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Form 3000 -3a
(June 1988)
1. Transferee (Sublessee)*
Street
City, State, ZIP Code
2. This transfer (sublease) conveys the following interest:
a
Insofar and only insofar as said lease covers
the following described land:
TRACT I
Township 26 North, Range 111 West
Section 17: NW /4
TRACT II
Township 26 North, Range 111 West
Section 17: SW /4
containing 320.00 acres, more or less
Lincoln Co., Wyoming
RECEIVED 5/12/2010 at 10:34 AM
RECEIVING 953405
BOOK: 747 PAGE: 101
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
APR 1 1999
'S Transfer approved effective
(Authorized Officer)
UNITED STATES
DEPARTMENT OF THE INTERIOR
BUREAU OF LAND MANAGEMENT
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. 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. 6508)
Typo or print plainly In ink and sign in ink.
PART A: TRANSFER
See Part A, Reverse Side
*If more than one transferee, check here In and list the name(s) and address(es) of all additional transferees on the reverse of this form or on
separate attached sheet of paper.
This transfer is for: (Check one) EX Oil and Gas Lease, or Geothermal Lease
Interest conveyed: (Check one or both, as appropriate) (Z) Operating Rights (sublease) E Overriding Royalty, payment out of production or other
similar interests or payments
Land Description Percent of Interest
Additional space on reverse, if needed. Do not submit documents or agreements other than
this form: such documenu or agreements shall only be referenced herein.
M USE ONLY —DO NOT WRITE BELOW THIS LINE
THE UNITED STATES OF AMERICA
This transfer is approved solely for administrative purposes. Approval does not warrant that either party to this transfer holds legal or equitable
title to this lease.
Owned I Conveyed
9304975 9.304975
N.)01.01. Hanson Fed. `10 -17
Retained
b d
8137475 8.137475 -0- -0- 8.625
-0-
SU ?ERV)gnay LAND LAW r
(Title)
FORM APPROVED
OMB NO. 1004 -0034
Expires: August 31, 1989
Lease Serial No.
W- 72845
0
(Date)
O.:GIN A
Percent of
Overriding Royalty
or Similar Interests
Reserved I Previously
I reserved
or conveyed
e f
8.625
MAR 2 2.. MO
1, 11
980
1 G F LAfD
ct mp tivc 7 +)p-y
IQ tccort s Ori 'tile
J\!A RENT
Pan A (Continued): ADDT7 fO'N'A 'SPACE for Names and addresses of additional transferees in Item No. 1. if needed, or for Land Description in Item No. 2 if needed.
Updike Brothers, Inc.
P.O. Box 610
Newcastle, Wyoming
Jesse Gault d /b /a Jesse
Gault Construction .202742% .231830%
P.O. Box 27
Farson, Wyoming
PART B: CERTIFICATION AND REQUEST FOR APPROVAL
The transferor ceniftes 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.
(e) 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 (f) Trans-
feree is not in violation of sec. 41 of the Mineral Leasing Act.
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.
or geothermal transfers, an overriding royalty may not be less than one -fourth (i4) of one percent of the value of output. nor greater than 50 percent of the rate of royalty
ue to the United States when this transfer is added to all previously created overriding royalties (43 CFR 324)).
ceni at the sta ade me a true. com Ip ere. correct tot besr of my knowledge and belief and are made in good faith.
:xecuted this 5if day of cernber 19 88 Executed this day of 19
effective June 28, 1985
:ante of Transferor General Atlantic Fn -rgy Cnrporati on
'ormerly l'ea' p or 'Inc
ransferor Transferee See Exhibit "A", attached
or Sam D. Winegrad (ignamre)Vi e dent of Land (Signature)
,ttorney -in -fact Anorney -in -fact
(Signature)
i
410 17th St., Suite (S100 nature)
Denver
(City)
(Transferor's feror's Address)
(State) (Zip Code)
Me 18 L' S.C. Scc 1001 makes it a crime for any person kno'••ingly and willfully to make to any Depanment or agency of
atemcnis or representations as to any matter within its p -mon.
Conveyed Tract I Conveyed Tract II
7.934733% 9.073145%
8.137475% 9.304975%
Jmted States any false. fictitious or fraudulent
C Executed this
EXHIBIT "A"
Attached to and made a part of that certain Transfer of Operating Rights dated
December 5, 1988, Federal Lease Serial No. W-72845.
PART B: CERTIFICATION AND REQUEST FOR APPROVAL BY TRANSFEREES
Executed this 6;'IC day of
7 1
TRANSFEREE:
ATTEST: UPDIKE BROTHERS, INC.
kAjj 1f
f f-N,
11
1986.
day of j 19 8r
y
Gaultd/b/a Jesse Gault
onstruction
F EF)
to Lc i:TT(:1755 e c
oi record hz; on lib
BUFL J OF LAN ',IAN/TEE/ENT