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Form 3106 -14
(September 1982)
1. Assignee's Name
GCIL III LIMITED PARTNERSHIP
TRANSFER, ASSIGNMENT, OR SUBLEASE,
OF OPERATING RIGHTS IN OIL AND GAS L ^,D
PART 1
Address (include zip code) c/o Dakel Co.
P.O. Box 2187, Loop Station
Minneapolis, Minnesota 55402
.ITED STATES
DEPARTMENT OF THE INTERIOR r
BUREAU OF LAND MANAGEMENT U;
The undersigned, as owner of percent of operating rights in the above- designated oil and gas lease, hereby transfers, assigns,
•nd /or subleases to the assignee shown above, the operating rights in such lease as specified below.
2. Describe the lands affected by this transfer, assignment, and /or sublease (43 CFR 3101.2 -3 or 3101.1 -4)
TRACT I 15.683754%
TRACT II 15.670768%
TOWNSHIP 26 NORTH, RANGE 111 WEST, 6111 P.M.
TRACT I Section 17: NW /4
TRACT II Section 17: E /2, SW /4
Containing 640 acres, more or less, in Lincoln County, Wyoming
THE INTEREST HEREIN CONVEYED is the same interest conveyed by Assignment dated
July 9, 1984, recorded at Book 217 PR, Page 342, covering the above described
lands, from Energetics Operating Company to General Hydrocarbons 1982X Oil
Gas Program, et al.
THE OVERRIDING ROYALTY shown on Line 6 shall be borne and assumed by Assignee
in the proportions shown on said Assignment dated July 9, 1984, above listed.
This Assignment is made and shall in all respects be subject to those provisions
on the attached RIDER.
This Assignment is subject to the terms and conditions of that certain "Assignment, Bill of Sale and
v =_yance" executed by and between General Hydrocarbons, Inc. et al to Assignee herein dated December
1986, effective December 1, 1986, as recorded in the above referenced county and state. Said
nment does not constitute any additional conveyance or assignment of oil, gas and mineral leases,
or interest therein described but is the same interest being conveyed by this Assignment. TRACT II
TRACT I
3. Specify intere.at or percent of operating rights being conveyed to assignee
4 Specify interest: or percent of operating rights being retained by assignor
5. Specify overriding royalty interest being reserved by assignor
6. Specify overriding royalty previously reserved or conveyed, if any
7. If any payments out of production have previously been created out of this interest, or if any such payments are being reserved under this
transfer, assignment, or sublease, attach statement giving full details as to amount, method of payment, and other pertinent terms as
provided under 43 CFR 3106.
s eed that the obligation to pay any overriding royalties or Payments out of 'production of oil created herein, which, when added to
g royalties or payments out of production previously created and to the royalty payable to the United States, aggregate in excess of
rcent, shall be suspended when the average production of oil per well per day averaged on the monthly basis is 15 barrels or less.
I CERTIFY That the statements made herein are true, complete, and correct to the best of my knowledge and belief and are made in good faith.
Executed this 21st day of September
Enerp Operating Compan
Donald
gTtanne
L if
19 87
(Assignor's Signature) (Assignor's Address)
Peterson, President
Kalutkie raicz, Secretary
Title 18 U.S.�:., Sectio„ 1001, mak.,a it a crime for any person knowingly and willfully to make to any department or agency of the United
States any (acne, ffcU.Ides, frauduiant statements or representations as to any matter within its jurisdiction.
PJA
Assignment approved effective 1 19::
Approve! :aCa9 tt 'f either
to this transfer party
ansfer u1:..,, Iagai O; tc
ubl8
titit) ie ;hip kayo,
Englewood,
(City)
THE UNITED STATES OF AMERICA
B It/CtiatAk,e(/CG s Bu
7951 E. Maplewood Avenue, Suite #133
TPs C 1 A-9f17 LAW 8X Mitiiii
(4 I a ridlal
NOTE: This form may be reproduced provided that copies are exact reproductions on one sheet of both s,res of this ,f /icial loan in ,...or.
ante with provisions o/ 43 CFR 3)06.
(Title)
FORM APPROVED
OMB NO. 1004 -0034
Expires: August 31, 1985
Lease Serial No.
W-72845
Lease effective date
October 1, 1981
2.359771%
13.323983%
NONE
8.751953%
Colorado
(State)
(Authorized Officer)
RECEIVED 5/12/2010 at 10:23 AM
RECEIVING 953392
BOOK: 747 PAGE: 56
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
2.359771%
13.310997%
NONE
80111
(Zip Code)
MAY 2 0 1988
00 056
CER i6F?ED
�o by Irue and comparative cony
the official records on fife
MANAGEMENT
A. ASSIGNEE CERTIFIES THAT the assignee and all other parties in interest (as defined in 43 CFR 3100.0 -5(b)) in this as-
signment are:
1. Citizens of the United States or qualified alien stockholders in a domestic corporation; association of the United States;.
or any State or Territory thereof; or municipalities.
