HomeMy WebLinkAbout918655
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"FQrID 3000·3· I
(FeIJru'ary 2002)
UNITED STATES; I COO 78 8,
DEPARTMENT OF THE INTERIOR
BUREAU OFLAND MANAGEMENT
ASSIGNMENT OF RECORD TITLE INTEREST IN A
LEAS~FOR OIL AND GAS OR GEOTHERMAL RESOURCES
FORM APPROVED
OMB NO. 1004-0034
Expircs: Octobcr 31. 2004
LcaWW!i<1¡2355
Assignec·
Street
City, State, ZIP Code
Mineral Leasing Act of 1920 (30 U.S.C. 181 et seq.)
Act for Acquired Lands of 1947 (30 U,S;C 351-359)
Geothermal Steam Act of 1970 (30 U.S.C. 100 I-I 025)
Department of the Interior Appropriations Act, Fiscal Year 1981 (42 U,S.C. 6508)
Type or print plainly in ink and sign in ink.
PART A: ASSIGNMENT
Southwestern Energy Production Company
2350 North Sam Houston Parkway East, Suite 300
Houston. TX 77032
Lease Effcctive Datc
(An~~~~~1~~2006
New Serial No.
·Ifmore than one assignee, check here 0 and list the name(s) and addressees) of all additional assignees on the reverse of this form or on a
separate attached sheet of paper.
This record title assignment is for: (Check one) 1&:1 Oil and Gas Lease, or D Geothermal Lease
Interest conveyed: (Check one or both, as appropriate) ~ Record Title, D Overriding Royalty, payment out of production or other similar
interests or payments
2. This assigrimenl conveys the following interest:
Land Descri tion
Additional space on reverse, if needed. Do not submit documents or agreements other than Owned
this form; such documents or agreements shall only be referenced herein,
Percent of Interest
Conveyed Retained
Percent of
Ov~rr!ding Royalty
Similar Interests
Reserved
Previously
reserved
or conveyed
f
a '
b
c
d
e
Township 20 North. Range 118 West. 6th P,M.
Section 20: All
Section 21: All
Section27: All,
,
920.00 Acres, more or less:
100.00% 100.00%
None
'None
None
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RECEIVED 5/22/2006 at 11 :04 AM
RECEIVING # ,918655
BOOK: 620 PAGE: 788
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
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Lincoln County, Wyoming
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FOR BlM USE ONLY· DO NOT WRITE BELOW THIS LINE
UNITED STATÈS OF AMERICA
This assignment is approved solely for administrative purposes. ApproVal does not warrant that either party to this assignment holds legal or
equitable title to this lease.
~ Assignment approved for above described lands: 0 Assignment approved for attached land description
Assignment approved effective
'A'-Judith 'R..-otdènbufi
o Assignment approved for land description indicated on reverse
of this form,
(Authorized Officer)
LANDtAWE~,·
(Tille)
MAY 1 ~ ,1QP6
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By
(Continued on reverse)
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Part A (Continued): ADDITIONAL SPACE for Namcs and addresses of additional assignees in Item No, I, if needed. or for Land Description in Itcm No, 2. if
needed,
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PART B - CERTIFICATION AND REQUEST FORAPPROVAL
I. The Assignor certifies as owner if an interest in the above designated lease that he/she hereby assigns to the above assignee(s) the rights specified above.
