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ex101.htm

 

  

  

 

 

  

  

 

 

  

  

 

  

  

  

	
Exhibit "B"

	  	  	  	  	  	  	  	  
	  	  	  	  	  	  	  	  	  	  	  
	  	  	  	  	  	  	  	  	  	  	  
	
List Material Stock

	  	  	  	  	  	  	  
	
TAC Blue Sky Langsa

	  	  	  	  	  	  
	
No

	
Plnt

	
SLoc

	
Material

	
Material Description

	
Stock SAP

	
BUn

	
     Total value

	
Crcy

	
MTyp

	
Remarks

	
1

	
A18A

	
030

	
0105970118

	
TUBING SPACER, 3-1/2", 5 FT LONG

	
2

	
EA

	
            2,762.00

	
USD

	
ZNCP

	
2

	
A18A

	
030

	
0362265378

	
GASKET, RING, CAMERON, TYPE VX

	
6

	
EA

	
          33,930.00

	
USD

	
ZNCP

	
3

	
A18A

	
030

	
0362782555

	
GASKET, RING, VETCO, TYPE VX

	
1

	
EA

	
            2,965.00

	
USD

	
ZNCP

	
4

	
A18A

	
030

	
0376552222

	
KNOCK OUT ISOLATION VALVE, MODEL C

	
3

	
EA

	
          28,035.00

	
USD

	
ZNCP

	
5

	
A18A

	
030

	
0408035101

	
CASING,13-3/8",K-55,BTC,R3, 54.50 LB/FT

	
3,060.09

	
FT

	
        162,796.79

	
USD

	
ZCPT

	  
	
6

	
A18A

	
030

	
0408045115

	
PUP JOINT,13-3/8",54,5,K55,PINXBOX(15')

	
1

	
EA

	
            1,556.60

	
USD

	
ZNCP

	
7

	
A18A

	
030

	
0412032201

	
CASING, 7",L-80,BTC,R3, 26.00 LB/FT

	
1,480

	
FT

	
          34,249.86

	
USD

	
ZCPT

	  
	
8

	
A18A

	
030

	
0412033659

	
CASING, 9-5/8",L-80,BTC,R3, 43.50LB/FT

	
6,527

	
FT

	
        335,299.50

	
USD

	
ZCPT

	  
	
9

	
A18A

	
030

	
0412035159

	
CASING,13-3/8" OD,61 PPF,L-80,BTC,R-3

	
800

	
FT

	
          40,879.53

	
USD

	
ZCPT

	  
	
10

	
A18A

	
030

	
0412043615

	
PUP JOINT,9-5/8",43,5,L80,PINXBOX(15')

	
2

	
EA

	
            2,965.60

	
USD

	
ZNCP

	
11

	
A18A

	
030

	
0412043650

	
PUP JOINT,CSG,9-5/8",43.50#L-80,BTC,10FT

	
2

	
JT

	
            1,939.30

	
USD

	
ZCPT

	  
	
12

	
A18A

	
030

	
0412043655

	
PUP JOINT,CSG,9-5/8",43.50#L-80,BTC,15FT

	
1

	
JT

	
            1,139.05

	
USD

	
ZCPT

	  
	
13

	
A18A

	
030

	
0427023559

	
PUP JOINT,3-1/2" OD,9.2#N. VAM X 2 FT

	
1

	
JT

	
                523.81

	
USD

	
ZCPT

	  
	
14

	
A18A

	
030

	
0427033559

	
PUP JOINT,3-1/2" OD,9.2#N. VAM X 3 FT

	
6

	
JT

	
            3,142.86

	
USD

	
ZCPT

	  
	
15

	
A18A

	
030

	
0427053559

	
PUP JOINT,3-1/2" OD,9.2#N. VAM X 5 FT

	
5

	
JT

	
            2,619.05

	
USD

	
ZCPT

	  
	
16

	
A18A

	
030

	
0427103559

	
PUP JOINT,3-1/2" OD,9.2#N. VAM X 10 FT

	
3

	
JT

	
            1,571.43

	
USD

	
ZCPT

	  
	
17

	
A18A

	
030

	
0428196601

	
CASING,20"ODX0.625,X-56,ERW,R3,133 LB/FT

	
36.98

	
FT

	
            8,320.50

	
USD

	
ZCPT

	  
	
18

	
A18A

	
030

	
0429037159

	
CASING,30",X-52,ERW,R3,310PPF,SF-60,1"WT

	
288

	
FT

	
        163,569.60

	
USD

	
ZCPT

	  
	
