terms: Net 30 Days Customer PO: 133264 Customer Agent: 0098 Visit ourweb site at w"Adwilliamson.com BILL To SHIP TO ATMOS ENERGY - 1025062 ATMOS ENERGY PO BOX 650205 DALLAS, TX 75265 DALLAS, TX 75062 Attn: A.P. Job Description: DBL DBL 24" STOPPLE WNITTINGS Product Number Description Qty Price Amount AD.E.DAY ADDL DAY(S), EQUIPMENT 4 6,267.00 25,068.00 BYPASS.12 BYPASS 12" 600# 2 6,097.00 12,194.00 HT.02 HOT TAP, 2" 2 893.00 1,786.00 HT.SCP.02 HOT TAP, SET COMPLETION PLG 2" 2 2,130.00 4,260.00 HT.SCP.06 HOT TAP, SET COMP PLUG 6" 1 3,592.00 7,184.00 STP.D.24 STOPPLE JOB, DBL 24" 34,821.00 69,642.00 Ruth Abernathy 972-8554081 PO# 133264 �33/,' (y�l �U Products: $0.00 Services: $120,134.00 Miscellaneous: $0.00 Tax Amount for X085X: $0.00 Freight Amount: $16,000.00 Total Invoice: $136,134.00 INTEREST ON PAST DUE ACCOUNTS: 1. THERE IS A FINANCE CHARGE OF 1.5% PER MONTH (ANNUAL PERCENTAGE PATE, 18"/0) ON UNPAID INVOICES WHICH ARE MORE THAN 30 DAYS OLD. THE 1.5% FINANCE CHARGE IS CHARGED BEGINNING WITH THE 31ST DAY FROM BILLING DATE. THEN AN ADDITIONAL 1.5% ON FIRST DAY OF EACH SUCCEEDING 30 DAY PERIOD THEREAFTER INCLUDING ALL UNPAID FINANCE CHARGES. 2. THIS AGREEMENT SHALL BE GOVERNED BY LAWS OF THE STATE OF OKLAHOMA. INTEREST CHARGED ON ALL PAST DUE ACCOUNTS. NOT RETURNABLE FOR CREDIT WTTHOUT PRIOR PERMISSION. TDW SERVICES, INC. T04A Subsidiary of TR Wiifiamsou, Jim 1444 N Cockrell. Hill Road Suite 105 Dallas, TX 75211 Phone: 214-467-8I 13 Fax: 214-467-8728 TOLL FREE: (800) 828-1988 C45 Visit our web site at www.tdwilliamson.com v504�--'� --- •- _ _ ,; lfl ATMOS ENERGY -1025062 ATMOS ENERGY PO BOX 650205 DALLAS, TX 75265 DALLAS, TX 75062 Attn: A.P. 7 IN VOICE;JC185448 Please Remit to: Invoice Date: 2/11/15 TDW SERVICES, INC. Job Number: 612-1406-006 PO Box 972118 Terms: Net 30 Days Customer PO: 133264 Dallas, TX 75397-2118 -Customer Agent: 0098 06-8041-0660-00 Visit our web site at www.tdwilliamson.com v504�--'� --- •- _ _ ,; lfl ATMOS ENERGY -1025062 ATMOS ENERGY PO BOX 650205 DALLAS, TX 75265 DALLAS, TX 75062 Attn: A.P. 7 Ruth Abernathy 972-855-4081 PO# 133264 23�/� 5-A e( -tie, Products: a Services: $0.00 f J 06-6423-0660-00 FLANGE ASSY,_ 6"-600 RF L -O -R D- $0.00 1 3,122.00 3,122.00 06-8041-0660-00 KIT, BLIND FLG 6"-600# RF W/STU 1 293.00 293.00 07-1265-0000-00 PLUG, 6" L -O -R (D-89) 1 632.00 632.00 Ruth Abernathy 972-855-4081 PO# 133264 23�/� 5-A e( -tie, Products: $4,047.00 Services: $0.00 Miscellaneous: $0.00 Tax Amount for X085X: $0.00 Freight Amount: $150.00 Total Invoice: $4,197.00 INTEREST ON PAST DUE ACCOUNTS. L THERE IS A RNANCE CHARGE OIC 1.5% PER MONTH (ANNUAL PERCENTAGE RATE, IS%) ON UNPAID INVOICES WHICH ARE MORE THAN 30 DAYS OLD. THE 1,5% FINANCE CHARGE 1S CHARGED BEGINNING WITH THE 31ST DAY FROM BILLING DATE. THEN AN ADDITIONAL 1.5% ON FIRST DAY OF EACH SUCCEEDING 30 DAX' PERIOD THEREAFTER, INCLUDING ALL UNPAID FINANCE CHARGES, 24 THIS AGREEMENT SHALL BE GOVERNED BY LAWS OF THE STATE OF OKLAHOMA. INTEREST CHARGED ON ALL PAST DUE ACCOUNTS. 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