HomeMy WebLinkAbout874104
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UNITED STATES
"":PAR;'MENT OF THE INTERlOR
_ JREAU OF LAND MANAGEMENT
\<, ,.291
I'OP.M AI'l'lWVED
OMI3 NO. 1004-0014
Expires: July 31,1995
'- ,
" ASSIGNMENT OF RECORD TITLE INTEREST IN A
,,'-' c" I
'~.-...'i"':-' '~LEASE FOR OIL AND GAS OR GEOTHERMAL RESOURCES
Lease Serial No.
WYW-113647
':' I ~ ~I, c: 0 G
r.'" \\ \\ ..;' hI I -' Mineral Leasing. Ace of 1920 (30 U.S.c. 181 et seq_)
:i J I...i '-' 1.._
., ,..'. Act for Acq~ired Lands of 1947 (30 U.S.c. 351-359)
(":', '_" C, ::" . ~"-~-':., Gemhermal Steam Act of 1970 (30 U.S.C_ 1001-1025)
~ ,:",' ,-:;":,,, c \'({ \J\'\ ~artmcnt of the Interior Appropriations Act, Fiscal Year 1981 (42 U .S_c. 6508)
l,ht. (1.-1,,' "
T rint lainl in ink and si n in ink.
Leasc Effectivc Datc
(Anniversary Date)
12-1-88
New Serial No,
I, Assignee'"
Street
City, State, ZIP Code
PART A: ASSIGNMENT
N~lrth Ameri can, Resources Company
4.90 B 31st Street, #201
Billings, Montana 59101-7007
JUN 20 2001
LAND AND LEASING
"If more than one assignee, check here 0 and list the name(s) and address(cs) of all additional assignees on the ['evc['sc of this foml or on a
separate anached shec.c' of paper.
'l1l1S record titlc assignment is for: (Check one) n 'Oil and Gas L=::, 0[' 0 Gcothe.qnal Lease
Interest conveyed~ (Check one or borh, as appropriate) Ja. Record Title, 0 Overriding Royalty. payment out of production or other similar
interests or payments
2_ This assignment conveys the following interest:
Land Descri tion
Additional space 00 reverse. if needed. Do not subullt documents or agreements othec than
lhis form; such documents 0[' agreements shall only be referenced herein.
'k~
Percent of Interest
Owned
Conveyed
Retained
Percent of
Overriding Royalty
or Similar'Interests
Reserved
Previously
n:served
0[' conveyed
f
a
b
c
d
e
Townshi
Section
18 North - Ran e 113 West, 6th':P.M.
2: Lots 1-4, S/2N/2, 5/25/2 less
25.25 acres, more or less in the
UPRR R/W 10-21-1868
87.50% 29.164% 58.336%
4%*
1. 5%
r... R I
i,,} ~ - 1
This Assignment is made purSuant to and is subjec to the unrecor'ed Expl
dated May 19,1997, between Celsius Energy Compan and No th Amer can Res
814\04
*Prop rtionately
reduc d by the
inter st assigned
containing 453.95 acres, more or less
Lincoln County, Wyoming
B()OK..,~~~??,PR P AGE__Z.Q,l?
IN
L
FOR BLM USE ONLY-DO NOT WRITE BELOW THIS LINE
UN/TED STATES OF AMERICA
This a.,signment is approved soldy for administrative puq}oses. Approval does not warrant that either party to this assignmenl holds k-gal or
, ~lli(llblc title to this lease.
''RAs~ignment aPrroveo for ;lbo\'C dc~crihcJ l"nJ~: 0 Assignmc'lll approved for aU<lched I;,no description
Assignment a~proved' effecl;ve
AU6 0 I 1991
.._._~~~-- ---------_._--_._--_.~-".
o Assignment approved for land description inoica[(~d on rev<:rsc
of this f"fIlL
~C"" t. . ~!;l . ~--., ,
13y _.____,____,_.~_____L -L~/_---L-,._.",: LL-0.L-/e--V
LAND LAW eXAMINER
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~I:l;'l ;\ (Lpn\lrHJCU). ;I.LII)J l..J_
r:1.:l.:dcd,
STATE OF UTAH
) Otf7L:'t1.U~j.
) ss.
COUNTY OF SALT LAKE)
, <\ \..-.
On thi s (::x~ day of
Nordloh, who, being by me duly s~orn, did say that he is the President and CEO of Celsius
Energy Company, a Nevada corporation, and that said instrument was signed in behalf of
said corporation by authority of a resolution of its Board' of Directors and said G. L.
Nordloh acknowledged to me that said corporation executed the same-
20'(
'. -.'
.-;1 }..JU "r\.S
1997, personally appeared before me, G,
L.
My
commission expires:
~\-~,
CERTIFIED
to be Gl true and comparative copy
of the official records on fila
~\t(\'\~ ~. 'S ~~ Q
Notary Public -
JUN 1 S}/l001 .
1l~ lh--il4-u~
BUR~H OfLAND MANAGEMENT
· !tt}f)~j
,...;eli.I:. y I'UrLiC
S~!S.L..I~ K. STOH=
79 SouthSta1'6
Salt Lake City, UtaH 84147
fAy CommisSion ExpireE
'..""eh 1, 1998
~"." . ,_ _,~~._~_~.f~~_,~~=l~ 0 F I:T ~J=!.__.,
.".'
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PART B: CERTIFICATION AND REQUEST FOR APPROVAL
\, Tho A~~ignor cerlifie~'~ owner of.n InlereS! in Ihe .hove ue~ign'lCu Ic>~e lh>l he/she herehy ,s:<igns 10 ,he .hove ossignee(s) Ihe righls specified .hove.
