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Home My WebLink About951634Land Description Percent of Interest Percent of Overriding Royalty Similar Interests Additional space on page 2, if needed. Do not submit documents or agreements other than this form; such documents or agreements shall only be referenced herein. a Owned b Conveyed c Retained c Reserved e Previously reserved or conveyed f *INSOFAR AS LEASE COVERS: Township 24 North, Range 114 West 6 P.M. 12.50% 12.50% -0- -0- Of Record Section 3: Lots 16, 17, 20, SW /4SW /4 Section 9: SE /4 Section 10: W /2NE /4, W /2, SE /4 Section 11: Lot 5, SE /4SE /4 Form 3000 -3 (May 2006) 1. Assignee* Beartooth Oil Gas Company Street PO Box 2564 City, State, Zip Code Billings, MT 59103 2564 *If more than one assignee, check here and list the name(s) and address(es) of all additional assignees on page 2 of this form or on a separate attached sheet of paper. This record title assignment is for: (Check one) M Oil and Gas Lease, or Geothermal Lease Interest conveyed: (Check one or both, as appropriate) Record Title, C Overriding Royalty payment out of production or other similar interests or payments Containing 923.27 acres, more or less Lincoln County, Wyoming UNITED STATES 'DEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT ASSIGNMENT OF RECORD TITLE INTEREST IN A LEASE FOR OIL AND GAS OR GEOTHERMAL RESOURCES 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) Type or print plainly in ink and sign in ink. PART A: ASSIGNMENT FORM APPROVED OMB NO. 1004 -0034 Expires: April 30, 2009 Lease Serial No. W- 0243909 -D Lease Effective Date (Anniversary Date) 10/1/63 New Serial No. 000226 la. Assignor ConocoPhilttps Company, as successor In Interest to Phillips Petroleum Company RECEIVED 1/15/2010 at 11:32 AM RECEIVING 951634 BOOK: 740 PAGE: 226 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY 1 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 transfer holds legal or equitable title to this lease. n Assignment approved for above described lands; Assignment approved for attached land`desctiption Assignment approved effective Assignment approved for land description indicated on reverse of this form By Bureau of Land Management (BLM) (Title) (Date) (Continued on page 2) Part A (Continued): ADDITIONAL SPACE for Names and addresses of additional assignees in Item No. 1, if needed, or for Land Description in Item 2, if needed. PART B CERTIFICATION AND REQUEST FOR APPROVAL 1. The Assignor certifies as owner if 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 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 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 any one State if this is a geothermal lease; (d) All parties holding an interest in the assignment are otherwise in compliance with the regulations (43 CFR Group 3100 or 3200) and the authorizing 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 terms, conditions, stipulations and restrictions pertaining to the lease described herein. For geothermal assignments, an overriding royalty may not be less than one fourth (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 correct to the best of my knowledge and belief and are made in good faith. Executed this 31st da y of Dec 2 009 Executed this 12th day of January a n u a ry Xttii 2010 Name of Assignor as shown on current lease Assignor (Signs e) or or Attorney -in -fact Attorney -in -fact (Signature)Willia W. Franklin, L Laura L. Roberts, President 3300 North "A" Street, Building 6 -100 Al F (Assignor's Address) Midland TX 79705 5490 Title 18 U.S.C. Sec. 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. (Continued on page 3) a (City) (State) (Zip Code) ConocoPhillips Company (Please type or print) Assignee Beartooth 0 (S atu C00227 G mpa;, (Form 3000 -3, Page 2) State of TEXAS County of MIDLAND ve "YP JEANNENE EULENFELD *".'S Public, State of Texas 'ti My Commission Expires February 26, 2011 State of Montana County of Yellowstone ACKNOWLEDGMENT Before me, the undersigned, a Notary Public, in and for said County and State, on this 2/ day of 2.' 2009, personally appeared W i 11 i a m W Frankl i known to me to be the Attorney-in-Fact of ConocoPhillips Company and who acknowledged to me that she/he duly executed the same as her/his free and voluntary act and deed on Behalf of said Corporation for the purposes therein set forth. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal the day and year last above written. otary Pu lic Residing at i d 1 a n d, TX My Commission Expires: ACKNOWLEDGMENT ZK e114-31 ---1 000228 Before me, the undersigned, a Notary Public, in and for said County and State, on this 12 t h day of January ,,2.cpx, personally appeared Laura L Roberts known to me to be the President of Beartooth Oil Gas Company, and who acknowledged to me that she/he duly executed the same as her/his free and voluntary act and deed on Behalf of said Corporation for the purposes therein set forth. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal the day and year last above written. Notary Public Residing at Billings, Montana My Commission Expires: May 1, 2012