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Home My WebLink About926522 000014 L' I Form :3IJro,3 . ~ ::, . , . ,'i..i I~ ~ .~ (January 1996) 7.fIY !lUG I 0 ,', I ,,¡ ¡ :\ C[ i~lEHM UNITED STAlES DEPARlMENT OF THE INlERIOR BUREAU OF LAND MANAGEMENT FORM APPROVED OMB NO. 1004-0034 Expires: September 30, 1998 ",,}. 9· or) f.11 ' :::. D ASSIGNMENT OF RECORD TITLE INTEREST IN A ;·/v !)HliEAsE 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) Geothermal Steam Act of 1970 (30 U.S.C. 1001-1025) Department of the Interior Appropriations Act, Fiscal Year 1981 (42 U.S.C. 6508) Lease Serial No. WYW-172841 Lease Effective Date (Anniversary Date) June 1, 2006 New Serial No. 1. Assignee* Street City, State, ZIP Code Type or print plainly in ink and sign in ink. PART A: ASSIGNMENT Kerr..McGee Oil & Gas Onshore LP 1999 Broadway, Suite 3700 Denver, CO 80202 *If more than one assignee, check here attached sheet of paper. ~ and list the name(s) and address(es) of all additional assignees on the reverse of this fonn or on a separate This record title assignment is for: (Check One) ¡:g¡ Oil and Gas Lease, or o Geothennal Lease Interest conveyed: (Check one or both, as appropriate) 1:8:1 Record Title, o Overriding Royalty, payment out of production or other similar interests or payments z 2. This assiQnment conveys the followinQ 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 fonn; such documents or agreements shall only be referenced or Similar Interests herein. Reserved Previously reserved or conveyed a b c d e f Township 22 North. Ram:¡e 113 West. 6th P.M. 100.00% 100.00% None None None Section 10: All Section 15: NE1/4, S1/2 Containing 1,120.00 acres, more or less Lincoln County, Wyoming 1. .' I \_; RECEIVED 2/5/2007 at 10:59 AM RECEIVING # 926522 BOOK: 648 PAGE: 14 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY FOR BlM USE 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. It1 . Assignment approved f~r above descr~f!I I!)nds; 1 2006 À'Sslgnment approved effective \) t:. r o Assignment approved for attached land description o Assignment approved for land description indicated on reverse of this form. By /S/ Judith R. Oldenburg (Authorized Officer) LAI:JD LAW EXAMINER (Title) -JAN 1Jl2OOI ': ~(D~te) ,. <."'v;"t,-,····. ",;,. O~j2652Z 000015 Part A (Continued): ADDITIONAL SPACE for Names and addresses of additional assignees in Item No.1, if needed, or for Land Description in Item No.2, If needed. STATE OF WYOMING ) ) SS. ) COUNTY OF LARAMIE On this 2nd day of June, A.D. 2006, before me personally appeared MARC RANDAL STRAHN, President of Hanson & Strahn, Inc., to me personally known, who, being by me duly sworn, did say that he is the President of Hanson & Strahn, Inc. and that the seal affixed to said instrument is the corporate seal of said corporation and that said instrument was signed and sealed on behalf of said corporation by authority of its Board of Directors, and said President acknowledged said instrument to be the free act and deed of said corporation. Witness my hand and seal this 2nd day of June, A.D. 2006. MY COMMISSION EXPIRES APR. 6, 2009 My Commission Expires: COUNTY OF LARAMIE STATE OF WYOMING /J <""', lÆ- '01 /l( Address: Cheyenne, Wyoming 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 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 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 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 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 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 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 3241). I certify that the statements made herein by me are true, complete, and correct to the best of my knowledge and belief and are made in good faith. Executed this 2nd day of June ,20 œ Executed this 31st day of July ,20 06 Name of Assignor as shown on currrt lea~e A Assignor co..t 'èJ..d~ or Marc Randal Stra Attorney-in-fact No Attest Required Kerr-McGee Oil & Gas Onshore LP Assignee (;.t/ if/'!f¡ or Attorney-in-Fact David R. Dix. Attorney-in-Fact Cheyenne (City) P.O. Box 3020 (Assignor's Address) WY (State) 82003 (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, Bureau Clearance Officer, (DW-11 0), Denver Federal Center, Building 40, P. O. Box 25047, Denver, CO 80225-0047, 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 Department or agency of the United States any false, fictitious, or fraudulent statements or representations as to any matter within its jurisdiction. *U.S·:q~9)1~'W7~17/67022