HomeMy WebLinkAbout922531
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000012
FOOD 3000-3 .., ','1'1' UNITED STATES
(FdJnwy 2~)\ti \ [hI",
.. .'. '. '.. ..... "'r" \ ~' t", (' !~t l\ \ DEPARTMENT OF THE INTERIOR
e, ," ," ~l\" ,,,,,,,,,UL BUREAU OF LAND MANAGEMENT
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lID6 JUN 28 ~ 1ECX::~~:~li~N~FG~~C:~rJi~:~~e:J~~~CES
l '.~' \ \J E Ð Mineral Leasing Act of 1920 (30 U.S.C. III et seq.)
Ë-'~':l t' \lJ'ím·\\NG Act for Acquired Lands of 1947 (30U.S.C 351-359)
¡ I: "J ' Geothermal Steam Act of 1970 (30 U.S.C. 1001-1025)
Depar1ment of the Interior Appropriations Act, Fiscal Year 1981 (42 U.S.C. 6501)
FORM APPROVED
OMB NO. 1004- 0034
Expires: October 31, 2004
Lease Serial No.
See AttathH
Lease Eftèctive Date
(Anniversary Date)
New Serial No.
1. Assignee'" PaIaœ Expleradoa Co...,...y
SIn:d 6100 South Yale Aveøue, Suite 1700
City, StIlle. Z41Code T...... OIdaboma 74136
·If DllIetban me assignee, dmhere 0 IDl li;t 1belllmf(s) IDllllÜals(cs)œ .u aüimaI a:signees œ paøe 2 of this tòun or œ a sqJII1IIe IIÜaåI;:d
shed ofpap«.
This m:mI tide assigmm is foc: (Check une) [lJ 0iI1Dl Gas L:ase, oc Dc.............., Lease
1œ.Testcœvc:yed: (Checkune or both. as opproprioJe) 0 R=.d Title, 0 OvaridingRayahy, payIDiD w ofproWdioo orcdøsimila- ~
oc paym¡Ds
Type or print plainly in ink and sign in ink.
PART A: ASSIGNMENT
2 This -igP""'ri IXX1VeYS 1he foIIowi¡g ÌIáa"csI;
Land Description Percent of Interest Percent of
Additional space on page 3, if needed. Do not submit documents oc agreemCDts Owned CœveyaI Retained Overridin~ Royalty
other than this form; such documents or agreemeuts shall only be referenced h.:reia. Similar nterests
Rœavat Previoosly
resavat
or conveyed
a b c d e f
ASSlGNOR(a) ,
CODdor Explonúioo, u.c 111% !I.5'11. .5'11. dlffereace OfR«anl
77111 ElIOt BeUeview, Suite #8-181 .......eea
Greeenwood VWace, co l1li111 eDoûnc
burdeoo
Nevada PetroIem Corporadaa 8% 7.6% .4'11. IIDd 111%, Of Record
1345 NW WaD Street, Suite 100 tbuo,
Bea4, OR !l7701 deUverinc
an l1li'11.
H_trap Parme.... LLC 111% !I.5'11. .5'11. Net OfR«anl
1371 Bricbtoa Circle Reveøue
Medford, OR !l7584 Intereot.
See Edübit "A" for Iaad deoaitplon
SUBJECT TO THAT CERTAIN FARMOur AGREEMENT DATED
AUGUST 1!1,11105 BY AND BETWEEN ASSIGNOR'S AND ASSIGNEE.