19

	
A18A

	
030

	
0444083551

	
TUBING, 3-1/2", 9.2 PPF, L80, NEW VAM,R2

	
6,570

	
FT

	
          81,730.80

	
USD

	
ZCPT

	  
	
20

	
A18A

	
030

	
0444263559

	
TUBING,3-1/2",L-80,CS,R-2,VAM TOP,9.20 #

	
3,090

	
FT

	
          23,551.41

	
USD

	
ZCPT

	  
	
21

	
A18A

	
030

	
0444273510

	
PUP JOINT,3-1/2",9.2 PPF,L80, N-VAM, 5FT

	
1

	
EA

	
                725.00

	
USD

	
ZNCP

	
22

	
A18A

	
030

	
0444273554

	
PUP JOINT,3-1/2",9.2 PPF,L80, N-VAM, 4FT

	
8

	
EA

	
            5,400.00

	
USD

	
ZNCP

	
23

	
A18A

	
030

	
0444273556

	
PUP JOINT,3-1/2",9.2 PPF,L80, N-VAM, 6FT

	
8

	
EA

	
            6,200.00

	
USD

	
ZNCP

	
24

	
A18A

	
030

	
0444273558

	
PUP JOINT,3-1/2",9.2 PPF,L80, N-VAM, 8FT

	
4

	
EA

	
            3,500.00

	
USD

	
ZCPT

	  
	
25

	
A18A

	
030

	
0450106709

	
X-OVER,SHOE JOINT,30",SF-60 PIN CONN.UP

	
2

	
EA

	
          21,800.00

	
USD

	
ZCPT

	  
	
26

	
A18A

	
030

	
0452503333

	
X-OVER, JOINT, 20" X 13-3/8", R-30324-21

	
2

	
EA

	
          32,480.00

	
USD

	
ZCPT

	  
	
27

	
A18A

	
030

	
0452503661

	
X-OVER, 3-1/2" VAM TOP P X 4-1/2" IF BOX

	
2

	
EA

	
            2,596.00

	
USD

	
ZCPT

	  
	
28

	
A18A

	
030

	
0452503669

	
X-OVER,3-1/2" NEW VAM TOP PX4-1/2"IF BOX

	
2

	
EA

	
            2,552.00

	
USD

	
ZCPT

	  
	
29

	
A18A

	
030

	
0452503671

	
X-OVER,3-1/2" NEW VAM BOX X VAM TOP PIN

	
2

	
EA

	
            2,796.62

	
USD

	
ZCPT

	  
	
30

	
A18A

	
030

	
0452503673

	
X-OVER,3-1/2" VAM TOP BOX  X NEW VAM PIN

	
4

	
EA

	
            5,593.24

	
USD

	
ZCPT

	  
	
31

	
A18A

	
030

	
0452553569

	
COUPLING,3-1/2" NEW VAM

	
10

	
EA

	
                970.00

	
USD

	
ZCPT

	  
	
32

	
A18A

	
030

	
0454263559

	
TUBING,3-1/2",9.2 PPF,110 CRA,NEW VAM,R2

	
420

	
FT

	
          39,421.20

	
USD

	
ZCPT

	  
	
33

	
A18A

	
030

	
0654990109

	
OVERSHOT,3-1/2" 9.2 LB/FT,VAM TOP BOX UP

	
1

	
EA

	
            4,872.00

	
USD

	
ZNCP

	
34

	
A18A

	
030

	
0917090111

	
DEBRIS CAP, TUBING HANGER, 2222762-02

	
1

	
EA

	
            3,027.29

	
USD

	
ZNCP

	
35

	
A18A

	
030

	
0917090250

	
TOOL SKID, 2202214-01

	
1

	
EA

	
          10,125.00

	
USD

	
ZNCP

	
36

	
A18A

	
030

	
0920630155

	
TOOL ASSEMBLY, TRSSSV, BAKER

	
1

	
SET

	
            4,666.00

	
USD

	
ZNCP

	
37

	
A18A

	
030

	
0934101655

	
TEST SKID, TREE, 2047297-04

	
1

	
EA

	
          24,074.99

	
USD

	
ZNCP

	
38

	
A18A

	
030

	
0942392369

	
SEAL, ASSY, EMERGENCY, STC-10, 262502-02

	
1

	
SET

	
            6,384.25

	
USD

	
ZNCP

	
39

	
A18A

	
030

	
0983050018

	
TUBING HANGER, 199350-06

	
2

	
EA

	
        133,713.78

	
USD

	
ZNCP

	
40

	
A18A

	
030

	
0983050019

	
TUBING HANGER, VETCO, P/N. R1100128-1

	
1

	
EA

	
          48,880.00

	
USD

	
ZCPT

	  
	
