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Home My WebLink About941360 FORM JOfJO.J (]IIbUUY 1996) UNITED STATES DEPARTMENT OF mE INTERIOR BUREAU OF LAND MANAGEMENT ASSIGNMENT OF RECORD TITLE INTEREST IN A lEASE FOR OIL AND GAS OR GEOTHERMAL RESOURCES FORM APPROVED OMB NO. 1004-0034 Expires: September 30, 1998 Lease Serial No. WYW 129157 Lease Effective Date (Anniversary Date) 6/01193 New Lease Serial No. . 1. Assignee. Street City, State, ZIP Code Mineral Leasing Act of1920 (30 D.S.C. 181 et seq.) Act for Acquired Lands of 1947 (30 D.S.C. 351-359) Geothennal Steam Act of 1970 (30 D.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 IRW HOLDING COMPANY, LLC 700 LOUISIANA, SUITE lIOO HOUSTON, TX 77002 (;,00530 '"If more than one assignee, check here separate attached sheet of paper. This record title assignment is for: (Check one) 0 o and Est the name(s) and addressees) ofal1 additional assignees on the reverse of this fonn or on a Interest conveyed: (Check one or both, as appropriate) Oil and Gas Lease, or 0 Geothennal Lease o Record Title, 0 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 other Owned Conveyed Retained Overriding Royalty than this fonn; such docwnents or agreements shall only be referenced herein. or Similar Interests Reserved Previously reserved or conveyed a b c d e f TWP 22N, RGE I13W, 6TH PM 0.25% 0.25% NONE SEC 2: LOTS 3, 4, S/2NW/4, SW/4 OF 8/8THS OF 8I8THS SEC 3: LOTS 1-4, S/2N/2, S/2 c:. :;:7j~ (J I;:' :~,;¿ :::t: -r' RECEIVED 8/18/2008 at 12:03 PM rrt ....) f:: . ::;:: ;¡; ~.~ -<p~' :;:> ::r rr1 ¡ .....,-' "r~~"""",", RECEIVING # 941360 ,~)i 20 r~D ,_ Z" .... BOOK: 702 PAGE: 530 ~r~ ::...~ ;;0 G" JEANNE WAGNER ~< x- ::t:::! LINCOLN COUNTY CLERK, KEMMERER, WY ~fT1 '-= ~r;; \? ~")t.~ 996.25 ACRES, MIL ;;0 C'>-' ~:) rr¡ ", LJNCOLN COUNTY, wy % ::t::Q C') '-. :> ".,- :r.~ .~~ 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 Assigrunent 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 fonn. By (Authorized Officer) (Title) (Date) 'art 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 (;005,31. THE STATE OF TEXAS COUNTY OF HARRIS \ J BEFORE ME, THE UNDERSIGNED AUTHORITY ON TIllS DAY PERSONALLY APPEARED GARY WINSTON, ATTORNEY-IN-FACT FOR DANIEL WOLF, KNOWN TO ME TO BE THE PERSON WHOSE NAME IS SUBSCRIBED TO THE FOREGOING INSTRUMENT, AND ACKNOWLEDGED TO ME THAT HE EXECUTED THE SAME FOR THE PURPOSES AND CONSIDERATION THEREIN EXPRESSED. R E OF OFFICE TIllS THE 15TH DAY OF APRIL, 2008. LOUISE R WONZER My Commission expires June 15. 2008 : CERTIFICATION AND REQUEST FOR APPROVAL 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 associations of such citizens, nationals, resident aliens or private, public or municipal corporations; (b) Assignee is not considered a minor under the law of the State in which the lands covered by this assignment are located; (c) Assignee's chargeable interests. direct and 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; and (d) All parties holding an interest in the asssignment are otherwise in compliance with the regulations (43 CFR Group 3100 or 3200) and the authorizing Acts; (e) Assignee is in complisnce with reclamation requirements for all Federal oil and gas lease holdings as required by sec. l7(g) of the Mineral Leasing Act; snd (f) Assignee is not in violation of sec. 41 of the Mineral Leasing Act. 3. Assignee's signature to this assignment constitutes acceptsnce of all applicable tenns, conditions, stipulations and restrictions pertaining to the lease described herein. For geothermal transfers, an overriding royalty may not be less than on-efourth (14) 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 15TH day of APRIL 2008 Executed this day of Name of Assignor as shown on current lease DANIEL WOLF ~ Please type or print Assignor GARY , ATIORNEY-IN-FACT ,19_ 01 Assignee or (Signature) Attorney-in-fact (Signature) 700 LOUISIANA, SUITE 1100 (Assignor's Address) HOUSTON, TX 77002 (City) (State) (Zip Code) BURDEN HOURS STATEMENT Public reporting burden for this form is estimated to average 30 minutes per response, including the time of reviewing instructions, gathering and maintaining data, and completing and reviewing the form. Direct comments regarding the burden estimate or sny other aspect of this form to U.S. Department of the Interior. Bureau of Land Management. Bureau Clearance Officer, (DW-llO), Denve Federal Cener, 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 sny 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: 1992-774-017167023