Single Liner
J . D .    R u s h    L i n e r    O r d e r    F o r m

C o l l a r s Front: Back: T r u c k Hydro: Straight:

Date: Well: Liner:   Full-Perf Slots:     Semi-Perf Slots:

AFE #:		Ordered By:
Rig Name:		Phone #:
Well Location:
S.S.A. :    Yes No

Individual Length				Cum Length