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HomeMy WebLinkAbout874483 ~ Fonn 3000.; (Janu;lry 1999) ( UNITED' STATES DEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT FORM APPROVED OMS NO. 1004-0034 Expires: December 31. 200 I ASSIGNMENT OF RECORD TITLE INTEREST IN A LEASE FOR OIL AND GAS OR GEOTHERMAL RESOURCES Lease Serial No. Mass Assignment Lease Effective Date (Anniversary Date) MineraI Leasing Act of 1920 (30 U.S.C. 181 et scq.) Act for Acquired Lands of 1947 (30 U.S.C. 351-359) Geothermal Steam Act of 1970 (30 U.S.C. 1001-1(25) Department of the Interior Appropriations Act, Fiscal Year 1981 (42 U.S.C. 6.508) New Serial No. Type or prtnt plainly In Ink and sign In Ink. PART A: ASSIGNMENT 1. Assignee- Street City, State, ZIP Code COX Gas LLC 5485 Beltline Road, Suite 280 Dallas, Texas 75240-7656 -If more 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 shcit of paper. This record title assignment is for: (CMclc one) S Oil and Gas Lease, or 0 Geothermal Lease Interest conveyed: (Check one or both, as appropriaJe) S Record Title, 0 Overriding Royalty, payment out of production or other similar interests or payments 2. ThiS usi a Refer to Exhibit "A' attached hereto and made a part hereof conveying Record Title on the multiple lease serial numbers described herein. Percent of Interest Owned Conveyed RetaiDcd Percent of Overriding Royalty or Similar fntcrests Reserved Previoualy reserved or COIIveyed e f b c d REC \/ED LI~ COLf\! C UNTY CLERK 87448 Mj 9: 27 This Assignment of Record Title is subject to the terms and conditions of that certain Agreement effective Oec-31-1997. among 050 Energy Resources Corp.. Emerald Cumberland Company and Barrett Resources Corporation, and that certain Agreement dated Nov-10-2000, among 050 Energy Resources Corp. and CDX Gas. .JUt I EAN t.J r """"f' ,. ¡~ ." ~\c. 'tVl·:\l; :'¡~t. .'\ ŒMMEf:E l WYOMING :]6 ) 4 ", '7' . ,:",~ ' \.1 OOK~,::~_PRPAG ~_ FOR BLM USE ONLY-DO NOT WRITE BELOW THIS LINE UNn'ED STATES Of AMERICA This assignment is approved solely tor adminJstrative purposes. Approval does not warrant that either party to this assi¡nment holds legal or equitable title to this lease. ' o Assignment approved for above described lands; 0 Assignment approved for attached land description Assignment approved effcctive o Assignment approved for land description indicated on reverse of this form. By _ (Au~zed Officer) - (Tille) _ (DUC) - - - --- '- - - - - ---- -------- --------- - --- -- -- Part A (COCltinued): ADDmONAL SPACE fo noeded. ICI and addreuea of addiûona! uaignees in Item Nol ,( needed. or (or Land Dac:ripdoa ill Ib:m No. ;¡, if U~j'74(1~j3 ,~ ('. 8 I~ U PART B: CERTIFICATION AND REQUEST FOR APPROVAL I 1. The Assignor certifies as owner ·'f i, in Icresl in the ibove designated lease tbal belsbe hereby assigQS to tbe above as~i.gnee(s) tbe rigbl$ specified above. 2. Assignee cenines as follows: (a) Assignee is i citizen of the United States; an associalioll of SIIcb citizens: a mUlliclpathy; or a corporal/Oil orgnized uder t. laws of che United Slates or of any Slale or territory tbereof. For tbe usignmeRl of NPR-A leases, assignee is a cillzu, IIliollll, or resldnl alien of lie Ullilel Slales or Usocialion of sucb citizcllS. nationals, residenl aliens or privale, public or municipal corporaliolls, (b) Assignee is aOI considered a minor ..der Ib, laws of Ibe Stale III wblcb Ibe lands covered by Ibis assign men I are located: (c) Assignee's ebargeable Inleresls, direcl aad Indirecl, i" cac~ p.blic domain aal acquired lands separately in the same Slale, do aot exceed 246,080 acres ia oilaad gas leases (of wllicb up 10 200,000 acres may be In 011 ud alS 0plion). 