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HomeMy WebLinkAbout952124Land Description Percent of Interest Percent of Overridingg 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 y c Retained d Reserved e Previously reserved or conveyed f T23N R120W SECS 03,04,09,10,15 2,200.73 acs described as follows: Section 03 Lots 5 -8, S/2 N /2, S/2 Section 04 Lots 5 -8 Section 09 Lots 5 -8 Section 10 NE /4, NE /4 NW /4, S/2 NW /4, S/2 Section 15 All Lincoln County, Wyoming RECEIVED 2/11/2010 at 10:41 AM RECEIVING 952124 BOOK: 742 PAGE: 364 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY 100.00% 100.00% DOI -BLM CHEYENNE WYCMIN 2010 JAN I4 AM9:a0 RECEIVED 0.00% FOR BLM USE ONLY DO NOT WRITE BELOW THIS LINE Form 3000 -3 (May 2006) 1. Assignee* MRC ROCKIES COMPANY Street 5400 LBJ FREEWAY, ONE LINCOLN CENTRE, SUITE 1500 City, State, Zip Code DALLAS, TX 75240 1017 la. Assignor *If more than one assignee, check here and list the name(s) and address(es) of all addtional assignees on a separate attached sheet of paper. This record title assignment is for: (Check one) Oil and Gas Lease, or Geothermal Lease 2. This assignment conveys the following interest: 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. Assignment approved for above described lands; Interest conveyed: (Check one or both, as appropriate) Assignment approved effective By (Continued on page 2) 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.0 351 359) Geothermal Steam Act of 1970 (30 U.S.C. 1001 -1025) Department of the Interior Appropriations Act, Fiscal Year 1981 (42 U.S.0 Bureau of Land Management (BLM) Type or print plainly in ink and sign FEB 0 1 2010 /SJ Judith R Oldenburg PART A: ASSIGNMENT (Title) FORM APPROVED OMB NO. 1004 -0034 Expires: April 30, 2009 Lease Serial No. WYW 174332 ease Effective Date Anniversary Date) D1 /01/2008 New Serial No. Record Title, Overtiding Royalty, payment out of production or other similar interests or payments n Assignment approved for attached land description n Assignment approved for land description indicated on reverse of this form LAND LAW E A NER JAN 2 2 2010 (Date) Part A (Continued): ADDITIONAL SPACE for names and addresses of additional assignees in Item No.1, if needed, or for Land Description in Itert7` 2; irprevrettar 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. day of DECEMBER 20 09 Executed this Assignor or Attorney -in -fact 2201 CABIN COURT GILLETTE (City) (Continued on page 3) 04 day of DECEMBER 20 09 Name of Assignor as shown on current lease MEATH, LLC ignatur (Assignor's Address) WY 82718 -5244 (State) (Zip Code) Executed this (Please typ Assignee or Attorney -in -fact David E. Lancaster, Executive Vice President and CFO MRC ROCKIES COMPANY 5400 LBJ Freeway One Lincoln Centre, Suite 1500 Dallas, TX 75240 -1017 a DAN i 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. (Form 3000 -3, page 2) STATE OF WYOMING COUNTY OF CAMPBELL Wyoming, by December, 2009. 4 YVONNE HOEVERS ,I Notary Public, 5 a��, ,f -State of Texas i i �n nm���`' Co mm. Exe. 08-20.11 's My Commission Expires: 03 -13 -2012 STATE OF TEXAS My Commission Expires: 08 -20 -2011 ACKNOWLEDGMENTS The foregoing instrument was acknowledges efore me, a N ary Publi in and for the State of e' as of Meath LLC, on tVfs day Y Teri M. Storey ne Hoevers 1/ Ufi 7fs-t-u-Gv) COUNTY OF DALLAS The foregoing instrument was acknowledged before me, a Notary Public in and for the State of Texas, by David E. Lancaster, Executive Vice President and CFO of MRC Rockies Company, on behalf of said company, on this 31 s day of December, 2009.