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Home My WebLink About920510 m~~~i*1J 0i:::¡~1fu~;r:; ~:~:~::!:;:;:!~.~:' .·s.".~"~y,.,....;...=,.,. .....,,->:.~-=:.,-.,,:.""'., , ',.,......................'.. .:.,""-"""'''''I.-'-'!'. .,.,,~!:. .;, '......,",.:~ ¡ i ,- . . ·'···,·,·,···,j·,·.·:·.·.·;"I·;7..·".......·.-.·-··,·· ....,.,.....;:.¡.....,,-.-... LANCE LEJlSd NÒ. 25216 000 Fonn 3000-3. (Februay 2002) "'Í;., -....~... UNITED STATES DEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT TRANSFER OF OPERATING RIGHTS (SUB lEASE) IN A lEASE FOR Oil AND GAS OR GEOTHERMAL RESOURCES Mineral Leasing Act of 1920 (30 U.S.C. 181 et seq.) Act for Acquired Lands of 1947 (30 U.S.C. 351-359) Geothetmal Steam Act of 1970 (30 U.S.c. 1001-1025) Department of the Interior Appropriations Act, Fiscal Year 1981 (42 U.S.c. 6508) s* COO~:'l4 FORM APPROVED OMB NO. 1004-0034 Expires: October 31, 2004 Le.se Serial No. WYW-021777 Type or print plainly in ink and sign in ink. PART A: TRANSFER I. Transferee (Sublessee)* Street City, State, ZIP Code LANCE OIL & GAS COMPANY, INC. 1099 18TH STREET, SUITE 1200 DENVER, CO 80202-1955 *If more than one transferee, check here and list the name(s) and address( es) of all additional transferees on the reverse of this fonn or on a separate attached sheet of paper. This transfer is for (Check one) r8JOil and Gas Lease, or o Geothermal Lease Interest conveyed: (Check one or both, as appropriate) r8JOperating Rights (sublease), DOveniding Royalty, payment out of production or other similar interests or payments. 2. This transfer (sublease) conveys the following interest: Land Desctiption Percent of Interest Percent of Additional space on reverse, if needed. Do not submit documents or agreements other Owned Conveyed Retained Oveniding Royalty than this fOlm; such documents or agreements shall only be referenced herein. or Similar Interests Reserved Previously reserved d or conveyed a b C f e USAlWyominglLincoln 6 TOI9N -RI12W: SEC 006 9.513043% 9.513043% 0% 0% Any of SW4 SE4 Record BOREHOLE INTEREST ONLY IN WILSON RANCH #39 WELL lDCA TED IN SW/4SE/4, FROM THE SURF ACE DOWN TO THE STRATIGRAPHIC EQUIVALENT OF 12,202 FEET AS ENCOUNTERED IN SAID WELL RECEIVED 7/24/2006 at 11 :21 AM RECEIVING # 920510 BOOK: 627 PAGE: 214 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY - ----- --------- -- -- ~ ----_.- -- FOR BlM USE ONLY - DO NOT WRITE BELOW THIS LINE THE UNITED STATES OF AMERICA This transfer is approved solely for administrative purposes. Approval does not warrant that either party to this transfer holds legal or equitable title to this lease. DTransfer approved effective By (Authorized Officer) (Title) (Date) (Continued on page 2) d.5:).J~o DO · -....... ..~...~~_._-- .~-_. ." -. - -+.-.,-,-,.. ···.......u___"'.~, . ...., <."~...._......,'-.." ., ..............'..,,--.-.., Pal1 A (C.;;{iin':ed):''7\DDITIONAL SPACE for Names and addresses of additional transferees in Item No. I, ¡fneeded, or for Land Description in Item No.2, if needed, 09Z0510 n (I 0 ''>'15 t", l) 'L:. PART B: CERTIFICATION AND REQUEST FOR APPROVAL I. The Transferor cel1ifies as owner of an interest in the above designated lease that he/she hereby assigns to the above transferee(s) the rights specified above. 2. Transferee certifies as follows: (a) Transferee is a citizen of the United States; an association of such citizens; a municipality; or a corporation organized under the laws ofthe United States or of any State or telTitOlY thereof. For the assignment of NPR-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) Transferee is not considered a minor under the laws of the State in which the lands covered by this assignment are located; (c) Transferee'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 gas options), or 300,000 acres in leases in each leasing Disttict 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 geothennallease; (d) all parties holding an interest in the assignment are othelwise in compliance with the regulations (43 CFR Group 3100 or 3200) and the authOlizing Acts; (e) Transferee is in compliance with reclamation requirements for all