2. Of the' age of majority in the State where the lands to be assigned are located.
3. In compliance with the acreage limitation set forth in 43 CFR 3101.1 -5 and 3101.2 -4.
B. ASSIGNEE AGREES That, upon approval of this transfer of operating rights and /or operating agreement (sublease) by the
authorized officer of the Bureau of Land Management, he will be bound by the terms and conditions of the lease described
herein as to the interests covered by this assignment, including, but not limited to, the obligation to conduct all operations
on the leasehold in accordance with the terms and conditions of the lease, to condition all wells for proper abandonment,to
restore the leased lands upon completion of any drilling operations as prescribed in the lease, and to furnish and maintain
such bond as may be required by the lessor pursuant to the regulations (43 CFR 3104.2).
C. IT IS HEREBY CERTIFIED That the statements made herein are true, complete, and correct to the best of undersigned's
.ge and belief and are made in good faith.
7 14th March 1988
Ext this 30 l day of "NSO'elntre r 198
III LIMITED PARTNERSHIP
ATTEST:
ASSIGNEE'S APPLICATION FOR APPROVAL OF TRANSFER
OF OPERATING RIGHTS AND /OR OPERATING AGREEMENT (SUBLEASE)
David E. Kelm, (Assignee i' Signature) (Assignee's Address)
President, Dakel Co., as Managing General Partner
C.,. f
M. Ell—,on Assistant Secretary, Dakel Co.
Title 114 U.S.C., section 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, oefraudulent statements or representations as to any matter within its jurisdiction.
1. USE' FORM Use only for assignment of operating rights
(r^ g working interests) in oil and gas leases. If transfer
of :ing rights is accompanied by an operating agreement,
a s, copy of such agreement must be submitted with the
assignment. If more than one transfer of operating rights is
made out of a lease, a separate instrument of transfer is
required for each assignment. A separate instrument of assign-
ment shall be used for each lease out of which an assignment
is made.
2. FILING AND NUMBER OF COPIES File three (3) completed
PART 11
INSTRUCTIONS
NOTICE
The Paperwork Reduction Act of 1980 (44 U.S.C. 3501 et seq.) requires us to inform you that:
This information is being collected pursuant to the law (43 CFR 3106- 3(c)).
This information will be used to create a record of lease assignment.
Response to this request is required to obtain benefit.
c/o Dakel Co.
P.O. Box 2187, Loop Station
Minneapolis, Minnesota 55402
(City)
The Privacy Act of 1974 and the regulation in 43 CFR 2.48(d)
provide that you be furnished the following information in
connection with information required by this assignment and
request for approval.
AUTHORITY: 30 U.S.G. et. seq.
PRINCIPAL PURPOSE Tne information is to be used to
process the assignment and request for approval.
ROUTINE USES:
(1) The adjudication of the assignee's rights to the land or
resources.
(2) Documentation for pubiic information in support of nota-
tions made on land status records for the management,
disposal, and use of public lands and resources.
(3) Transfer to appropriate Federal agencies when concur-
rence is required prior to granting a right in public
lands or resources.
(4)(5) Information from the record and /or the record will be
transferred to appropriate Federal, State, local or
foreign agencies, when relevant to civil, criminal or
regulatory investigations or prosecutions.
EFFECT OF NOT PROVIDING INFORMATION If •11 the in-
forriation is not provided, the assignment may be rejected.
(State) (Zip Code)
and manually signed copies in the appropriate BLM office. A
525.00 nonrefundable filing fee must accompany this assignment.
File assignment within ninety (90) days alter date of final
execution.
3. EFFECTIVE DATE OF ASSIGNMENT The assignment, if
approved, takes effect on the first day of the month following
the date of filing of all required papers. If an operator's bond
is required, it must be furnished prior to approval of the
assignment.
GRO sa6.444
-0,('i05'7
RIDER
1. Any and all reservations of overriding royalty interest and /or
net profits interest, be they recorded or unrecorded as of the
date of execution of this Assignment, the proportionate burdens
of which shall be assumed and borne by ASSIGNEE; an overriding
royalty due Energetics employees under certain royalty
participation plans, including Energetics Royalty Corporation,
which overriding royalty may or may not be of record as of the
date of execution of this Assignment; and any and all other
agreements which would affect the title to the leases described
on Exhibit "A
2. This Assignment is subject to the Plan of Reorganization filed
in the United States Bankruptcy Court, District of Colorado,
Case No. 84 -B -5326 and 84 -B -5235, entered and approved by the
Court and creditors effective June 28, 1985.
(1 40 .058
ERT!RED
to be true and Comparative ccpy
try; official records on fire
U 0 ..A ANAGEMENT