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Home My WebLink About876714 FORM 3000.~ (s,,,~ry t~6) . . ' ~ I -I UNITED STATES · ~ ":: ~:, i :,. :, ,~ DEPARTMENT OF THE INTERIOR · ,...~ :",, V~' ~!~.'~ , r'~; ,.t~',~'~ i FORM APPROVED '"-~ '7:.' ~, s~5 ~" A~~'*tv''' BUREAU OF LAND MANAGEMENT . i: ... i" '} L;' ~,.~ ....... ' OMB NO. 1004-0034 {?t ,,- -." Expires: September 30, 1998 "k~ ~' ~SIGNMENT OF REOORD TITkE INTEREST I ' N A Lease Serial No. E~SE FOR OIL AND GAS OR GEOTHERMAL RESOURCES ~YW132~17 g~E~ ~}~l~' ~J ~ * ~ for Acquired Lands of 1947 (30 U.S.C. 351-359) (Anniversaw Date) 6/1/94 Geothermal 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) PART A: ASSIGNMENT ~ Street S73S PINELAND, SUITE 300 Ltt'~JOOL. t,4 (,~.c'~.t~dt · If more than one assignee, check here and list the name(s) and address(es) of all additional assignees on the rever~this form or on a separate a~ached sheet of paper. ' ' ' " This record title assignment is for: (Check One) Oil and Gas Lease, or Geothe~al Lease "' .' :'-.q~ :.r .~'~'. i':., ,7' Interest conveyed: (Check one or both, asappr0priate) ~ ~ Record Title, ~ 9verridingRoyalty, paymentoutofproduction0rothersimilar 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 Conve~ Retained than this form; such documents or agreemen~ shall only be referenced herein. Ove~iding Royalty or Similar Interests Rescued Previously a resemed or conveyed b c d e TWP ~3N, RGE l13W, 6TH P.M. 33.33% 16.6650% 16.6650% SEC 9: E/2, NW/4NW/4, SE/4NW/4, N/2SW/4 NONE OF 33.33% ...... ~:: ~:.3 J,?~?.: .':-.' ,- 450.00 aches, ~ ~O~ ~ LINCOLN COUNTY, ~ ~ FOR 8LM H~E O~LY .a DO NOT ~RITE BELO~ THIS LIN~ ~--- ~ITED STATES OF AME~CA This assortment Is approved solely for administrative purposes. Approval does not warrant that either party to this assignment holds legal or e title to tills lease. ~ Assignment approved for above described lands; ~ Assignment approved for attached land description AssignmentapPr°vedeffective A~ 0 ] 2001 ~ ~ Assignment approved for land description indicated on reverse t 1~1 Patnelar ,J, L~wlS otth~s ro~. ~ (Title) (Date) STATE OF TEXAS COUNTY OF DAtA, AS THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME BY GARY BYRD, \qCE PRESIDENT'- LAND OF BELCO ENERGY CORP, A NEVADA CORPORATION, ACTING AS GENERAL PARTNER OF BELCO ENERGY 1L.P. A DELAWARE LIMITED PAP, TNERSHIP, ON BEHALF OF SAID PARTNERS}lIp. Gl' EN UN~~ O~FFIC~E ~1 {-IS~4~'~DA-Y~,~F JUNE 200 ' · y ,,~ ; THE STATE OF TEXAS - · COUNTY OF HARRIS ::. THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME BY TOM L. DODDS AS VICE PRESIDENT OF ANDEX RESOURCES, LL.C. A TEXAS LIMITED LIABILITY COMPANY, ON BEHALF OF SAID COMPANY. GIVEN UNDER MY HAND AND SEAL OF OFFICE THIS THE 1 ST DAY, OF OCTOBER 2000, ~ ...~ ....? ,',.,c~.. .} ~ -- - ~-_._-_: ...... (~L__ __~ ~ ----:- ~ .... ~""'"*~'~--~ER'rlFIg,ATION ,AND R£QUEST FOR ,APPROVAL -- I. 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 certifie~ a~ follows: (a) Assignee is a citizen o£ the United St~tcs; ~n 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 ~sslgnment of' NPR-A leases, ~ssignee is a citizen, national, or resident alien of thc United States or ~ssociations of such citizens, ~afionals, resident aliens or private, public or rauni~ipM corporations; (b) As~ig.e,. ts not considered a minor under the law of thc Sia£¢ in'which the lands covered by this ~ssignment 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 iii Alask~ of which up to 200,000 acres may be in option~, it' this is an oil ,,nd gas lease issued in accordance with the Mineral Leasing Act of 1920, or $1,200 ~cres in any one State if' thi~ is a geothermal lease; and (d) All parties holding an interest in the asssignment nre otherwise in compliance with the regulations (43 CFR Group MOO or 3200) and the authori~.ing Acts; (e) Assignee is in compliance with reclamation requirements for all Federal oil and §a~ lease holdings as required by sec. 17(g) of the ~incral Leasing A~t; a.d (f) Assignee is not i~ violatio, of s~c. 41 of the Mineral Leasing Act. 3. Assignee's signature to this asslg.ment constitutes acceptance of. all appllcabl~ terms, conditions, stipulations and restrictions pertaining to the ]ease described herein. For geothermal transfers, an overriding royalty may not be less than on-efourth (¼) of one percent of the value of output, nor grc~tcr than $0 percent of thc rate of royalty due to the United Slates when this assignment is added to all previously cr¢~ted overriding royalties (~,3 CFR 3241). I ecrti£y that the statements made herein by me are tr~¢ complete, and correct to the best of my knowledge and beli¢£and are made in good faith. Executed this IST dayof OCTOBER 2000 Executed this ~ dayof Name of Assignor as shown on current lease . ANDEX RESOURCES~ L.L.C. Belco E - Assignor Please type or print rm - or ~ (Signature) ..q Assignee, _~;neralPartner Attorney~in-fact ~ ...~,~ ~ or -- Attomey-in-fact~~ TOM L. ~ODDS, VICE PRESIDENT 1001 FANNIN, SUITE 2000 ~~t, Land (Assignor's Address) HOUSTON, TX' 77002 (City) (State) (Zip Code) BURDEN HOURS STATEMENT -- Public reporting burden for this fom~ is estimated to average 30 minutes per response, including thc time of reviewing instructions, gathering and maintaining data, and completing and reviewing the form. Direct comments regarding the burden estimate or any other aspect of this form to U.S. Department of the Interior, Bureau of Land Management, Bureau Clearance Officer, (DW-II0), Derive Federal Cener, Building 40. P.O. Box 25047, Denver, CO 80225-0047 and the Office of Management and Budget, Paperwork Reduction P r oj e c t ( 1 0 0 4- 0 0 3 4) . W'a s h i n g t o n, 503, ~,~.~.~=s~c.i-OOl~;~ ................. D.c. 2 o for ~ny~rs~n~n-o~vi~g~y an~-~v~lf~]-y~o ~n~e t~ .... ~ = ~- = - -- ~n~' ~l~,'~ctitious or fraudulent any Department or agency of the United st~t~s st__a_atements o:~' ~ my~.~~sdiction' · U,S. GPO: 1092-774-017/67023