0 ~OO,OOO acres in leases ia each leasing Dislricl III Alaska of wbicb up 10 200,000 acres may be ill oplloll~, if Ihis Is III oilllld gas lease lsawed II accordaac, wich Ihe Mineral Leaslllg ACI of 1920, or 51,200 acres iD any ODe Slate if Ihis is a geolhermal lease; (d) All parlies bolding II inlereslln llae asaiglmul ar, olberwise iD compliance willa Ihe regulaliOD$ (43 CFR Group 3100 or 3200) lid Ihe IUlborizlllg ACls; '(e) Assigøee is il compllaace willa rec:famlliol requiremcDts for all Fcderall)ilaad gas lease boldin'gs as required by sec. 17(g) of Ibe Mineral Leasing ACI; and (f) Assignee is 1101 ill violaliol of sec. 41 of lb. MiDeral Leasing ACI. ~. Assignee's signture 10 Ihls as¡¡ignmenl conslÎlutes acceplance.of af! ~ppffcable lerms, cODdlrions, slipulalioDS and reslriclions perlaining 10 IlIe lease describe. berein. For geothermal assignmuls, an overriding royalty may nOI be less Ibn one-founb (1/4) of one percenl of Ihe value of OUlpUl, nor greater Ibn SO percenl of Ibe rale 0 royalty due 10 Ihe Uniled Slales when Ihis usi&nmenl is added 10 all previously creiled overriding royalties (43 CFR 3241). I certify Ú1at Ú1e statements made herein by me are lrue, complete, and correct to Ú1e beSI of my knowledge and belief and are made in good fa.iÚ1. Execuled tlús 2BT# day of WA) L day of JïJßL OSO ENERGY RESOURCES, CORP. CDX GAS LLC /~~ '7 ./ ..... 2 ,.,¿ ..- t~- p0- or ,(Signature) Anorney- -fact ~£.J/ø £» /--- (Siparurc) 5485 Beltline Road, Suite 280 Dallas, Texas 75240.7656 ,';tf/ 2aJ I Execuled Ú1is /8T# 200/. .)fl Assignor (Si¡naturc) Ie 71' J:¢¢.East 2nd Avenue, Suite 2=a- (Assignor's Address) Durango, Colorado 81301 (City) (Slate) 3 (ZiD Code) Public reponing burden for this fonn is estimaled 10 average 30 minules per response including Ihe time for reviewing instructions, galhering and mainlaining dala. and complelin~ and rev;ewinl! Ihl' fonn, Direcl commenls regarding Ihe hurdl'n l'slirmlll' or any olher aspect of Ihis fonn to U.S. Depanmenl of ¡he Inlerior, Bureau of Land Managemenl (1004·0034). Bureau Clearance Officer, (WO-630), Mail SlOp 401 LS, 1849 C Slreel, N. W.. Washinglon. D.C. 20240. Tiùe 18 U.'S.C. Sec. 1001 makes ill crime for any person knowingly and willfully to make 10 any Depnnmenl.:lr agency o(thc United Stales any false, fictitious or fraudulent slalements or represenlilions as to any maner within ils jurisdiclion. = ...... ,., U874483 STATE OF TEXAS ) 409 COUNTY OF DALLAS ) BEFORE ME, the undersigned authority, a Notary Public in and for the County of Dallas, State of Texas, on this day personally appeared John Eklund, known to me to be the person whose name is subscribed to the foregoing instrument and acknowledged to me that he executed the same as the act and deed of CDX GAS, LLC, a 7ey./Å..<; Limited Liability Company, as the President thereof, and for the purposes and consideration therein expressed. Give ~,\";~·~"II,.. ..:-\.~".. .f#t:~ 1~·· -·it,: = . . .. - . . I: ~~.. .....1 ""4;;ö;\~~~ 11''''111\\ MARY E. DICK HENS Notary PuhJic, State of Texas My Commission Expires February 05, 2002 this I c¡ day of June, 2001. Å ¿ ,ð-jc-Ll~ ic for State of Texas STATE OF Còc.tJM-/t? CTY ,L COUNTY OF L/£¡')/fA- ) ) C/T~ ,¿. " /) BEFORE ME, the undersigned authority, a Notary Public in and for the County of £/,CA/¿/t/L , State of C~L~'p v , on this day personally appeared Bradford C. Boyce, known to me to be the person whose name is subscribed to the foregoing instrument and acknowledged to me that he executed the same as the act and deed of OSO ENERGY RESOURCES, CORP, a C~L4"¿::J Corporation, as the &£..<:í',¿?¿¿v--r- thereof, and for the purposes and consideration therein expressed. Given under my hand and seal of office this 2Bnt day of June, 2001. ~~ Co¿aé'~Þ¡) ",\,'111'01",...,,. "" '4\10"1/' .......... O\, ..~.,. .,,/ J ......~ I ì :...... :' ,9,.. :. ;a;.;. 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