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Home My WebLink About929567 'f Form 3000-3 (January 1996) UNITED STATES DEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT 0007"5 · FORM APPROVED OMB NO. 1004-0034 Expires: September 30, 1998 ASSIGNMENT OF RECORD TITLE INTEREST IN A LEASE FOR OIL AND GAS OR GEOTHERMAL RESOURCES Lease Serial No. WYW-173260 Lease Effective Date (Anniversary Date) March 1, 2007 New Serial No. 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) Type or print plainly in ink and sign in ink. PART A: ASSIGNMENT 1. Assignee* Street City, State, ZIP Code EOG Resources, Inc. P.O. Box 4362 Houston, TX 77210 *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 sheet of paper. This record title assignment is for: (Check One) 181 Oil and Gas Lease,. or Interest conveyed: (Check one or both, as appropriate) 181 Record Title, , 0 Geothermal Lease 2. This assignment conveys the following interest: Land DescriDtion 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 or Similar Interests herein. ' Reserved Previously reserved or conveyed a b c d e f TownshiD 26 North Rance 112 West 6th P M. 100.00% 100.00% None None None Section 21: Lots 1 (4,75),4(4.89),5(7.56),8(12.00), metes & bounds Bed of Green River riparian to Lots 1, 4, 5, 8 (see part A) Containing 45.10 acres, more or less Lincoln County, Wyoming RECEIVED 5/21/2007 at 12:10 PM RECEIVING # 929567 BOOK: 658 PAGE: 775 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY o Overriding Royalty, payment out of production or other similar interests or payments 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. o Assignment approved for above described lands; Assignment approved effective o Assignment approved for attached land description o Assignment approved for land description indicated on reverse of this form. By (Authorized Officer) (Title) (Date) " ';,. I ftJ. ~ feli J-. Cat\. Y o¡'~_ 00 1'íS?3./-00 () 09295u'7 000776 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. M&B of Green River riparian: Beg. at the SW pt of Lot 1, See 21-26-11 2, on the L bank of Green River; th N 3° E, 3.7 6 ch; th N 5-1/2° W, 1 2,1 ch; th N 6-3/4° W, 4.2 ch at NW pt of Lot 1; th S 83°15' W, 2.39 ch to median line of Green River; th S 10°50' E, 5.45 ch; th S 5°37' E, 8.85 ch, th S 8°56' E, 2.8 ch, th S 12°17' W, 1.95 ch; th S 2°12' E, 0.73 ch; th S 87° E, 1.99 ch to pob (3.96A); Beg at the SW pt of Lot 4, See 21-26-112, on the L bank of Green River, th N 3° E, 20.00 ch at NW pt of Lot 4; th N 87°W, 1.99 ch to median line of Green River; th S 2012' E, 2.27 ch; th S 2°42' W, 14.73 ch; th S 6°18'W, 3.02 ch; th S 87° E, 2.03 ch to pob (3.54A); Beg at the SW pt of Lot 5, See 21-26-112, on the L bank of Green River; th N 7-1/2° E, 10.01 ch, th N 4-1/2° E, 4.4 ch; th N 3° E, 5.73 ch at the NW pt of Lot 5; th N 87° W, 2.03 ch to median line of Green River; th S 6°18' W, .69 ch; th S 3°32' W, 8.56 ch; th S 12° W, 7.29 ch; th S 1 °49' W, 1.41 ch; th S 82°30' E, 2,56 ch to pob (4.51 A); Beg at the SW pt of Lot 8, See 21-26-112, on the left bank of Green River; th N 6° W, 3.2 ch; th N 7° E, 2.4 ch; th N 4° E, 11.5 ch; th N 11 ° E, 2.7 ch; th N 7-1/20 E, 0.29 ch at the NW pt of Lot 8; th 82°30' W, 2.56 ch to median line of Green River; th W 1 °49' W, 11.78 ch; th S 3°42' W, 5,74 ch; th S 6°42' W, 1.2 ch; th S 5°23' E, 1.81 ch; th N 84° E, 2.06 ch to pob (3.89 A). STATE OF WYOMING SS. COUNTY OF LARAMIE On this 2nd day of March, A.D. 2007, 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 March, A.D. 2007. 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). Executed this I certify that the statements made herein by me are true, complete, and correct to the best of my knowledge and belief and a d . Executed this ,;;1/ day of ,2067 ~ 2nd day of March ,20 07 Assignor or Attorney-in-fact EOG Resources, In~ Assignee ~~ or Attorney-in-Fact _ David Rolando Agent & Attorney-in-Fact P.O. Box 3020 (Assignor's Address) Cheyenne' 'NY 82003 òi:if,d~~!~/;:';' . , (State) (Zip Code) burden for this form is estimated to average 30 minutes per response including the time for reviewing instructions, gathering and maintaining data, and reviewing t~e form. Direct comments regarding the burden estimate or any other aspect of this form to U.S. Department of the Interior, Bureau ment, Bureau Clearance Officer, (DW-110), Denver Federal Center, Building 40, P. O. Box 25047, Denver, CO 80225-0047, and the Office of Bud et Pa erwork Reduction Pro'ect 1004-0034. Washin ton D.C. 20503 1001 makesiit a crime for any person knowingly and willfully to make to any Department or agency of the United States any false, fictitious, nts or representations as to any matter within its jurisdiction. *U.S. GPO: 1992-774-017/67022 .,:- .!C . _o.t..:~ ........ .