2. A""ignee cerlincs >s Collo"""; (.) Assignee is, cilizen of ,he Unileu Sl>le,,;,n ,ssoci>lion of sueh Cili7.ens;-' municip.li'y; 0" eO'l'o<>l;on org,nized unucr Ibe
laws oC Ihe Uni,ed SI>leS or of ,ny SIOle or lerrilory Ihe,e,,!. For lbe ,,,signment oCNPR-A leases. ,ssignc:e is' 'eitizen, n,tion.l. Dr r.sidenl >Iien oC Ibe United
SIOles or ,ssoei,lion oC sucb cilizens. n,lion,.", residenl .liens Dr priv>le. publie or munieip.1 corpor>lions, (b) Assignee is not considered · minor under Ihe
lows oC Ibe SUle in wbicb Ihe bnds covered by Ihis .ssignmenl >re ."", led; (e) Assignee's eb>rge>ble i ntereSIS, direct ,nd indirect, in e>eb public dOln,in ,n.!
>e'Juired l>nd$ scpanlely in Ibe s>me SI>le, do nol cxcced 2ol6.080 ,ere:; in oil ud gas leases (oCwhich up to 200,000 ,cres m'y be in oil ud g's options), 0'
300,000 ,crcs in leases in each leasing Dislricl in Al>sk, Dr which up 10 200.000 ,eres m,y be ill options, iC Ihis is on oil ,nd ga Ie>se issued in >eeorduee
wilh Ihe Mincul u,sing Acl DC 1920, or 51,200 acrcs in ,ny onc SI.IC if Ibis is. geolhcrmalle>se; (d) All parlies holding,n inleresl in tbe ,ssignmenl >re
Olherwise in compli,nee Wilh the regublions (43 CFR Gro.p 3100 or 3200) uJ Ihe ,ulhorizing ACls; (e) Assignee is in compli,nce wilh recl.malion
requirements Cor.ll Federal'oil and g.s Ic>sc: holdings >s re'l.ireu by sec. 17(g) oC Ihe Mincul Lc,sing ACI; ,nu (I) A.<si!,:nee is nol in, viol, lion of seC. 41 of Ihe
Miner" u,sing Ael.
~. Assignee's si!,:nalure 10 Ihis >ssignmcnl consliluleS .cceplance of.ll 'pplie>ble lerms, condilions, slipulall<>nS ,nd reslriClions p.ruining 10 Ihe \cose described
herein,
]-\" ge"I~.rm,1 .s~ignmenls.,n overriding r"plly m'y nOI he less than one-rourlh (IN) oC one percenl of the v.llle "I' OUlplll. nor !,:re.ler ,han 50 pe'eenl "f Ihe "It 01
"'yalty due 10 Ihe Uni'red Sl,leS when ,his ,ssignmenl is ,uueu H\ ,llpre"i"u~ly cre.leu oveniu;ng roy.)lies (.J} CFR 3241)_
I ccni fy Ih," the stalementS m.ue herein by n1. arc lrue. complele. anu correel to Ihe best of my knowledge and bdief anu ar" maue in good failh,
Executed Ihis ~G.. k day of' ~
effective, however. May 9. 1997
. 19
97
EM:culed Ihis
17th day uf July
NORTH AMERICAN?BSOURCES COMPANY
~. :~)~ ----b
Assign ~
or .J. .es J. B ner 17 nature) Vice-President
Allorncy~in-fj]ct U
. 19
97
Assignor _
or G.
X}(()f~M(f~Q(
r:OMPANY
(SignaIU":)
__.1.331 17th.....Strppt .__SJJitP ROO
(Assignor's Address)
Denver, Colorado 80202
(Ci'y) (Slale)
(Zip Code)
p"hl;, r<p"rling hllrden f,,, Ihis fMrn i, os,im>leJ '" ,ver'ge:<O rninUlo'l,er rc~p"n<e. indIlJ;,'... Ihe limo for reviewin... in,.If",'i"ns, !;,Ihering >oJ m,in13ining <1>1.,
.nJ ,omplelin... ,nJ reviewing ,he f,Hm. DireCl c"mmonl< re;;",uing Ihe hurucn e>lim.l" '" any ",ha ><p,'CI of ,his fMnl In US, Dop.r1men' of Ihe Inlerior. Bu,.'1l of
L'nd /l.l.1n.;:omen'. (Allern",e) Bure;" Ck,,,ne< Officer. (WO-7?l). 18ol9 C Slreel. r-.LW.. W>shingl<1n. D.C. 202-10. anJ Ihe Office of M.n'gemcnl ,nu Budget.
I~~:~":~ K~~~~~~jcCI_(_I~~~-~V"h~: g'nn .~~O]:-_. ,_________.____.__'____._.__
____...'_- ____,______,~_______' __--,-------------,--------,..,--m'----.-.---'-'-------.--
Tille 18 U,S,C, SeL', I 001 m:t~es il :t nillle for "ny per~nn kn"win!,ly ~"l\1 willfully W "'ake 10 "ny D,'p"r1Olen. "r "geney of lhe Uni'ed SWICS any f"lse~'I~~~':."r rr"u';:;;~;~
~1.11t;'nh:nt:-. or rLrrc~~lll:I1I{)Il=- :1:- ;p ~IIlY /I1:lIlcr \\.'ilhin ;lS. ;lIrbl.lil"Jli'm.
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