FOR BlM USE ONLY - DO NOT WRITE BELOW THIS LINE
UNITED STATES a= AMERICA FOR ASSIGNEE
This auignment is approved lOIeIy for administrative purposes. Approval does not warrant that either party to this assignment holds legal or equitable
title to this lease. ~
o Assigoment approved for above desaibed lands; J¿] Assignment approved for attached land description
Assignment approved effective' J UL U.2OO6 0 Assigwnent approved for land description indicated on reverse
of this fonn
rrô'¡"\
AUG 1 5 2006
(Date)
By
IS/ Carmen E. Lovett
(Aithaized Officer)
(Continued on page 2)
LAND LAW EXAMINER
RECEIVED 9/18/2006 at 11:56 AM
RECEIVING # 922531
BOOK: 634 PAGE: 12
JEANNE WAGNER
LINCOLN COLJNTY CLERK, KEMMERER, WY
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00001.3
Part A (Continued): ADDITIONAL SPACE fm- JWIII:a and addrcues of addilional usi.gœcs in I1cm i~J?'~ OFFICIAL SEAL ~"
f' ALYCE M LARSEN ~'ïì
ASSIGNO : \. ~ NOTARY PUBLlC,OREGON ~) U
/) COMMISSION NO. 364338 "}
STATE OF .f')~",., I. .!-'IY £0Iv!~ ~~19"!..E.~P.!.~,.~.J~Q~7.._ . 1
COUNTY Or~c.h&,L.~ .....--:.-~~..~~ -.::--.' -~. ..'. .-=. ---'
The foregoing instnuneat wu acknowledged before me tbis ~day of ~
1_, by Patrick M Gisler, ~~ ~~ ~oration, LLC.' --,--
~ ~:-.,:-w. (/JO'øi7lfllfll J~ j Nowy Po,,",
The forecoiol Ïlutnuaeat 11' adœowIedged before me . Jo'flt day of J1/ AI~
1006, by Patrick M Gisler, Nev ewn Corpora;;;::r-
My conunissioa Espires: Notary Public
r
,
:~m:
PbiI Andersch, Manager
Dated: 5 -1. t...-cJJ,
STATE OF OREGON
COUNTY OF JACKSON .J.
--....:n.e forecoiog Ïlutnuaeat wu acknowledged before me tbis ZJ::. day of ~
1_, by PbiI Aadench, ~r ofHone~p~ers, LLC.
My COIIUDÎsIioII Espires: :J. l' ,7)- , '.L , Notal}' Public
PART B - CERTlRCATlON AND REQUEST FOR APPROVAL
I.
The Assignor certifies as owner if an interest in the above desigutcd L:asc !bat helsbc hcœby assigns to the above assignee( s) the righlB specified above.
2.
Assignee certifies as foUaws: (a) Assignee is a citizen ofllt.: Uuited Slates; allIIIOCiatiOll of such citizens; a muuicipality; or a CmporatiOll orgallÍzcd under Ibc
laws of lit.: United States or of any State or territoly Ihcreof. FOI' the ..oigpm"'" ofNPR.-A leases, IUignee is a citizen, nations!, or resident alien ofllt.: Uuitcd
States or &IIocialioo of such citizens, nationals, residcnt aliœs or piVúc, public m- IDImicipù corporations, (b) Assignee is not COIIIidered a minor UDder the
laws of the State in which lit.: lands covered by this assignment arc lowed; (c) Assigncc's chargc.ble ÙItcJ1:sts, dircct and indirect, in each public domain IIOd
8CqUÍred lands separately in the same State, do not exceed 246,080 acres in oilllOd gas leases (of which up to 200,000 acres may be in w and gas optiooa), or
300,000 acres in leases in each leasing District in Alaska of which up to 200,000 acres may be in optiOOl, if this is In oil and gas lease issued in accordance
with the Mineral Leasing Act of 1920, or 51,200 acees in any one: State if this is agcothcrma1lease; (d) All parties holding an interest in the IIIÌgnmcnt arc
otherwise in compliance with the regulations (43 CFR Group 3100 or 3200) and the authorizing Acts; (e) Assignee is in compliance with reclamation
requircmcøt& for aU Federal oil and gas lease holdings as n:quù:cd bylCC. 11(gj of the Aincnl Leasing Act; and <0 Assignee is not in violation ofscc.41 ofllt.:
Miocral Leasing Act.
3. Assignee's signature to this assignment conalitutcs acceptance of all applicable terms, CooditiOl1l, stipulalions and restrictiOOl pertaining to the lease descåbcd
bcrein.
Fm- gcotbcmW assigmncnts, aI overriding royalty may not be leas than one-fourth (1/4) of one pcrccut of the value of output, nor greater than 50 percent ofllt.: rate of
royalty due to the Uuitcd States when this assignment is added to all previously created overriding royalties (43 CFR 3241).
I certi1}r !bat the statements made herein by me arc 1Iue, complete, IIOd correct to lit.: best of my knowledge and belief and are made in good faith.
.......... ..,'" 20 .......... ;)I~ ..., or ~ 20 crk-
Name of Assignor as shown on cum:nt lease
SEE ABOVE
(Please type or print)
Assignor
Assignee
~
~aIdent
or
Attomcy-in-fact
(Sümature )
or
Attorney-in-fact
(Signature)
SEE PAGE 1
(AssiøIIor's Address)
SEEPAGE 1
(City)
( State)
(Zip Code)
~n,\'
. ""/ '\1 .
