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HomeMy WebLinkAbout953404Land Description Percent of Interest Percent of Overriding Royalty or Similar Interests Additional space on reverse, if needed. Do not submit documents or agreements other than his form; such documents or agreements shall only be referenced herein. a Owned b 1 Conveyed Retained c d Reserved e Previously reserved or conveyed f Township 26 North, Range 111 West, 6th P.M. Section 17: NW /4 (TRACT A) TRACT A 9.287525 —0— —0— 8.625 SW /4 (TRACT B) TRACT B 112.386693 —0— —0— 8.625 Lincoln County, Wyoming Updike Brothers, Inc. TRACT A 9.056130 TRACT B 12.078083 Jesse Gault d /b /a Jess. Gault Qonstructi TRACT A .231395 TRACT B .308610 RECEIVED 5/12/2010 at 10:33 AM to L l(5 cort�p Faye. copy r,,,, o iicia! re-cor •s on ill RECEIVING 953404 BOOK: 747 PAGE: 99 JEANNE WAGNER NCOLN COUNTY CLERK, KEMMERER, WY E f 2 )l t VAGEMPNT LI Fcrm 30(X) -311 (June )988) vilp 11, By ,0(.0.71" r TRANSFER OF OPERATING RIGHTS (SUBLEASE) 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.C. 35I -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) PART A: TRANSFER 1. Transferee (Sublessee)* Updike Brothers Inc. Street P.O. Box 610 City, State, ZIP Code Newcastle, Wyoming 82701 *If more than one transferee, check here 121 and list the name(s) and address(es) of all additional transferees on the reverse of this form or on a separate attached sheet of paper. This transfer is for: (Check one) Oil and Gas Lease, or C Geothermal Lease Interest conveyed: (Check one or both, as appropriate) 2 Operating Rights (sublease) C Overriding Royalty. payment out of production or othe similar interests or payments 2. This transfer (sublease) conveys the following interest: THE UNITED STATES OF AMERICA This transfer is approved solely for administrative pu. :s. Approval does not warrant that either party to this transfer holds legal or equitab title to this lease. Transfer approved effective APR 1 Mg (Authonced Officer) UNITED STATES DEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT Type or print plainly in ink and sign in ink. FOR BLitt USE ONLY —DO NOT WRITE BELOW THIS LINE (Title) l aA44- 1`'0_77 FORM APPROVED OMB NO. 1004-0034 Expires: August 31, 1989 Lease Serial No. W -72845 it n3,1NriciV 1RV LAND LAW F: nutatmp s.., MAR R r, 2 1911C. ORIGINAL (Dace) Part A (Conunucdl: AL SPACE for Names and addrese> of addmona: tr Executed this ADDITIONAL TRANSFEREE: Jesse Gault d /b /a Jesse Gault Construction P.O. Box 27 Farson, Wyoming 82701 The interests transferred herein are the same interests, and not in addition to, conveyed by Transferor to Transferees in that Assignment and Agreement dated effective June 28, 1985. day of Il The transferor certifies as owner of an interest in the above designated lease that he /she hereby transfers to the above transferee(s) the rights specified above. Transferee certifies as follows: (a) Transferee 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 transfer of NPR -A leases. transferee is a citizen, national. or resident alien of the United States or associations of such citizens. nationals, resident aliens or private, public or municipal corporations. (b) Transferee is not considered a minor under the laws of the State in which the lands covered by this transfer are located; (c) Transferee's chargeable interests. direct and indirect. in either public domain or acquired lands, do not exceed 200,000 acres in oil and gas options or 246.080 in oil and gas leases in the same State. or 300.000 acres in leases and 200.000 acres in options in each leasing District in Alaska. 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; and (d) All parties holding an interest in the transfer are otherwise in compliance with the regulations (43 CFR Group 3100 or 3200) and the authorizing Acts. (c) Transferee 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 (1) Trans feree is not in violation of sec. 41 of the Mineral Leasing Act. 3. Transferee's signature to this assignment constitutes acceptance of all applicable terms, conditions. stipulations and restrictions pertaining to the lease described herein. Applicable terms and conditions include. but are not limited to, an 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 operations as described in the lease. and to furnish and maintain such bond as may be required by the lessor pursuant to regulations 43 CFR 3104. 3134, or 3206. For geothermal transfers. an overriding royalty may not be less than one -fourth ('A) 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 transfer is added to all previously created overriding royalties (43 CFR 3241). 4 V OV4 htbt.t 19 88 Name of Transferor RGETICS OPERATI COMPANY PART B: CERTIFICATION AND REQUEST FOR APPROVAL (Transferor's Address) 7951 East Maplewood Ave., Suite 133 (City) (State) (zip Code) Englewood Colorado 80111 n Item No. if needed. or for Land Description in_ d needed. 14 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. Executed this UPDIK BROTHERS, INC. "Transferor B 6 ffi' TransfereP 424L t--Get sec. t r �u i -YL P LC _V o Do )9.ald Or (Signature)' 1ttffi:4C ✓iP Attorney -in -fact sy !.f Set_Letary (Signature) JESSE GAULT d /b /a JESSE GAULT CONSTRUCTIO Title 18 U.S.C. Sec. !00': makes it a crime for any person knowingly and willfully to make to any De statements or representations as to any matter withi jurisdiction. ,ICJ 100 day of r .G j V. 19 ment or agency of the United States any false, fictitious or fraudulent