2. Assignee certifies as follows: (a) Assignee is a citizen of the United States; an association of such citizens; a municipality; or a corporation organized under the
laws of the United States or of any State or territory thereof. For the assignment ofNPR-A leases, assignee is a citizen, national, or resident alien of the United
States or association of such citizens, nationals, resident aliens or private, public or municipal corporations, (b) Assignee is 'Oot considered a minor under the
laws of the State in which the lands covered by this assignment are located; (~) Assignee's chargeable interests, direct and indirect, in each public domain and
acquired lands separately in the same State, do not exceed 246,080 acres in oil and gas leases (of which up to 200,000 acres may be in oil and gls options). or
300,000 acres in leases in each leasing District in Alaska of which up to 200,000 acres may be in options, if this is an oil and gas lease issued in accordance
with the Mineral Leasing Act of 1920, or 51,200 acres in anyone State if this is a geothermal lease; (d) All parties holding an interest in the assignment are
otherwise in compliance with the regulations (43 CFR Group 3\ 00 or 3200) and the authorizing Acts; (e) Assignee is in compliance with reclamation
requirements for all Federal oil and gas lease holdings as required by sec, l7(g) ofthe Mineral Leasing Act; and (t) Assignee is not in violation ofsec, 41 of the
Mineral Leasing Act. '
3. Assignee's signature to this assignment constitutes acceptance of all applicable terms, conditions. stipulations and restrictions pertaining to tlie lease described
here i n,
For geothermal assignments, an overrìdingroyalty may not be less than one-fourth (1/4) of one percent of the value of output. nor greater than 50 percent of the rate of
royalty due to the United States when this assignment is added to all previously created overriding royalties (43 CFR 324\ ).,
I certify that the statements :de herein by me are true, complete, and correct to the best of my knowledge and~' and are made in good faith.
Executed this 30 day of January 20 06 Executed this 7 day of February
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Name of Assignor as shown on current lease Noonan Land Services, Inc.
A",,"",ŒNV>0 G /);tØ¡7~""' "'""
(Signature)
Thomas 1. Noonan, President
.lSignature)
900 Werner Court, Suite 275
Assignee
Southweste~ ~~n Company
~, "'"""" 1
Jim Dewbre, Vice-President-Land
(Signature)
or
or
Attorney-in-fact
Attorney-in-fact
(Assignor's Address)
Casper
(City)
:wy
..
826.01
(Zip Code)
(State)
Public reporting burden for this form is estimated to average 30 minutcs pcr rcsponse including the time I;"r reviewing instructions. gathering and maintaining data. and
completing and reviewing the form, Direct comments regarding the, burden estin)ate or any othcr aspcct of this Ii>rln to lJ,S, Departmclìt of the Interior. lIureau of Land
Management (1004-0034). Bureau Clearancc Oft~cer. (WO-630). Mail Stop 4011.S. '8.49 (',Street. N,W., Washington, DC. 20240.
, -
Title 18 U.s.C, Sec, 1001 makes it a'crimc lor any pcrson knowingly and willtillly to make 10 any Department or agcncy oflhe lJnited Stales any '¡llsc. liclilious or Ihlllduknt
statements or representations as to any matter within its jurisdiction. . ,.' . ,. .'
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ASSIGNOR:
NOONAN LAND SERVICES, INC.
By: {;f~ ~
Tho as J. Noonan, PresIdent
STATE OF WYOMING )
) ss.
COUNTY OF NATRONA )
Before me, the undersigned, a Notary Public, within and for said county and state on this 30th
day of January, 2006, personally appeared Thomas J. Noonan, known to me to be the identical person
who subscribed the name of Noonan Land Services, Inc. to the foregoing instrument as it's President,
and duly acknowledged to me that he executed the same as his free and voluntary act and deed, and as
the free and voluntary act and deed of said company, for the uses and purposes therein set forth.
Witness my hand and official seal.
My commission expires:
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"JEj COUNTY OF NATRONA
~/STATE OF WYOMING
) ".YMy CommIssIon Expires Aug, 31, 2008
ASSIGNEE:
SOUTHWESTERNENERG
By:
STATE OF TEXAS )
) ss.
COUNTY OF HARRIS )
Before me, the undersigned, a Notary Public, within and for said county and state on this 1 +-h
day of February, 2006, personally appeared Jim Dewbre, known to me to be the identical person who
subscribed the name of Southwestern Energy Production Company to the foregoing instrument as
it's Vice-President-Land, and duly acknowledged to me that he executed the same as his free and
voluntary act and deed, and as the free and voluntary act and deed of said company, for the uses and
purposes therein set forth.
Witness my hand and official seal.
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Notary Public