HomeMy WebLinkAbout953811corm
.ep.. :ber 1982)
Address (include zip cone)
UNITED STATES
DEPARTMENT OF THE INTERIOR
BUREAU OF LAND MANAGEMENT
u
TRANSFER, ASSIGNMENT, OR SUBLEASt
OF OPERATING RIGHTS IN OIL AND GAS LEASE .1. c•
Ut J tlV J
PART 1
Assignee's Name
SEE ATTACHED EXHIBIT "A"
SEE ATTACHED EXHIBIT "A"
The undersigned, as owner of 23.3675 percent of operating rights in the above designated oil and gas lease, hereby transfers, •ssigc:
Ind /or subleases to the assignee shown above, the operating rights in such lease as specified below.
Describe the lands affected by this transfer, assignment, and /or sublease (43 CFR 3101.2 -3 or 3101.1 -4)
Township 26 North, Range 111 West, 6th P.M.
Section 5: Lots 1, 2, S /2NE /4, SE /4
Containing 320.08 acres, more or less
Lincoln County, Wyoming
From the surface of the earth to the stratigraphic equivalent of 9,805 feet as encountered
in the Haun Federal 20 -5 Well, located in the SW /4NE /4 of Section 5, T26N- R111W, Lincoln
County, Wyoming.
This Assignment is made subject to that certain Agreement dated September 16, 1982
and as amended between Belco Petroleum Corporation and Energetics Operating Company.
This Assignment of Operating Rights conveys the same interests as
that certain Assignment which was recorded in Book 210PR, Page 754,
No. 612065, in Lincoln County, Wyoming.
3. Specify interest or percent of operating rights being conveyed to assignee
4. Specify interest or percent of operating rights being retained by assignor
Executed this day of
ENERGETICS OPERATING COMPANY
By �IAt -e,c i
y
(Assignor's Signature)
oseph C. Mencin, Agent and Attorney-in -Fact
19 g( but effective as of first sales from
the Haun Federal 20-5 Well
116 Inverness Drive East
,a)
Haun reaeral ZU b, WY 4b/
aun Federal 40 -5
FORM APPROVED
OMB NO. 1004 -0034
Expires: August 31, 1985.
'Lease Serial No.
W -38503
n2ease effective date
March 1, 1983
RECEIVED 6/4/2010 at 12:01 PM
RECEIVING 953811
BOOK: 748 PAGE: 425
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
5. Specify overriding royalty interest being reserved by assignor
6. Specify overriding royalty previously reserved or conveyed, if any 15.290375% of 8 /6th
7. If any payments out of production have previously been created out of this interest, or if any such payments are being reserved under this
transfer, assignment, or sublease, attach statement giving full details es to amount, method of payment, and other pertinent terms ss
provided under 43 CFR 3106.
1t is agreed that the obligation to pay any overriding royalties or bayments out of 'production of oil created herein, which, when added tt aggregate in excess
overriding royaties or 17 1/2 percent' !ball be susspendedt production
when the er `e production of oil per well pe royalty day avenged on the monthly is 15 barrels or less. 01
I CERTIFY That the statements made herein are true, complete, and correct to the beat of my knowledge and belief and are made in good faith.
(Assignor's Address)
Englewood, Colorado 80112
8.3300
15.0375
NONE
(City) (State) (Zip Code;
the to be
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 Unite
States any false, fictitious, fraudulent statements or representations as to any matter within its jurisdiction.
THE UNITED STATES OF AMERICA
ANDREW L. TARSH1S
-(Authorised Officer)
FEB 1 1965
Assignment approved effective
Approval does not warrant that either party
to this transfer holds legal Or equitab
title to this lease
CHIEF, LEASING SECTION
APR 7 1986
(Date)
(Title)
NOTE Tt:s :r," n e, rc(•c•.::.rec proriced :ha: copies arr e,acr reproductions on one sheet of both sedes o/ this olltrial for,. Ir c...
as. -c r..r:;5 CFR 3JGc. r,r -irAT 7(41.
i•.