Federal oil and gas lease holdings as required by sec, 17(g) of the Mineral Leasing Act; and (f) Transferee is not in violation of sec. 41 of the Mineral Leasing Act 3. Transferee's signature to this assigmnent constitutes acceptance of all applicable tenns, conditions, stipulations and resttictions pel1aining to the lease desclibed herein. Applicable tenns and conditions include, but are not limited to, an obligation to conduct all operations on the leasehold in accordance with the tenns and conditions of the lease, to condition all wells for proper abandonment, to restore the leased lands upon completion of any operations as described in the lease, and to fumish and maintain such bond as may be required by the lessor pursuant to regulations 43 CFR 3 104, 3134, or 3206, For geothennal assigmnents, an oveniding royalty may not be less than one-foUl1h (114) 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 oveniding royalties (43 CFR 3241). I certify that the statements made herein by me are true, complete, and COlTect to the best of my knowledge and belief and are made in good faith. Executed this 30í1J.- day of BUT EFFECTIVE DECEMBER 1,2005. ~7 ,2006, Executed this 3 c:, n.l day of ~ ,2006 Name ofTransferor MOUNTAIN GAS RESOURCES INC. Please type or plint Name of Transferee: LANCE OIL & GAS COMPANY INC Transferor (Signature) ~ LANCE OIL & GAS COMPANY, INC. V;'~_;d""-Lmd, ~. ~ M.... Pooy DENVER 80202-1955 (Zip Code) (City) BURDEN HOURS STATEMENT Public repol1ing burden for this fonn is estimated to average 30 minutes per response, including the time for reviewing instructions, gatheling and maintaining data, and completing and reviewing the fonn. Direct comments regarding the burden estimate or any other aspect of this fonn to U.S. Department of the Intelior, Bureau of Land Management, Bureau Clearance Officer, (DW -110), Denver Federal Center. Building 40, P.O. Box 25047, Denver, CO 80225-0047 and the Office of Management and Budget, Papelwork Reduction Project (I 004-0034), Washington, D.C. 20503. Title 18 U.S.C. Sec. 100 I makes it a clime for any person knowingly and willfully to make to any Depæ1ment or agency of the United States any false, fictitious or fraudulent statements or representations as to any matter within its jUlisdiction. (Fonn 3000-3a page 2) ~ nI~~i~~~i~~~I~~~ ~,.,.,...,._..~:.t<!.l.~ ·...;~h..~.':...·..!_·, ''-' .'-="'t' )lr~~'~~"''''',;'c:t· .r'.i-':: '.'" .- ,'~:'. ,'. . ,',,.,..,,,,; ~-..;'".^..., ",.<,", ................#.".......'..,.. _<:L ·.~~'·~!iIl~~~'...:""'*iC.~;'<.a; ~':'K ':1 ~;;i',-( . "1 "-"'I"~~'·, ;,\'(''\""'";1_.,." i '.',' . :. '....,., -;,' '..; .... .;.......,~' . ; . '.' "", þ " 092051.0 f1(f\l)1. 6 !)i/t}{~._ Transfer of Operating Rights (Sub Lease) in a Lease for Oil and Gas or Geothermal Resources: WYW-021777 Lincoln County, Wyoming ACKNOWLEDGEMENT STATE OF COLORADO ) )ss, COUNTY OF DENVER ) I, Gretchen M, Darnay, a Notary Public in and for the County and State aforesaid, do hereby certify that, Mark R, Petry, whose name is subscribed to the foregoing instrument as Vice President-land of lance Oil &: Gas Company, Inc., appeared before me this day in person and acknowledged he executed said instrument as his free, voluntary act and deed as the free, voluntary act and deed of said corporation for the uses and purposes therein set forth. Given under my hand and Notarial Seal this 30th day of May, 2006. My commission expires: 9/11/2007 GRETCHEN M DARNAY Notary Public State of Colorado ACKNOWLEDGEMENT STATE OF COLORADO ) )ss. COUNTY OF DENVER ) I, Gretchen M, Darnay, a Notary Public in and for the County and State aforesaid, do hereby certify that, Mark R, Petry, whose name is subscribed to the foregoing instrument as Vice President-land of Mountain Gas Resources, Inc" appeared before me this day in person and acknowledged he executed said instrument as his free, voluntary act and deed as the free, voluntary act and deed of said corporation for the uses and purposes therein set forth. Given under my hand and Notarial Seal this 30th GRETCHEN M DARNAY o ary Public State of Colorado My commission expires: 9/11/2007