HomeMy WebLinkAbout908977 L,, ........ 003¢',7
Form .3000-3 ~:~:L::' . UNITED STATES -'
(February 2002) ,',\~¥~\~' DEI~ARTMENT OF THE INTERIO~
..-,~ '~ ~x,,~l~''~ BUREAU OF LAND MANAGEMENT
?'d~ ~ L;~"~'° A~GNMENT OF RECORD TITLE INTEREST IN A
J4~ ~ ~EA~bR OIL AND GAS OR GEOTHERMAL RESOURCES
~o · ;~. ~) ~mera Leasing Act of1920 (30 U.S.C. 181 etseq.)
.... -7 ~f~,,~ for Acquired Lands of 1947 (30 U.S.C 351-359)
~; ~,~ , Geothermal Sleam Act or 1970 (ao u.s.c. I001-1025)
~1 ~partment of the Interior Appropriations Act Fiscal Year 1981 (42 U.S.C. 6508)
F~(~4ROVED
OMB NO. 1004-0034
Expires: October 3 I, 2004
Lease Serial No.
WYW-162359
Lease Effcctive Date
(Anniversary Date)
February 1,
2OO5
New Serial No.
Type or print plainly in ink and sign in ink.
PART A: ASSIGNMENT
Assignee* S W E P I L . P.
Street P. 0. B o x 5 7 6
City, state, ZIPCode Houston,
Texas 77001
*If more than one assignee, check here [] and list the name(s) and address(es) of all additional assignees on the reverse of riffs form or on a
separate attached sheet of paper.
lhis record title assignment is for: (Check one) [] Oil and Gas Lease, or [] Geothermal Lease
Interest conveyed: (Check one or both, ax appropriate) [] Record Title, [] Overriding Royalty, payment out of production or other similar
interests or payments
2. This assignment conveys the following interest:
Land Description Percent of Intcrest I'crcent of
Additional space on reverse, if needed. Do nol submi~ documenls or agreemenls olher limn Owned Conveyed Retained Overriding Royalty
- Similar Interests
this form; such documents or agreements shall only be referenced herein.
Reserved Previously
reserved
or conveyed
a b c .... , d . . e f
'o~wnship 26:'North', Ran'ge:ill West, 6th P. 100% 100%'. n'one' 5%"of none
tion 19:E/2E/2 I. 8/Sth
ontaining 160 acres, more or less
.incoln County, Wyoming
;ubject to attached Reassignment Rider.
~ RECEIVED 6/6/2005 at 11:22 AM
RECEIVING # 908977
'~ BOOK: 587 PAGE: 307
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
S
uitable title to this lease.
Assignment appro~,ed ~-or ab0vc describ'ed lands;
, signmentapprovedcffective APR 012005
FOR BLM USE ONLY. DO NOT WRITE BELOW THIS LINE
UNITED STATES OF AMERICA
· ~f;oe~ notwa.~rant that eltner,lm~ty'tovtli'~S~ iiss gnment holds legal or
This assignment is approved solely for administrative purposes. Appr6'¢~l' n , 'r~.r~ .~ ~, , ' ;'~. ~,'~¢'~e~'I~'1 ~,.~.'3_~ ~, .
ISl Carmen E. Lo'eft'
(Authorized Omcer)
By
· ~ Assignment abpfoved ror..]at(,a.c,.h~ i~ de'script on.
, :'i: ia, ?" ' .:
[] Assignme, n,l approv,edTgr,i~nd,!td..qseripti'dn indicated on reverse
of this form.
LAND LAW EXAI INER A¥'g 0 211135
{lille) {Dale)
{Continued on ret~rse)
FOR ASSIGNEE
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A(Conli,med) AD[)ITIONALSPACI! For Namcsandaddrcsscsol'addilim];i ass|gnccs inllcm No I. al'needed, or t'nr I.and Dcscnpnon m Item No 2. i1'
The overriding royalty rese~ed hereunder shall be calculated and paid on at least as favorable a basis as royalty
paid to the United States on feder~ oil and gas leases.
003( 8
~ the event Assi~ des~es to "reffnquish' the herein descffbed lease as to all or any p~ of the acreage covered
thereby, Assignee sh~ notify Assi~or sixty (60) days prior to the ne~ acc~ing rental date under said oil ~d gas
lease of Assi~ee'S desire to reffnquish said oil and gas leas~ Assi~or sh~l then have the right for a period of
fift~n (15) days after the receipt of such notification in which to request to Assi~ee that s~d off and gas lease be ~
reassi~ed to Assi~or, ~d Assi~ee sh~l then execute ~ assi~ment of s~d oil and gas lease to Assi~or.
........ k~ll ~, ga IlaKla in tlamaaa~ ar nth~i~_ far failure tn
ffive such notice due to clericM error,
,[
Notary Public
My commission expires:___~ 0ommission Expires 04113/2007
STATE OF COLORADO )
) ss
COUNTY OF DENVER )
The foregoing instrument was acknowledged before me by Joe Freeman as Partner for Freeman
Investments, this 14t~ day of January, 2005.
WITNESS my hand and official seal. .;z./~.o.O...:~.m: .....o_ ~'~.;.'
...' :
'v': ~ Co ."0 .
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.......... j ...... - .........-,-..n,~maoe-~re-rzqff-6~'y me are true, complete, and correct lo tile best of my knowledge and belief and are made in good [aith.
Executedtbis 14th d~yor January 20 05 Execuledlbis dayol'[~g,~'-g~f
NameofAssig,mras~onct~'~h}lcase Freeman Investments
SWEPI
/~ ''~~ -~4~,//~ ~- -.~ ~ ,>.~ ~a6
or P a~n.e r ~ (Signal ir') Assigneeor
Altorney-in-lhc~ Attomey-m-lhct
(Signature)
3415 S. Clayton Blvd.
(Assign.r's Address)
Englewood, CO 80113-7611
L.[},
(Cily) (Slalc) (Zip £'odc)
Public rcporling burden fnr Ibis I'oml is csthBalcd lis avcraffc 30 minutes per rcspm~sc including IbC lime Iht rcvicwin~ inslmclitms, galhcrill~ :md mainl;mm~g dala. a~ld
COnlplcting add reviewing lilt Ibrm l)ircct COIHII}CIIIS rcgardillg Ibc btlrdcl~ csliloalc or all)' olhcf aspccl ol'tJlis Ii)m1 It) ti S I)cparllncnl rd'tile hllcritsr. Ihlrcatl ol' I,and
Management (1004-0034). Bureau Clcal'mlcc {)l/~cc~. {W()-630). Mail Slop 401 t.h. 184 / C' 51reel, NW ~ Wnqmigh)n. I).C 20240.
Title 18 USC. 5cc. 1001 makes il a crime list any pcrstm knnwm~ly nnd willlidly Lo nlakc Io a~l) l)cparllncnl {)r agone5 ~d'dlc thmcd 51arcs any Ihlsc. liclilious or I~audtJICnt
statements or representations as to ;my mailer wilhin ils tirisdiction