41

	
A18A

	
030

	
0983050074

	
RUNNING TOOL,  TUBING HANGER, 2141700-16

	
1

	
EA

	
          48,595.62

	
USD

	
ZNCP

	
42

	
A18A

	
030

	
0983050125

	
TOOL, JETTING, TUBING HANGER, 2181425-04

	
1

	
EA

	
            4,281.50

	
USD

	
ZNCP

	
43

	
A18A

	
030

	
0983050155

	
TEST TOOL, TUBING HANGER, 2209997-02

	
1

	
EA

	
          11,773.00

	
USD

	
ZNCP

	
44

	
A18A

	
030

	
0985800019

	
PADS,LANDING & LIFT EYES

	
6

	
EA

	
            2,970.00

	
USD

	
ZNCP

	
45

	
A18A

	
030

	
0987020125

	
X-MAS TREE, SUB SEA, 2202351-19

	
1

	
EA

	
        765,947.70

	
USD

	
ZNCP

	
46

	
A18A

	
030

	
1025081044

	
CONTROL LINE,ENCAP,0.25X0.49,WALL THCK

	
3

	
EA

	
          16,785.00

	
USD

	
ZNCP

	
47

	
A18A

	
030

	
1030218025

	
MULE SHOE ASSEMBLY, BAKER

	
2

	
SET

	
          25,718.00

	
USD

	
ZNCP

	
48

	
A18A

	
030

	
1031150025

	
GUIDE, WIRELINE ENTRY, BAKER,H-469213620

	
2

	
EA

	
            1,428.00

	
USD

	
ZNCP

	
49

	
A18A

	
030

	
1031400550

	
KIT, REDRESS,3-1/2" T-5 FLAP,H-057204900

	
1

	
SET

	
                975.00

	
USD

	
ZNCP

	
50

	
A18A

	
030

	
1032060029

	
PACKER,9-5/8",BAKER,TYPE : HS

	
1

	
EA

	
          23,465.31

	
USD

	
ZNCP

	
51

	
A18A

	
030

	
1032060039

	
VALVE,SAFETY,BAKER,MODEL:TE-5

	
1

	
EA

	
          49,519.31

	
USD

	
ZNCP

	
52

	
A18A

	
030

	
1032060049

	
COUPLING,FLOW,3-1/2",BAKER

	
2

	
EA

	
          18,564.62

	
USD

	
ZNCP

	
53

	
A18A

	
030

	
1032060059

	
CLAMP, LINEGUARD, 3-1/2", H905143500

	
22

	
EA

	
            5,110.82

	
USD

	
ZNCP

	
54

	
A18A

	
030

	
1035160097

	
NIPPLE, BX PROFILE SEATING, 2.81"

