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HomeMy WebLinkAbout952126Land Description Percent of Interest rercentof 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 e Retained d Reserved e Previously reserved or conveyed f T23N R120W SECS 21,22,27,28 1,507.09 acs described as follows: 100.00% 100.00% 0.00% 0.00% 0.00% Section 21 Lots 5 -8 Section 22 N /2, SW /4, N/2 SE /4 Section 27 All Section 28 Lots 5 -8 rrt, 1" Lincoln County, Wyoming RECEIVED 2/11/2010 at 10:45 AM RECEIVING 952126 F' BOOK: 742 PAGE: 370 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY Form 3000 -3 (May 2006) By 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.C. 6508) 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 page 2 of this form or on a separate attached sheet of paper. This record title assignment is for: (Check one) Oil and Gas Lease, or Geothermal Lease Interest conveyed: (Check one or both, as appropriate) t: This assignment is approved solely for title to this lease. Assignment approved for above Assignment approved effective I r3I Judith R. pldenburg (Continued on page 2) Type or print plainly in ink and sign in ink. 0 Bureau of Land Management (BLM) described lands; FEB 01 2010 PART A: ASSIGNMENT 0 .r M FORM APPROVED OMB NO. 1004 -0034 Expires: April 30, 2009 Lease Serial No. WYW 174334 Lease Effective Date (Anniversary Date) 01/01/2008 New Serial No. Record Title, Overriding Royalty, payment out of production or other similar interests or payments FOR BLM USE ONLY DO NOT WRITE BELOW THIS LINE UNITED STATES OF AMERICA administrative purposes. Approval does not warrant that either party to this assignment holds legal or equitable El Assignment approved for attached land description Assignment approved for land description indicated on reverse of this form LAND LAW EXAMINER J (Title) AN 22 ?010 Date Part A (Continued): ADDITIONAL SPACE for names and addresses of additional assignees in Item No.1, if nee or for Land Description in Item No. 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 laws the United or of any State or territory thereof. For the assignment of NPR -A leases, as assignee i a citizen, nati corporation 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. DECEMBER 09 9da of DECEMBER 20 09 E x ec uted this 3 1 day of 20 Executed this y Name of Assignor as shown on current lease MEATH, LLC X14. i� Assignor anal 1 Assignee or Attorney-in-fact eV- Attorney-in-fact DaVld E. Lancaster, (Signatt Executive Vice President and CFO (Assignor's Address) MRC ROCKIES COMPANY GILLETTE WY 82718 -5244 5400 LBJ Freeway One Lincoln Centre, Suite 1500 Dallas, TX 75240 -1017 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. 2201 CABIN COURT (City) (Continued on page 3) (State) (Zip Code) (Please type C7 rri P7 O r'1 Qt f�3 rn -C= O �s. (Form 3000 -3, page 2) STATE OF WYOMING COUNTY OF CAMPBELL The foregoing instrument was acknowledged bef a me, a Notar Public 'n and for the State of Wyoming, by 1'� ae as e/ of Meath LLC, on thi day of December, 2009. TERI M STOREY NOTARY PUBLIC STATE OF WYOMING COUNTY OF CAMPBELL MY COMMISSION EXPIRES My Commission Expires: 03 -13 -2012 ACKNOWLEDGMENTS Teri M. Storey STATE OF TEXAS 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 3 (S day of December, 2009. "RJPU���., YVONNE HOEVERS 1 �1PUnu�B! 6 �S 1, 4, N Pu bilc, 's i =s, 141 State of Texas 44 ,°F;fr Comm. Exe. 08 g My Commission Expires: 08 -20 -2011 nne Hoevers