HomeMy WebLinkAbout9533953. Specify interest or percent of operating rights being conveyed to assignee
3.277199%
4. Specify interest or percent of operating rights being retained by assignor
10.046784%
5. Specify overriding royalty interest being reserved by assignor
.060547%
6. Specify overriding royalty previously reserved or conveyed, if any
8.751953%
/onn 3106 -14
(September 1982)
Address (include zip code)
16 East Granite
Butte, 11T 59701
U...TED STATES
DEPARTMENT OF THE INTERIORt;n:,
BUREAU OF LAND MANAGEMEN ;U(r [j
TRANSFER, ASSIGNMENT, OR SUBLEA rr r
OF OPERATING RIGHTS IN OIL AND GAS LASE
1. Assignee's Name
NORTH AMERICAN RESOURCES COMPANY, INC.
TOWNSHIP 26 NORTH, RANGE 111 WEST, 6TH P.M.
Section 17: NW /4
Containing 160 acres, more or less, in Lincoln County, Wyoming
THE INTEREST HEREIN CONVEYED is the same interest conveyed by Assignment
dated March 28, 1984, recorded at Book 217 PR, Page 347, 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 March 28, 1984,
above listed.
Executed this 21 s t day of Sept
Energetics Operating Com
PART I
t
Donald L. Peterson, Pr, Signature) nt
Suzanne Kalutkiewicz, Secretary
MAY 1 1988
Assignment approved effective
ApproWA does r:a; warr<:oot that either party
to this transfer holds !e;)al or equitable
title to this leaso.
Englewood,
(City)
THE UNITED STATES OF AMERICA
r.
and /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)
THE OVERRIDING ROYALTY INTEREST HEREIN RESERVED is the same Overriding Royalty
Interest reserved under Assignment dated March 28, 1984, recorded at Book 217 PR,
Page 347 of the records on Lincoln County, Wyoming.
This Assignment is made and shall in all respects be subject to those provisions
on the attached RIDER.
(Assignor's Address)
Colorado
(State)
FORM APPROVED
OMB NO. 1004 -0034
Expires: August 31, 1985
Lease Serial No.
W-72845
Lease effective date
October 1, 1981
The undersigned, as owner of13.323983 percent of operating rights in the above designated oil and gas lease, hereby transfers, assigns,
This Assignment is subject to the terms and conditions of that certain "Assignment, Bill of Sale and
Conveyance" executed by and between General Hydrocarbons, Inc. et al to Assignee herein dated December
18, 1986, effective December 1, 1986, as recorded in the above referenced county and state. Said
Assignment does not constitute any additional conveyance or assignment of oil, gas and mineral leases,
lands or interest therein described but is the same interest being conveyed by this Assignment.
7. If an!, payments out of production have previously been created out of this interest, or if any such payments are being reserved under this
trans4:a.. assignment, or sublease, attach statement giving full details as to amount, method of payment, and other pertinent terms as
provr:•.e:e under 43 CFR 3106.
It is agreed that the obligation to pay any overriding royalties or payments out of production of oil created Lefein, which, when added to
overriding royalties or payments out of production previously created and to the royalty payable to the United States, aggregate in excess of
17 1/2 percent, shall be suspended when the average production of ell per well per day averaged on the monthly basis Is 15 barrels or less.
1 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.
7951 E. Maplewood Avenue, Suite #133
By
(Authorized Officer)
RECEIVED 5/12/2010 at 10:23 AM
RECEIVING 953395
BOOK: 747 PAGE: 65
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
80111
(Zip Code)
Title 18 U.S.C., Section 1001, makes it a crime for any person k owingly and willfully to make to any department or agency of the United
States any fall•:, fictitious, fraudulent statements or representations as to any matter within its jurisdiction.
e. r µwt led ;1Y L 0 1988
J
(Title) (refigh.Pc6
NOTE: This form may he reproduced provided that copies are exact reproductions on one sheet of both sides o/ this official form in a:cord.
at with provisions o/ 43 CFR 3106.
606065
ERTI FED
to be trtae and comparative copy
e official records on file
AU OF L MANAGEMEN i
Pres .t
ATTES_
Assistant Secretary
ASSIGNEE'S APPLICATION FOR APPROVAL OF TRANSFER
OF OPERATING RIGHTS AND /OR OPERATING AGREEMENT (SUBLEASE)
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 tl•e 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
knowledge and belief and are made in good faith.
14th March
Executed this 30th day of Nm�ber
NORTH AMERICAN RESOURCES COMPANY, INC.
Lf'i 1 a-c 16 East Granite
(Assignee's Signature) (Assignee's Address)
Title 18 U.S.C., Section 1001, makes it 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.
1. USE OF FORM Use only for assignment of operating rights
(including working interests) in oil and gas leases. If transfer
of operating rights is accompanied by an operating agreement,
a single 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 II
1988
19
INSTRUCTIONS
NOTICE
(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.A.C. 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 public 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 all the in-
for:natlon is not provided, the assignment may be rejected.
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 obt- a benefit.
Butte, Montana 59701
(State) (Zip Code)
and manually signed copies in the appropriate BLM office. A
$25.00 nonrefundable filing fee must accompany this assignment.
File assignment within ninety (90) days a /ter 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.
CPO 11e -144
00066
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.
0006'
i6 E EI)
to fzq rue and comparative copy
the official records on file
2 20
ANAGEMENT