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Home My WebLink About876712Fomu 3ooo4 \I~ '~ "" ':"" UNITED STATES FORM APPROVED ,.;. ? , ,.,, ~ e. ?, ....... DEPARTMENT OF THE INTERIOR OMB NO. 1004-0034 ~ (j~ L.;"'" BU~AU OF LA~ MANAGEMENT Expires: September 30, 1998 ~l~ -'~ ~.~- C~: ASSIGNMENT OF RECORD TITLE INTEREST IN A Lease Serial No. 3~~- ..~ v~.~ LEASE FOR OIL AND GAS OR GEOTHERMAL RESOURCES ~V 129157 ,~- ;'", :.... ~ ~¢ ~... "' . ~ Lease Effective Date ~7(¢,~.,~ L~ ,~[~,.t (~.5~¥[B Mineral Leasing Act of 1920 (30 U.S.C. 181 et seq.) (Anniversa, Date) ,¥[¢L'1' ~}k'~[[(' ~ ~ Act for Acquired Lands of 1947 (30 U.S.C. 351-i59) 6/1193 · Geothe~al Steam Act of 1970 (30 U.S.C. 1001-1025) New Lease Serial No. Depa~ment of the Interior Appropriations'Act, Fiscal Year 1981 (42 U.S.C. 6508) Typo or print plainly in ink and ai~n In ink. PART A: ASS1GNME~I¢~t:~ 1, Assignee* BELCO ENERGY I L. P. Street 5735 PINELANO, SUITE 300, t. ib.l 0 0 · If more than one assignee, check here ~ and list th~ name(s) and address(cs) of~ll ~dditional assi~s on the revcrs~ of this form or on This record title is for: assignment (Check one) {al Oil and Gas Lease, or ~ Geothe~al Lease conveyed: (Check one or both, as appropriate) ~ Record Title, ~ Oveffiding Royalty, payment out ofproduction or other similar Interest interests or payments 2. This assigment conveys the following interest: Land Description Percent of Interest Percent of Additional space on reverse, if needed. Do not submit documents or agreements other O~ed Conveyed Retained Ore,ding Royalty than this fo~; such documents or a~eements shall only be referenced herein, or Similar Interests ..... Resemed Previously resemed or conveyed a b c d e f TWP 22N, RGE 113W, 6TH P.M. 50.00% 25.00% 25.00% NO~ SEC 2: LOTS 3, 4, S/2NW/4, SW/4 OF 50% SEC 3: LOTS 1-4, S/2N/2, S/2 996.25 ACRES, M/L L~COLN CO~TY, ~ FOR BLM USE ONLY -~ DO NOT WRITE BELOW THIS LINE ~ITED STATES OF AMERICA FOR This assi~,me~t Is approved solely for ~dmlnistraflve purposes. Approval claes not wsrrant that either ps~ to this asslEame,t holds legal or equitable title to this lease. ~ Assignment approved for above described lands; ~ Assi~mcnt approved for attached land description Assi~mentapprovedeffectivc AUG 0 1 2001 ] ] Assignment approved for land descfiption indicated on revene of this fo~ By ' ' ND WE MI RSEP1 3 00l (Authorized Officer) (Title) (Date) COUNTY OF DALLAS ~.~' ': ~ 't I'~' THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE lVlE BY GARY BYKD, VICE PRESIDENT - LAND OF DELCO ENERGY CORP., A NEVADA CORPORATION, ACTING AS GENERAL PARTNER OF DELCO ENERGY 1 LP, A DELAWA~ LIM1TED PARTNERSHIP. ON BEHALF OF SAID PARTNERSIIIP~ GIVEN UNDER MY HAND AND SEAL OF OFFICE Tills 4TM DAY OF JUNE 2001. ~ ~ f ~ ~ -- THE STATE OF TEXAS COUNTY OF IIARRIS THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME BY TONI L. DODDS AS VICE PRESIDENT OF ANDEX RESOURCES, L.L.C. A TEXAS LIMITED LIABILITY COMPANY, ON BEHALF OF SAID COMPANY. GIVEN UNDER MY }lAND AND SEAL OF OFF1CE THIS THE I ST DAY OF OCTOBER, 2000. ~, ~TIFICATION AND REOUEST FOR APPROVAL 1, The assignor cemifies' a~ owner of an interest in the above designated lease that he/~he hereby assigns to the above assignee(s) the rights specified above. 2. Assignee ceflifies as follows: (a) Assignee is a citizen of the United States; an association of such citizens; a municipality; or a co~oration organized under tho laws of the United States or of any State or te~to~ thereofi For the assignment of NPR-A leases, assignee ia a citizen, national, or resident alieo of the United States or a~sociation8 of such citizens, nationals, resident aliens or private, public or municipal co~orations; (b) Assignee is not considered a minor under the law of the State in which the lands covered by this assi~ment are located; (c) Aafignee'$ chargeable interests, direct and indirect, in each public domain and acquired lands sepa~tely in the ~ame S~te, 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 any one State if this is a geothemal lease; and (d) All pafliea holding an interest in ~e a~ssignment are othe~ise in compliance with the regulations (43 CFR Group 3100 or 3200) and the aythofizing 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 terns, conditions, stipulations and restrictions peflaining to the lea~e described herein. For geothe~al transfers, an oveffiding royal~ may not be less than onrefou~h {~) 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 oveffiding royalties (43 CFR 3241). I certify that the statements made herein by me are t~e, complete, and co~ect to the best of my knowledge and belief and are made in good hith. Executed this 1ST day of OCTOBER 200 0 Executed this ~ day of ~~ Name of Assignor as shown on cu~ent lease ~DEX ~SOURCES~ L.LC, Delco Energy I L.P. Belc~ Please type or print By: ~~CorI] its General Partner Assignor Assignee' . or (Signature) ~ or - - ~and TOM L. DODDS, VICE P~SIDENT 1001 FA~, SUITE 2000 (Assignor's Address) ttOUSTON, TX ~7002 (City) (State) (Zip Code) BURDEN HOURS STATEMENT Public reporting burden for lhi~ fo~ is estimated to avenge 30 minutes per response, including the time of reviewing instructions, gathering and maintaining dau, and completing and reviewing the fo~. Direct comments regarding the burden estimate or any other aspect of ~is fora to U.S. Depa~ment of the Inte~or, Bureau of Land Management, Bureau Clearance Officer, (DW-110), Denve Federal Cener, Building 40, P.O. Box 25047, Denver, CO 80225-0047 and the Office of Management and Budget, Paperwork Reduction Project ( I 004-0034). Washington, D.C. 20503. Title 18 U.S.C. Sec. 1001 makes it a crime for any person knowingly and willhlly to make to any Depaflment or agency of the United states any hlse, fictitious or ~udulent statements or representations as to any matter within its jurisdiction. ~U.S. GPO: