HomeMy WebLinkAbout876125 Fo,., 3000-3 UNITED STATES FORM APPROVED
~oo,ob,,~s,2) DEPARTMENT OF THE INTERIOR OMB NO. 1004-0034
BUREAU OF LAND MANAGEMENT Expires:
10-22-01
ASSIGNMENT OF RECORD TITLE INTEREST IN A Lease Serial No.
LEASE FOR OIL 'AND GAS OR GEOTHERMAL RESOURCES WYW-122223
Lease Effective Date
Mineral Leasing Act of 1920 (30 U.S.C. 181 et seq.) (Anniversary Date)
Act for-Acquired Lands of 1947 (30 U~S,C. 351-359) 11/1/90
Geothermal S~eam Act of 1970 (30 U.S.C. 1001-1025) New Serial No.
Depadment 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
1. Assignee* ECG Resources, Inc.
Street 6oo 17tn Street, Suite ll00N
City, State, ziP Code Denver,,CO 80202
*If more than one assignee, check here [] and list the name(s) and address(es) 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) [] Oil and Gas Lease, or [] Geothermal Lease
[nterest conveyed: (check one or both, as 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 Interest Percent of
';Additional Space on reverse, if needed. Do not submit documents or agreements Owned Conveyed Retained Overriding Royalty
other than this form; such documents or agreements shall only be referenced
herein, or Similar Interests
Reserved Previously
reserved
or
conveyed
A b c D ,E F
Tqwnship 23 North, Raq.qe 112 West, 6th P..M. 100.00% 100.00% -0- 2.50% Those of
Section 11: NE/4, S/2
Record
Containing 480.00 acres, more or less ,, ,.~ ,.. u.~,.'"" .... ~. ..-, .,. 1 ¥ f!~ [)
rr~o .',~ ,, ~= ONLY - DO NOT WRITE BELOW THIS LINE
UNITED STATES 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; [] Assignment aPX!~oved for attached land description
Assignment approved effective [] Assignment apprb~ed for land description indicated on
reverse of this forr~
By
(Authorized Officer) (Title) (Date)
Part A (Continued): ADDITIONAL SPACE for Names and addresses of additional assignees in .Rem No. 1, if needed, or for Land Desciption in Item No. 2, If
needed.
PART B:'CERTIFICATION AND REQUEST FOR APPROVAL
1. The Assignor certifies as owner of 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 foIIows:(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 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) Assignee is not considered
a minor under the laws of the State in which the lands covered by this assignment are located; (c) Assignee's chargeable interest, direct or indirect, in each
public domain and acquired lands separately in the same State, do not exceed 248,080 acres in oil and gas leases ( of which up to 200,000 acres may be
in oi[ and gas 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 any one State if this is a geothermal leases; (d) All parties holding an
interest in the assignment are otherwise in compliance with the regulations (43 CFR Group 3100 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. 17 (g) of the Mineral Leasing Act; and (f) Assignee
is not in violation of sec. 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 the lease
described herein.
For geothermal assignments, an overriding royalty may not be less than one4ourth (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 3241).
I certify that the state,m~nt.s made herein by me are true, complete, and correct to the best of my knowledge and belief and are made in good faith.
, , ¢" , 2ool
Name of Assignor as shown on current lease ECG Resources, Inc. ~'/ .~"'//
Assignor Assignee
Agentor T. Oreg ~.rr±on, Pres±dent. · Agentor
Attorney-in-fact610 Rellly Avenue Attorney-in-Fact ./ ATand Attorney.in.Fact~y7
(Assignor's Address)
Farmlngton New Mexico 87401
(City) (State) (Zip Code)
Public reporting burden for this form is estimated to average 30 minutes per response, including the time for reviewing instructions, gathering and maintaining
data, and completing and reviewing the form. Direct comments regarding the burden estimate or any other aspect of this form to U.S. Department of the Interior,
Bureau of Land Management, (Alternate) Bureau Clearance Officer, (WO-771), 1849 C Street, N.W., Washington,· D.C. 20240, and the Office of Management
and Budget, Paperwork Reduction Project (1004-0034). Washington~ D.C. 20503
Title 18 U.S.C. Sec. 1001 makes it a crime for any person knowingly and willfully to make to any Depadment or agency of the United States any false, fictitious,
or fraudulent statements or representations as to any matter within its jurisdiction.
*U.S. GPO: 1992-774-017 / 67022
3 9 .[
Attached to and made apart qf that certain BLM Assignment of Record Title Interest for
Oil and Gas Lease ~[V~V-122223 effective 11-I-90
ASSIGNOR ACKNOWLEDGEMENT:
STATE OF NEW MEXICO )
)ss
COUNTY OF SAN JUAN )
The foregoing instrument was acknowledged before me this 5th day of September, 2001, by T. Greg
Merrion in his capacity as President of Merrion Oil & Gas Corporation, a New Mexico corporation, on
behalf of said corporation.
~'~'"1~-M~My%o. mmissionexpires: /o ~0~oo~
~¢~ ~:,:, ,..,~,..~ ~ NotaW Public
STATE OF COLORADO )
)§
COUNTY OF DENVER )
The foregoing instrument was acknowledged before me this 4th day of
September, 2001, by J. Michael Schween as Agent and Attorney-in-Fact of
EOG Resources, Inc.
~W!!ness my hand and official seal. "1'1
No-f~Y-~-Pu blic L.,/
My Commission Expires:
July 9, .2005