HomeMy WebLinkAbout952130Land Description
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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
ed
Conveyed
y
c
Retained
d
Reserved
e
Previously
reserved
or conveyed
f
T24N, R117W SECS 07,08,09 972.77 acs described as follows:
Section 07 Lots 10, 11, NE /4 NE /4, S/2 NE /4, N/2 SE /4
Section 08 N /2, N/2 S /2, SE /4 SE /4
Section 09 Lots 1 -7
Lincoln County, Wyoming
RECEIVED 2/11/2010 at 10:53 AM
RECEIVING 952130
BOOK: 742 PAGE: 382
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
100.00%
100.00%
001-801
CHEYENNE WYOMING
2010JAN 14 AM 9: On
RECEIVED
0.00%
FOR RLM USE ONLY DO NOT WRITE BELOW THIS LINE
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 RESOURCE
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. i
Type or print plainly in ink and sign in ink.
PART A: ASSIGNMENT
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) 151 Oil and Gas Lease, or Geothermal Lease
Interest conveyed: (Check one or both, as appropriate)
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.
T Assignment approved for above described lands;
,FEB 0 1 2010
Assignment approved effective
r /S/ Judith R. Oldenburg
(Continued on page 2)
Bureau of Land Management (BLM)
);2
FORM APPROVED
OMB NO. 1004 -0034
Expires: April 30, 2009
Tease Serial No.
'YW 174827
Lease Effective Date
(Anniversary Date)
04/01/2008
w Serial No.
Record Title, Overriding Royalty, payment out of production or other similar interests
or payments
Assignment approved for attached land description
Assignment approved for land description indicated on reverse
of this form
LAND LAW EXAMINER JAN 2 2 2010
(Title)
(Date)
'i 11.,0 '4,t+
.Part A (C'onticued): ADDITIONAL SPACE for names and addresses of additional assignees in Item No.1, if needed, 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. A ceUnite a States or of an State or thereof. For the a signment ofNPR -A leases, assignee citizen, national, oorresident organized
l en of the United
ssor r a ss association any
States or aoation 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
day of DECEMBER 2 0 09 Executed this
Executed this y
Name of Assignor as shown on current lease
MEATH, LLC
Assignor
or
Attorney- in -fac
2201 CABIN COURT
GILLETTE
(City)
(Continued on page 3)
gnature)
(Assignor's Address)
WY 82718 -5244
(State) (Zip Code)
Title 18 U.S.C. Sec.1001 makes it a crime for any person knowingly and willfully to make
fraudulent statements or representations as to any matter within its jurisdiction.
(Please type o
31
(Signatu
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
to any Department or agency of the United States any false, fictitious, or
(Form 3000 -3, page 2)
STATE OF WYOMING
COUNTY OF CAMPBELL
The foregoing instrument was a
Wyoming, by
December, 2009.
T M STOR NO PUBLIC
COUNTY OF STATE OF
CAMPBELL alt 1L WYOMING
MY COMMISSION EXPIRES
My Commission Expires: 03 -13 -2012
STATE OF TEXAS
10+, WONNE HOEVERS
Notary Publlo,
State of Texas
°f Comm. Exp. 08 -Z0�11
My Commission Expires: 08 -20 -2011
ACKNOWLEDGMENTS
i ledggd befo me, Notary Public in and for the State of
as
of McLLC, on this day of
Teri M. Storey
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 day of December, 2009.
VP1 At
nne Hoevers
O34