HomeMy WebLinkAbout952131Land Description
Percent of Interest
Percent of
Overri ststy
II
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
d
Reserved
e
Previously
reserved
or conveyed
f
T25N, R118W SECS 03,10,15,22 2202.96 acs described as follows:
Section 03 Lots 5, 6, S/2 N /2, NW /4 SW /4, S/2 SW /4, SE /4
Section 10 N /2, N/2 SW /4, SE /4 SW /4, SE /4
Section 15 Lots 1 -4, 9, 15, 16, N/2 N /2, SE /4 SW /4, S/2 SE /4
Section 22 Lots 1, 4, 5, E /2, E/2 W /2, NW /4 SW /4
Lincoln County, Wyoming
RECEIVED 2/11/2010 at 10:54 AM
RECEIVING 952131
BOOK: 742 PAGE: 385
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
100.00%
100.00%
OO1 BLI1 01-11w
rf
201ii JAN 14 AM 9: 00
RECEIVED
0.00%
Grip RI nn IMF nNl Y no NOT WRITE BELOW THIS LINE
Form 3000 -3
(May 2006)
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.
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 El and list the name(s) and address(es) of all addtional assignees r 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)
By
(Continued on page 2)
Type or print plainly in ink and sign in ink.
ra
Bureau of Land Management (BLM)
PART A: ASSIGNMENT
.t
/S! Juc1't R. Q! denbt r d
000385
FORM APPROVED
OMB NO. 1004 -0034
Expires: April 30, 2009
Lease Serial No.
'YW 174828
ase Effective Date
(Anniversary Date)
04/01/2008
New Serial No.
R e c o r d Title, Overriding Royalty, n or other similar interests
or payments
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.
m Assignment approved for above described lands;
Assignment approved effective FE B t 1 .g
201
0 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)
_11476;i3 :6
Part A' (Conti nueu): twin IONAL SPACE for names and addresses of additiot ;es in Item No.1, if needed, or for Land Descripti No. 2, if needed.
PART B CERTIFICATION AND REQUEST FOR APPROVAL
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.
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.
DECEMBER 09 S day of DECEMBER 20 09
Executed this day of 20 Executed this Y
Name of Assignor as shown on current lease MEATH, LLC
(Please type or t)
Assignor I i '"t Assignee
'nature) ignatu
Or Or
Attorney -in -fact ��ei✓ Attorney -in -fact
tgnature) David E. Lancaster,
2201 CABIN COURT Executive Vice President and CFO
(Assignor's Address) MRC ROCKIES COMPANY
GILLETTE WY 82718 -5244 5400 LBJ Freeway
(State) (Zip Code) 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.
(City)
(Continued on page 3)
(Form 3000 -3, page 2)
STATE OF WYOMING
COUNTY OF CAMPBELL
The foregoing instrument was acknowledged before me, a Notary Public in and for the State of
Wyoming, by as
of Meath LLC, on this day of
December, 2009.
TERI M STORE NOTA Y Pli UC
COUNTY OF STATE OF
CAMPBELL s`lL: WYOMING
MY COMMISSION EXPIRES
My Commission Expires: 03 -13 -2012
STATE OF TEXAS
COUNTY OF DALLAS
VI Y
'��N, YVONNE HOEVERS s
i i O'� P \IIIII i
s,?''' o4 Notary Public, s
4 State of Texas
Comm. Exe. 08 -20 -11 s,
My Commission Expires: 08 -20 -2011
ACKNOWLEDGMENTS
Teri M. Storey
nne Hoevers
rrl
CO 387
rn
The foregoing instrument was acknowledged before me, a Notary Public in and for the State of
Texas, by David E. Lancaster, Ex Vice President and CFO of MRC Rockies Company, on behalf
of said company, on this 31 day of December, 2009.