Public r. . ~ for this form ~ catinutcd to ~~' ' ~'. \ ,~the time fΠz:cvicwing instructions, ~ IIOd ~ data. IIOd
compl~ IC\I1CW~ lit.: form. Direct COIDIIICDts reg b es1tiQ/te_ any other upect of this form to U.S. Dcpartñicnl of iLc Intcnor, Bureau of Lsnd
MaDagcmcnt(IOO4-OO34), BurcauIufonnatiooColleclÍOIICI _ ,'{W~30), ~I S~op401 LS, 1849C Street, N.W., Wuhington, D.C. 20240.
- \o\.~f y\\k
Tide 18 U.S.C. See.lOOI makes it a. crime fur any penon ~ ~~~ m.ke to any ~~ or agency ofllt.: United States any false, fictiliolll, or
frsudu1cnt stataw:nts or œprcscoutIOOIu to any matter W1 ts Jurudiction. .' . " i ~ n~,''; ::; ~',:
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IContinuød onpaue 31 \ \' ¡I,I .\~)'¡ \'I " ',' ,r, >. \.¡ ,',' {l;'orm 3000-3, ÐrJUe 21
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PART C- GENERAL INSTRUCTIONS
000014
I. Aasigna/Aasignœ must canplclc Parts Al and A2 and Part B. ~ ~ 10
HoilP""enI must sign as f01lows: The ossignor(s) JDUI( IDóIIIIIalIy ... 3 ÐrigjDaI
copica mil Ibe alllÍgJlcc(s) must IIIaIIWII1y iÏ8D" L:aar I of Ibe 3 œigiaaI copica.
File ducc (3) compIcIcd copies of Ibis fOlDl in tile popcr BW office f... each
aaoi8l""""Iofn:card1idc. Fora traoafcrofoveaiding royallyinlcø:st,paymcaI
out of poW¡;ûœor oIba' oimi1ar ÎDIcrcIIt Œ paymœI, 1ì1c OIIC (I) maouaIIy aip:d
copy of Ibis úun. The requiredfilingfcc (noorefundBble)must~1bc
aaaigomcnt.Füe .';81""""1 within Dincly (90) days after date of exccullonof
aaaignor.
2 ScparaIcfiDn must be uacd foreach lease: being affected ~ Ibis ~ mil
for each Iypc of intcrcat conveyed.
3. In Item No.2 of Part A, describe lands affected (See 43 CFR 3106, 3135 ...
3241). Forcol.umnb, c, d, ande, cntcrthcimcn:stexpn:ucd.apcn:aúage
oftotaiinfcreatin Ibc lease; e.g., ifaaaignauuigoa ODe c¡uattc£ofa 20% in-
tacit, cnlcr 20% in column b, S%in columnc, mil 15%in column d.
4. If assigmocn1is to moce 1han OIIC auigncc, CDlcr each auigocc's DUDe acrou
The Paperwork R.eductioo Act of 1995 requires us to inform you lbat
I. This ÍDfiIImIIiœ is being caUcctcd ptIIIUaIIt 10 Ibc Uw.
2. This information will be uacd to create and maintain a reCŒd of oil and
gaalgcofhcrmaIlcaac: aclivily.
3. RcIlpOlliC 10 Ihiarequcatis required to obtain benefit.
BlM would like you to koow thai you do not bave to ~ to this ... any odacr
Federal agcw:yspooaorcd information coI.lcclion unlcss il display. a o:uircn1Iy
valid OMBconIrolnumber.
NOTICE
The Privacy Act of 1974andthe rcgulationin 43 CFR 2.4I(d)providclblt you be
fumilbcdthe followinginformationin cooncction with infoonaIion required ~ Ibis
oil and gaa/geolhermallcaac record lide auignmcnt appIicatioo.
AUTBORl1Y: 30U.S.C.1B1 elscq.; 30U.S.C.lOOI-I025; 42 U.S.C. 6508
PRINCIPAL PURPOSE: The infonnalion is to be \lied 10 JllDCCSS record tide a-
signmcn1afor oil and gaalgeolhcnnal reaOW'Ces leases.
5, If anypaylDCllt out Œ poW¡;ûœ Œ aimilarinlcœsta, ~ orpaymcoll
bavepeviously beœ aeaIed out of the intercat being aasignc:d,... if any aucb
~ Œ in....catun: R:IIŒVCd Ulllb-Ihia ~ include a IIaIaDodgMog
fi¡J dctai1a as to mJOUd, mcIbod Œ BYIDCU, md oIba'pcrtiIGII_ ")IIU\'Ïdod
under 43 CFR 3106. 3135, or 3241.
