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DEPARtM~8FTHE INTERIOR
BUREAU OF LAND MANAGEMENT
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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
BOOK_~~~ipR PAGE__liL2__ 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~128194
lease Effective Date
(Anniversary Date)
January 1, 1993
New Serial No.
Type or print plainly in ink and sign in ink.
PART A: ASSIGNMENT
Intrepid Oil & Gas, 1.1.C.
1801 Broadway, Suite 800
Denver, CO 80202
1.
Assignee*
Street
City, Statlil, ZIP Code
*If more than one assignee, check here
attachedsheetofpape~
o and list the name(s) and address(es) of all additional assignees on the reverse of this form or on a separate
This record title assignment is for: (Check One) r8I Oil and Gas Lease, or
Interest conveyed: (Check one or both, as appropriate) I2J Record Tille,
o Geothermal Lease
o 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 ONned Conveyed Retained Overriding Royalty
other than this form; such documents or agreements shall only be referenced or Similar Interests
herein. ReseNed Previously
reseNed
or conveyed
a b c d e f
Townshio 23 North, Rance 114 West. 6th P.M. 100.00% All None * * Of Record
Section 24: N1/2, N1/2SW1/4, SW1/4SW1/4, NW1/4SE1/4
Section 25: NE1/4
Containing 640.00 acres, more or less
Lincoln County, Wyoming
* * It is the intent of this assi9nment that The Wolf Haven Corporation
will deliver unto Intrepid Oil & Gas, L.L.C. an 84.00% net revenue
interest in this lease, retaining an overriding royalty interest equal to
the difference between 16.00% and all presently existing and
outstanding lease burdens which shall include lessor's royalty and all
overriding royalties or similar interests burdening the leasehold.
Subject to the terms and conditions of that certain letter Agreement
dated April 20, 2001, by and between The Wolf Haven Corporation and
Intrepid Oil & Gas, L.l.C.
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 AS5i9nment approved for attached land description
o Assignment approved for land description indicated on
reverse of this form.
By
(Authorized Officer)
(Title)
(Date)
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0873739
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ACKNOWLEDGEMENT
STATE OF COLORADO
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CITY AND COUNTY OF DENVER)
On the 30th day of April, 2001, personally appeared bcfmt:: me Robert P. Jornayvaz III
who being by me duly sworn did say that he is the Attorney-in-Fact for Intrepid Oil & Gas, LLC,
and is authorized to execute this assignment.
Witness my hand and official seal.
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Address: 1801 Broadway, Suite 800
Denver, CO 80202
My Commission Expires: 9/28/01
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