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Home My WebLink About953809rot ?:00 -3 (October 1992) 1. Assignee* Street City, State, ZIP Code UNITED STATES EPARTME'NT OF THE INFERIOR ,UREAU OF LAND MANAGEMENT ,‘s ASSIGNMENT OF RECORD TITLE INTEREST IN A LEASE FOR OIL AND GAS OR GEOTHERMAL RESOURCES 9: 00 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) ,11E e i 0 D b�artment 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: ASSIGNMENT North American Resources Company 490 B 31st Street, #201 Billings, Montana 59101 -7007 *If more than one assignee, check here and list the name(s) and address(es) of all additional assignees on the reverse of this form or on a separate attached sheet of paper. This record title assignment is for: (Check one) a' Oil and Gas Lease, or Geothermal Lease Interest conveyed: (Check one or both, as appropriate) a Record Title, Overriding Royalty, payment out of production or other similar interests or payments 2. This assignment conveys the following interest: Land Description 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 19 North Range 113 West, 6th P.M. Section 22: All containing 640.00 acres, more or less Lincoln County, Wyoming RECEIVED 6/4/2010 at 12:00 PM RECEIVING 953809 BOOK: 748 PAGE: 421 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY k 854 Percent of Interest Owned Conveyed 100.00% 50.00% This /Assignment is made pursuant to and is subjec` to the unrecor dated May 19, 1997, between Celsius Energy Company and No th Amer BU ..AU Retained 50.00% 2.5 3% d ed Expl can Res FORM APPROVED 0MI3 NO. 1004 -0034 Expires: July 31, 1995 Lease Serial No. WYW- 126990 Lease Effective Date (Anniversary Date) 7 -1 -92 New Serial No. AssitInmcnt approved for attached and description O421. Percent of Overriding Royalty or Similar Interests Reserved Previously reserved or conveyed f .rtp,.rtionately reduc:d' by the :filter:st assigned TIRE and comporat veicopy 6fu i,recnrds o ille 2010 ND MA ration urces C GEMENT greement mpany FOR BLM USE ONLY —DO NOT WRITE BELOW THIS LINE UNITED STATES OF AMERICA This assignment is approved solely for administrative purposes. Approval does not warrant that either party to this assignment holds legal or equitable title to this lease. Assignment approved for above described lands: Assignment approved effective Assignment approved for land description indicated on reverse of this term. STATE OF UTAH ss. COUNTY OF SALT LAKE) On this day o Iff 1997, personally appeared before me, G. L. Nordloh, who, being by me duly sworn, did say that he is the President.and CEO of Celsius Energy Company, a Nevada corporation, and that said instrument was signed in behalf of said corporation by authority said corporation yofresolution its of Directors and said G. L. Nordloh acknowledged to me My commission expires: effective, however, May l 1997 Name of Assignor as shown on current le BFI ST 1S N RAY OM PANY asc please type or print Notary Public PART B: CERTIFICATION AND REQUEST FOR APPROVAL 1 1he Assignor certifies as owner of an interest in the above designated lease that he /she herchy assigns to the above assignee(s) the rightsepecificd above. 2_ laws t eern States of any State or territory thereof.e F United States; an associaion of such citizens; or the assignment of NPR-A leases, assignee is a cif ien!tnational, or resident organized the United laws oC the United thc States association of such citizens, nationals, resident aliens or private, uc or muncal which the lands covered by this assignment re locatedr(c)tAssignee'st chargeable ilnterests,direct and indirect, in each public domain nand laws of f he Stale 3 acquired 0.000 acres in leases each leasing District n Alaska of wh8 h to 200 000 acres in options, ifOthi is a n acres may be gas options), or lease issued n accordance 00, ot in compliance with the regulations (43 CFR Group 3 or 3200) and the author (d) (e) Assignee holding nncompliancetweith reclamation o P requirements for all Federal oil and gas lease holdings as required by sec. 17(g) of the Mineral Leasing Act; and (n Assignee is not in violation of sec. 41 of the Mineral leasing Act. Assignee's signature to this assignment constitutes acceptance of all applicable terms, conditions, stipulations and restrictions pertaining to the lease described herein. For e.eothermal assignment' States when overriding aroalty may not be is added less all previously 00 o o create al 1 oo oiling r cot of t v l u g 3241t) ut, nor greater than 50 percent of the rate of royals) due to the United S I 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 gtxd faith. rr 17th day of 19 9 7 IL-f� 1 97 Executed this d of 9 Executed this NORTH AMERICA CES COMPANY Assignor BY: y dines J. Benne i Signature) Vice President Or G Nerd oh (Signatur0 Axrx Mama resident &_CED (Signature) 1 �1 17th Street, Slit 8f10 (Assignor's Address) Denver, Colorado 80202 (City) (State) (Zip Cale) and pleting and reviewing r the estimad regarding t burden estimate or anygoihertaspect of this form to S,Depa Department of the Interior, I Bureau of and compla g WO -771 1849 Land Management. (Alternate) Burrau Clearance Officer, )�49 C Street. NW.• Washington. D.C. 20240, and the Office of Management and Budget, Pa p Reduction Project (100.1 0034). Washington,. D.C. 20503. Tilly 18 U.S.C. See. 10)1 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 ,IacIl eats i r representations as al alts. 'miner wII bin It.. Il ly 1sdicIt011. Assign Or Attorney -in -fact NO PH: SUSAP' .:..."'ON= 79 s;- Stple Sai LaK Ul' 8e4. My OCT' July (Signature) l;. t;0Vr11NINII of 111 t•: I 11 orl -11:1 I0'1.1- G/3 on.I/nl!Ir.