6. The leaac: account must be .. good iIanding befŒe Ibis .....¡g,.......nt <al be lip-
proved ..provided uodcr 43 CFR 3 106 and 32..1.
7. Aaøignaad, if approved, Iakt:a c1Ièà In the fust day Œ the JDOOIh fülowing Ibc
date offilingin the popcr BUd offiœ. If a bœd is n.::cckary, it mllltbc ÍÙ£-
IIÍihcd prior to app-ovaI of the assignment.
& Approval of.lllllÌgPmr.nt of rccoot IiI1c to lOO'Ió oca pOOioo Œ the 1eaaedlaoda
aeúciacpnlc 1cascaŒk Rlålcdand Ibe Ugncdpœliaœ, Iú ¡bUD cIJa:ø::
the Icons andconditiOl1l ΠIbc lease annivcrwy dale forpqpooc:a of payIDCIIt
of annualrc:ota1.
9. Owøiding royalty, payllllDt out Œ JIIWcIiœ Œ oIba' similart)pel Œ IDDIfI:ø
IIIIIItbe tiled with BLM, Iu MIl lie acaptcd fŒ ICCŒd QpoIC8 œIy. No affi-
c:ia1 approval will be given.
ROUTINE USES:
(I) The aqjudicalionof Ibc aIiÍgJIcc's rights 10 the land or reaourcca.
(2) rrn................ iJrptiK:inbmaIiœ in ~ ŒmlalÎœllIIId: In 1aud.....
n:cœIa f...1bc JDaII !cmcnI, diapoaaI, andusc of public lands mil n:cIIIIECi.
ß) TØI1IÞto IIJ IropÒaICFedc:raJ igCDCÍCII when ccu:uaco:cia RqUÎß:d pi« to
granIing a righ& in public lands or resOW'CCs.
(4) (5)Tm......;.,.,fiœ¡ tbc =on1 aod'cx1hc n:ard will be IIanIIfctra 10 1ßIIÐI1IÍ-
ale Fedc:aI, S&aIc, local ŒiIn:ign agcn::ies, v.bn rclCWDI k> riW, criminal Œ¡qpå-
lory invcaligalionaorpr08cculions.
EFFECT OF NOT PROVIDING INFORMATlON- IraU req.-d Inf_
tioø II - JII'O"ided, UIe auignmeat ...y Dot be approved. See reguJadc¡Dlat
43 CFR Grøu II3100 aad.uoo.
2. This .....;~ cœveys fie täIowiog ÎDtereIi (amtiwed):
Laud Descri tioo
Additional space 011 page 3, if needed Do not submit documeats or agreemeats
other than this fonn; such documents or agreements shall only be referœced herein.
a
Pl2"cent of Interest
ÛI\œd Cœveyed RcIainW
Percent of
OvcnidinJ! Royalty
Similar Intl2"Csts
Rœerved
Previwsly
resaved
or conveyed
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00001.5
Exhibit · A·
Attached to and made a part of that certain Assignment of Record Title Interest
Dated May 10, 2006
By and between Condor Exploration, et ai, Assignor's and Palace Exploration Company, Assignee
Zsnørgy No. Serial No Eft Date Exp Date Sec Twn Ana Description Acres
WY -0942-00 1 WYW-155030 2/1/2002 1/31/2012 5 22N 114W All 642.16
WY-D942-D02 WYW-155075 2/1/2002 1/31/2012 18 22N 114W E2 320.00
WY -D941-D03 WYW -150485* 6/1/2000 5/31/2010 12 22N 115W N2NE,SWNE,NW,SE 440.00
WY-D/U3-038 WYW-149057* 10/1/1999 9/30/2009 12 22N 115W NESW,S2SW 120.00
WY-D843-033 WYW-143134* 9/1/1997 8/31/2007 24 23N 115W S2 320.00
WY-D843-033 WYW-143134* 9/1/1997 8/31/2007 25 23N 115W All 640.00
WY -D643-011 WYW-150486* 6/1/2000 5/31/2010 13 22N 115W All 640.00
WY-D943-D02 WYW-150484* 6/1/2000 5/31/2010 1 22N 115W Lots 1-4,S2N2,S2 646.00
WY-D843-0B5 WYW-150504* 5/1/2000 4/30/2010 17 22N 114W W2 320.00
"Assignment limited to land specified.
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