Work Date
*
-
Month
-
Day
Year
Date Picker Icon
Position:
*
Field Employee
Office Employee
Reviewing Manager
Accounts Payable
Engineer
Request Type
*
Purchase Order (Workorder will be completed later)
Purchase Order and Work Order
Work Order Only (Nothing Purchased)
Payment Complete
Yes
No-Payment Denied
No-Hold Request
Payment Made:
Please Select
None
American Express-TEXOP
American Express-TEOSE
American Express-TEHI
American Express-TEXOP
American Express-TEOSE
American Express-TEHI
American Express-CORP
American Express-CENTURION (TEXAS)
Citi Card-TEXOP
Citi Card-TEHI
Check
Bank Card-iStick Capital Management
A/P Reviewer
Please Select
Joey Hernandez
Chris Athens
Katie Sluder
A/P Reviewer - Choose One:
Denied
Hold
Approved - Check to WF
Approved - Check to Holliday
Approved - Check to Corporate
Approved - Process with Credit Card
Approved - Check to Burkburnett
Approved - Check to WKP Yard
Made By:
Manager Approval
Yes Approved
Not Approved
Create Well Service Form
Approving Manager
Manager Comments
Bill To:
*
Lease/Well
Crew/Vehicle (Non Billable Work Order)
Truck Number (Vehicle you are driving)::
*
Ticket Type:
Lease/Well No. (Please Select From Drop Down)
*
Employee1
*
Employee2
Employee3
Employee4
Employee5
Job Type:
*
Please Select
Completion
Drilling
Recompletion
Well Service
Workover
Job Status:
Please Select
Complete
Incomplete
Day#:
Email Accounts Payable? (Vendor 1 Only)
Yes
No
Amount
Payments Accepted (Check All that Apply)
Mastercard
American Express
Check
Payment Method
Please Select
Card By Phone (phone no. below)
Card By Email (address below)
Card In Store
Check Mailed
Check Pick Up
Urgency
Please Select
Waiting
Today
1 Day
2 Days
3 Days
4 Days
5 Days
1 Week
2 Weeks
3 Weeks
1 Month
2 Months
3 Months
Email or Phone No.
Number of Vendors
1 Vendor
2 Vendors
3 Vendors
Vendor 1 Bill To:
Lease/Well (Must be same for entire PO)
Crew (Must be same for entire PO)
Vehicle Equipment (Must be same for entire PO)
Vendor 1
Vendor 1 Lease/Well Items (Limit 10)
Vendor 1 Crew/Vehicle Items (Limit 10)
Vendor 1 Comments
Vendor 2 Bill To:
Lease/Well (Must be same for entire PO)
Crew (Must be same for entire PO)
Vehicle Equipment (Must be same for entire PO)
Vendor 2
Vendor 2 Lease/Well Items (Limit 10)
Vendor 2 Crew/Vehicle Items (Limit 10)
Vendor 2 Comments
Vendor 3 Bill To:
Lease/Well (Must be same for entire PO)
Crew (Must be same for entire PO)
Vehicle Equipment (Must be same for entire PO)
None
Vendor 3
Vendor 3 Lease/Well Items (Limit 10)
Vendor 3 Crew/Vehicle Items (Limit 10)
Vendor 3 Comments
Receipt
* All vehicle repairs must be sent to accounts payable and approved prior to purchase.
Vehicle Repairing
Mileage
Pumper Enter Daily Time?
Yes
No
Time In:
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
05
10
15
20
25
30
35
40
45
50
55
Minutes
AM
PM
AM/PM Option
Time Out:
1
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10
11
12
:
Hour
00
05
10
15
20
25
30
35
40
45
50
55
Minutes
AM
PM
AM/PM Option
Billable Time
Paid Time
Break(s), Lunch, or Non Billable Time During this tickets?
Yes
No
Please Select 1 or More
Paid Break 1 (15 Min)
Paid Break 2 (15 MIn)
Non Billable Time
Unpaid Break
Unpaid Lunch
Paid Break 1 Time Out
1
2
3
4
5
6
7
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9
10
11
12
:
Hour
00
05
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Minutes
AM
PM
AM/PM Option
Paid Break 1 Time In
1
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10
11
12
:
Hour
00
05
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15
20
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30
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40
45
50
55
Minutes
AM
PM
AM/PM Option
Paid Break 1 Time
Unpaid Lunch Time Out
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
05
10
15
20
25
30
35
40
45
50
55
Minutes
AM
PM
AM/PM Option
Unpaid Lunch Time In
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
05
10
15
20
25
30
35
40
45
50
55
Minutes
AM
PM
AM/PM Option
Unpaid Lunch Time
Paid Break 2 Time Out
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
05
10
15
20
25
30
35
40
45
50
55
Minutes
AM
PM
AM/PM Option
Paid Break 2 Time In
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
05
10
15
20
25
30
35
40
45
50
55
Minutes
AM
PM
AM/PM Option
Paid Break 2 Time
Non Billable Time Out
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
05
10
15
20
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30
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45
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Minutes
AM
PM
AM/PM Option
Non Billable Time In
1
2
3
4
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7
8
9
10
11
12
:
Hour
00
05
10
15
20
25
30
35
40
45
50
55
Minutes
AM
PM
AM/PM Option
Non Billable Time
Non Billable Comments
Unpaid Break Time Out
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
05
10
15
20
25
30
35
40
45
50
55
Minutes
AM
PM
AM/PM Option
Unpaid Break Time In
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
05
10
15
20
25
30
35
40
45
50
55
Minutes
AM
PM
AM/PM Option
Unpaid Break Time
Hauling
Top Gauge Ft
Top Gauge In
Bottom Gauge Ft
Bottom Gauge In
H5 Result
Pass
Fail
# In Crew
1-2
3+
Final Day Tubing or Rod Information?
Yes
No
Fishing Tool
Please Select
Yes
No
Tong Trip
Please Select
0
.5
1
1.5
2
2.5
3
3.5
4
Well Failure
Rod/Joint # from Surface
Pumping Unit Info?
Yes
No
Grease Trailer Inv. Used?
Yes
No
Electrician Inv. Used?
Yes
No
Equipment Transfered?
Yes
No
Comments
Comments
Work Order Ready for Manager Review?
*
Yes
No
Employee Email
*
Submit
Office Comments
PO Import Date
-
Month
-
Day
Year
Date Picker Icon
Office Comments
PO Coding Checked?
Yes
No
Entered in WolfePak?
Yes
Credit Card Receipt?
None
Received
Missing
Printed
Yes
No
Delete Ticket?
Delete
Reviewer:
Corrections Made
Ticket Type-Incomplete
Ticket Type-Bill Vs. Non Bill
Ticket Type-Crew
Ticket Type-Work Performed
Lease/Well Name
Employee Name
Time-AM/PM
Time-Change
Time-Breaks/Lunches/Non-Bill
Time-Date
Deleted-Duplicate
Deleted-Employee Request
Deleted-Added To Another Work Order
Add Another Work Order
None
GPS?
No
Yes-Job Length
Yes-Verify Lease/Well
Yes-Job Length but Unavailable
Yes-Verify Lease/Well but Unavailable
Office Notes Email To:
Attachment:
E-mail
Should be Empty: