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Home My WebLink About953407Fc,rrn 3000 -3a (:June (988) BUREAU U r Lnn.:', rt is ra•. 89 Fir( 22 A"i 9:30 1 L. v Uvm. CHEYEN1E, °MING 1 Transferee (Sublessee)* Street City, State, ZIP Code o 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) Type or print plainly in ink and sign in ink. PART A: TRANSFER GCIL III LIMITED PARTNERSHIP c /of Dakel Company P.O. Box 2187, Loop Station Min ea li es t 55 *If more than one transferee, check here 8 an� �ist t id na Mi me(sr} and a_dres 2 of all additional transferees on the reverse of this form or on a separate attached sheet of paper. This transfer is for: (Check one) NJ Oil and Gas Lease, or G Geothermal Lease Interest conveyed: (Check one or both, as appropriate) El Operating Rights (sublease) 2. This transfer (sublease) conveys the following interest: Additional space on reverse, if needed. Do not submit documents or agreements other than this form; such documents or agreements shall only be referenced herein. Township 26 North, Range 111 West, 6th P.M. Section 5: Lot 4, S2NW4, SW4 Section 6: Lot 1, SE4NE4, E2SE4 Section 8: SE4SW4 containing 479.67 acres, more or less Lincoln County, Wyoming RECEIVED 5/12/2010 at 10:37 AM RECEIVING 953407 BOOK: 747 PAGE: 106 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY M Transfer approved effective JUN 1 1989 Land Description Percent of Interest a (Authorized Officer) Owned Conveyed b c p.351253% '2.351253% FOR BLM USE ONLY —DO NOT WRITE BELOW THIS LINE AU (Title) to SUPERVISORY LAND LAW EXAMINER Retained Tra FORM APPROVED OMB NO. 1004 -0034 Expires: August 31, 1989 Lease Serial No. WYW -72845 ccvJeF r t a C Overriding Royalty, payment out of production or other 1I similar interests or payments Reserved Previously reserved or conveyed d e f -0- -0- EFT!H D true, gnu comparative copy ti I acid records on 1 1110 4 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. ORIGINAL r `iOQ,?1o6 Percent of Overriding Royalty or Similar Interests 7.50% IA111GEIVIENT JUN 1 5 1989 (Date) 6f) Pan A (Continued): ADDITIONAL SPACE for Names and addresses of additional transferees in Item No. I, if needed. or for Land Description in Item No. 2 if needed. 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. PART B: CERTIFICATION AND REQUEST FOR APPROVAL 1 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. 2 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 :he 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 ('.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 transfer is added to all previously created overriding royalties (43 CFR 3241). 1 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 1st day of March 198 9 GENERAL HYDROCARBONS 1982X OIL. GAS PROGRAM Please type r- -pPfnt H. Chestnu5;gnature) Chairman, General Name of Transferor Transferor 1.y: Wayne Attorney -in -fact Ge P.O. Box 31515 Hydrocarbons, Inc., as Managing neral PartnefStgnature) (Transferor's Address) Billings, Montans 59107 -1515 (City) (State) (Zip Code) Executed this 1 s t GCIL III LIMITED PARTNERSHIP Transferee a k or By: David E. Kelm, (Signature) President, Dakel Attorney -in -fact 00 Y107 day of March ,I9 11 u (Signature) Tit1-• 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 10 any matter v its jurisdiction.