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Home My WebLink About941244 (;Oû252 ., ^" 'IF \H\~H\"·· , 'h' ~I}t' Oi.l \t' i 11[. 1\ ...\ ".' ,.. I " II " IJ . ...~/¡[q \ Fon?i~U Df LMiO I-IMÜ\5lil ii i (Jan.øy 1996) 01 JUN -6 ~t4 9: 00 UNITED STATES DEPARlMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT FORM APPROVED OMS NO. 1004-0034 Expires: September 30, 199B ::¡ C" r ¡:.- \ \1 F)l ;'F~¡ç;(iL:.' \\..; :.;" ' ASSIGNMENT OF RECORD TITLE INTEREST IN A 'LEASE FOR OIL AND GAS OR GEOTHERMAL RESOURCES Lease Serial No. WYW-152774 Lease Effective Date (Anniversary Date) April 1 ; 2001 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 cifthe Interior Appropriations Act, Fiscal Year 1981 (42 U.S.C. 6508) 1. Assignee* Street City, State, ZIP Code Type or print plainly in ink and sign in ink. PART A: ASSIGNMENT The Anschutz Corporation 555 Seventeenth Street, Suite 2400 Denver, CO 80202 *If more than one assignee, check here attadled sheet of paper. 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) [8 Oil and Gas Lease, or o Geothermal Lease Interest conveyed: (Check one orbofh, as appropriate) [8 Record Title, o Overriding Royalty, payment out of production or other similar interests or payments 2 a b c d Percent of Overriding Royalty or Similar Interests Reserved Previously reserved or conveyed e f Percent of Interest Owned Conveyed Retained TownshiD 23 North. Ranoe 118 West. 6th P.M. 100.00% 100.00% Section 02: Lots 7(39.99), 8(40.00), SE1/4NE1/4, S1/2NW1/4, SW1/4, E1/2SE1/4 Section 11: E1/2NE1/4, ~W1/4, N1/2SW1/4, SE1/4SW1/4, NW1/4SE1/4, SE1/4SE1/4 Containing 879.990 acres, more or less Lincoln County, Wyoming None None None w ~ - '). " y ').. - () (~oCJ ~ FOR BlM USE ONLY - DO NOT WRITE BELOW THIS liNE . UNITED STATES OF AMERICA fl C I f'::.J i\ I ^ I This assignment is approved solely for administrative purposes. Approval does not warrant that either ~ tJ f¡,~ JIg~l+tolds legal or equitable title to this lease. / It( V-. Assignment approved for above described I.ands; 0 Assignment approved for attached land description ~Sign t approved effective' .n.!1 0 1. 2001 0 Assignment approved for land description indicated on . reverse of this form. Chief, Fluid Minerals Adjudication (Title) RECEIVED 8/13/2008 at 11 :28 AM RECEIVING # 941244 BOOK: 702 PAGE: 252 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY JUL 03 2001 ,(Date) {'. t¡\ ,:~,' '" . t--, ...\."t' 'i..} .... .....,'; ....... '\I,.~., ou0253 Part A (Conti,nued): ADDmONAL SPACE: ror Names and addresses of additional assignees ,in Item :~~....1 ' I~~.eed~, or ror Lan~, D~C?,Ìption in Item No.2, If 11eeded. . '.': . ~""';' ""~~" ", ",:. .' '," STATE OF WYOMING COUNTY OF LARAMIE ) ) SS. ) On this 2nq day of April, A.D. 2001, before me personally appeared MARC RANDAL STRAHN, Presidento' Hanson & Strahn, Inc., to me personally known, who, being by me duly sworn, did say thaf he is the President O' Hanson & Strahn, Inc. and that the seal affixed to said instrument is the corporate seal of said corporation and that saic instrument was signed and sealed on behalf of said corporation by authority of its Board of Directors, and saic President acknowledged said instrument to be the free act and deed of said corporation. Witness my hand and seal this 2nd day of ~' A.D. 2001, u~~n:11~ .Ò·~tfi--~ Notary Public ' My Commission Expires: Address: Cheyenne, Wyoming ..."".J¥:.~"'V' DONNA M. O'DONUéLL . NOTARY PUBLIC COUNTY OF LARAMIE STATE OF 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 rollows:(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 cI:1argeable interest, direct or indirect, in each public domain and acquired lands separately in the same State, do not exceed 246,080 aaes in oil and~gas'leases (of which up to 200,000 aaes may be in oil and gas options),or300,OOO aaes in leases in each leasing Distrid in Alaska of which up to 200,000 aaes may be in options, if this is an oil and gas lease issued in accordance with the Mineral Leasing Ad of 1920, or 51,200 aaes in anyone Stat&ifthis is a geothermal lease; (d) All parties holding an interest in the assignment are otherwise in compliance with the regulations (43 CFR Group 31 00 or 3200):and the authorizing Acts; (e)'Assignee is in compliance with reclamation requirements ror 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 see. 41 of the Mineral·Leasing Ad. 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-rourth (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 corred to the best of my knowledge and belief and are made in good faith. c Executed this 2nd day of April ;;'0 01 Executed this /1 fA day of ~¡;; r I ;;JJ 1)/ Assignor or Attomey-in-fad Assignee or ' Attomey-in-Fact P.O. Box 3020 Cheyenne (City). (Assignor's Address) WY (State) 82003 (Zip Code) Public reporting burden ror this rorm is estimated to average 30 minutes per response including the time ror reviewing instructions, gathering and maintaining data, and completing.and reviewing the rorm. Dlred comments regarding the burden estimate or any other asped of this rorm to U.S. Department of the Interior, Bureau of Land Management,. Bureau CIe.arance Officer, (DW-11 0), Denver Federal Center, Building 40, P. O. Box 25047, Denver, CO 80~047, and the Office of Management and Budget, Paperwork ReductionÞroject (1004-0034). Washington, D.C. 20503 Title 18 U.S.C. See. 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. GPO; 1992-774-017/67022 ,.'~ ":tI{'~· \:) .'.:.,.. .. '1.,0. " ""}..,, ...,)