	
4

	
EA

	
            6,416.00

	
USD

	
ZNCP

	
55

	
A18A

	
030

	
1035350122

	
SHEAR PIN, WEAR BUSHING, STC-10, SYSTEM

	
8

	
EA

	
        129,920.00

	
USD

	
ZNCP

	
56

	
A18A

	
030

	
1035350142

	
TOOL ASSEMBLY, TRSSSV, BAKER, W/TR

	
2

	
SET

	
          44,042.00

	
USD

	
ZNCP

	
57

	
A18A

	
030

	
1035350145

	
TOOL,FLAPPER LOCK OPEN, 3-1/2",822802833

	
1

	
EA

	
          26,065.00

	
USD

	
ZNCP

	
58

	
A18A

	
030

	
1035350147

	
TOOL, ASSY, BAKER DB PACKER

	
1

	
SET

	
          14,338.00

	
USD

	
ZNCP

	
59

	
A18A

	
030

	
1035350333

	
NIPPLE,3-1/2",NO GO 'R,VAM TOP BOX X PIN

	
1

	
EA

	
            2,162.00

	
USD

	
ZNCP

	
60

	
A18A

	
030

	
1064553715

	
RETRIEVAL TOOL, TUBING HANGER,2141825-01

	
1

	
EA

	
            8,849.64

	
USD

	
ZNCP

	
61

	
A18A

	
030

	
1988971895

	
SHIPPING SKID, P/N 2254482-01

	
1

	
EA

	
            9,540.50

	
USD

	
ZNCP

	
62

	
A18A

	
030

	
7579200125

	
FULL BORE ISOLATION VALVE INSTALLED

	
1

	
SET

	
          70,809.50

	
USD

	
ZNCP

	
63

	
A18A

	
030

	
7588216025

	
VALVE, SAFETY, TYPE H, 3", 3FT LONG

	
2

	
EA

	
          25,000.00

	
USD

	
ZNCP

	
64

	
A18A

	
030

	
8379420525

	
JOINT, SPANNER, P/N 2247142-02

	
1

	
EA

	
          17,532.66

	
USD

	
ZNCP

	
65

	
A18A

	
030

	
8974605555

	
GLYCOL HW-443,WATER BASED HYDROLIC FLUID

	
7

	
DR

	
            9,863.00

	
USD

	
ZNCP

	  	  	  	  	
Total

	  	  	
    2,632,997.24

	
USDExhibit 4.1

 

 

This Certifies That

INCORPORATED UNDER THE
LAWS OF THE STATE OF DELAWARE

AUTHORIZED: 50,000,000
COMMON SHARES,

$0.001 PAR VALUE PER
SHARE

CUSIP 81684M 10 4

SEE REVERSE FOR

CERTAIN DEFINITIONS

is the owner of

Fully Paid and Non-Assessable
Common Stock, $0.001 Par Value of

SEMLER SCIENTIFIC, INC.

transferable on the
books of this Corporation in person or by attorney upon surrender of this Certificate duly endorsed or assigned. This Certificate
and the shares represented hereby are subject to the laws of the State of Delaware, and to the Certificate of Incorporation and
the Bylaws of the Corporation, as now or hereafter amended. This Certificate is not valid until countersigned by the Transfer
Agent.

IN WITNESS WHEREOF,
the Corporation has caused this Certificate to be signed by the facsimile signatures of its duly authorized officers and to be
sealed with the facsimile seal of the Corporation.

Countersigned:

CORPORATE STOCK TRANSFER,
INC.

3200 Cherry Creek South
Drive, Suite 430

Denver, CO 80209

By

Transfer Agent and Registrar
Authorized Officer

Dated:

001 CHIEF EXECUTIVE
OFFICER / SECRETARY VICE PRESIDENT OF FINANCE / ASSISTANT SECRETARY

 

    	 

    	 

    

 

SEMLER SCIENTIFIC, INC.

CORPORATE STOCK TRANSFER, INC.

TRANSFER FEE: AS REQUIRED

 

The following abbreviations, when used in the
inscription on the face of this certificate, shall be construed as though they were written out in full according to applicable
laws or regulations:

 

	TEN COM -	as tenants in common	 	 	 	 
	TEN ENT  -	as tenants by the entireties	UNIF GIFT MIN ACT -	Custodian
	JT TEN      -	as joint tenants with right	 	(Cust)	 	(Minor)
	 	of survivorship and not as	 	under Uniform Gifts to Minors
	 	tenants in common	 	 	 	 

 

	 	Act  	 
	 	 	(State)
	Additional abbreviations may also be used though not in the above list.	 	 
	 	 	 
	 	 	 

 

	PLEASE INSERT SOCIAL SECURITY OR OTHER	 
	IDENTIFYING NUMBER OF ASSIGNEE	 
	 	 
	 	 
	 	 

 

FOR VALUE RECEIVED,_________________________________________________________
hereby sell, assign and transfer unto

 

	 
	PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS INCLUDING POSTAL ZIP
    CODE OF ASSIGNEE
	 
	 
	 
	 
	 
	 

 

__________________________________________________________________________________________
Shares of the Common Stock represented by the within Certificate and do hereby irrevocably constitute and appoint

 

________________________________________________________________________________
Attorney to transfer the said stock on the books of the within-named Corporation, with full power of substitution in the premises.

 

	Dated:                       20         ,	 	 
	 	 	 
	 	Signature: X	 
	Signature(s) Guaranteed:	 	 
	 	Signature: X	 

 

THE SIGNATURE(S) TO THIS ASSIGNMENT MUST
CORRESPOND WITH THE NAME(S) AS WRITTEN UPON THE FACE OF THE CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR
ENLARGEMENT OR ANY CHANGE WHATEVER. THE SIGNATURE(S) SHOULD BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITUTION (Banks,
Stockbrokers, Savings and Loan Associations and Credit Unions) WITH MEMBERSHIP IN AN APPROVED SIGNATURE GUARANTEE MEDALLION
PROGRAM, PURSUANT TO S.E.C. RULE 17Ad-15.

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00224-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00224-of-00352.parquet"}]]