.'425
fT FED,
Uo algid m¢�' p agtro copy
f)(; offir i cordt OB I the
i
I
EMENT
AGAPE ENERGY, INC. 3.7800%
102 Inverness Terrace East
Englewood, Colorado 80112
Robert L. Mehl 3.2375%
102 Inverness Terrace East
Englewoud, Colorado 80112
Jordan R. Smith
102 Inverness Terrace East
Englewood, Colorado 80112
EXHIBIT "A"
1.3125%
133:11 JAN 23 AH a 30
Attached to and made a part of that certain Assignment
of Operating Rights, dated kick {9 1984, by
and between Energetics Operating Company, Assignor, and
Agape Energy, Inc., et al, Assignee.
THIS ASSIGNMENT is l the terms of that certain Encore
Development Drilling Program Participation Agreement, dated January 3, 1983
by and between Energetics, Inc. and Patrick D. Maher.
THIS ASSIGNMENT is made expressly subject to the terms of that certain Encore
Development Drilling Program Participation Agreement. dated January 3, 1983,
by and between Energetics, Inc. and Robert L. Mehl.
THIS ASSIGNMENT is made expressly subject to the terms of that certain Encore
Development Drilling Program Participation Agreement, dated January 3, 1983,
by and between Energetics, Inc. and Jordan R. Smith.
to
a' the ciai records file
90
L. (1!
filANAGEMEIVT
Meecuted this day of
AGAPE ENERGY, INC.
RY: C
(Assign.*** Signature)
Carl Reinert, President
ATiES
afric k ecretary
PART 11
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 5ib)) in this a:
signment are
1. Citizens of the United States or qualified alien stockholders is domestic corporation; association of the United State:
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.
E. ASSIGNEE AGREES That, upon approval of this transfer of operating rights and /or operating agreement (sublease) bt :=e
authorized officer of the Bureau of Land Management, he will be bound by the terms and condition of the lease des:r. e-
herein as to the interests covered by this assignment, including, but not limited to, the obligation to conduct all opera -.c
on the leasehold in accordance with the terms and conditions of the lease, to condition all wells for proper abandor.-e-.
restore the leased lands upon completion of any drilling operations as prescribed in the lease, and to furnish and rta:-:a:-
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.
(x.,5e.i a 19
102 Inverness Terrace East
(Assignee's Address)
Englewood, Colorado 80112
(Cur) (Store) (Zap Code)
7.tle 10 s1. ;.r., Somas! 1001, makes it a crone for any person knowingly and oilUully to make to any depar nest or agency
Stites and fettle. Artir+aw. orfraudulentstatements or representations •s to any natter within its jurisdiction.
.1. YSE Or FORM v Vs. only for assignment of operating rights
(rnrfi, /rog rereing te•rrstsI in oil and Ns 1 11 transfer
of operating rights is •ccompen+ad by an operating agreement.
single copy •f suck •grrement fees, be submitted with the
assignment. If sore than one transfer of operating rights as
made out of lease, separate instrument of aansin is
required for ••ch assugrenent. A separate instrument of assign.
sent shall be used for each 1e..e out of which sa assignment
MI Mlle.
TILING ARO NuMt1ER OF COPIES File three (3) completed
INSTRUCTIONS
NOTICE
The Privacy Act of 1974 and the regulation in 43 CTS 2.45(4)
provide that you be furnished the following isfer+ne u
connection with inl:natiea squire" by this assignment and
request for approval.
AUTHORITY: 30 U.S.C. et. see.
PRINCIPAL PURPOSE The information is to ba need to
process the •sa+gnnent and request for approval.
ROUTINE USES:
(1) The odjudieatlon of the assignee's rights to the land or
reesvcos.
(2) Doc .1tentation for public inf arms tian in support of nota-
tion& mode on land status records for the management,
dispe•l, and use of public lands and resources.
(3) Transfer to appropriate Federal agencies when concur-
rence is required prior to granting a right in outsize
lands or resources.
(4)(5) Information from the record and /or the record will be
transferred to appropriate Federal, State. local or
roman •genciea, when relevant to civil, criminal se
"'twittery investigations or prosecutions.
EFFECT OF Nov PROVIDING INFORMATION If all the IA.
formation is not provided. the assignment tray kw rejected.
'Te paper ''orb Reduction Act of 1910 (44 V.S.C. 3501 et seq.) requires us to inform you that
l++s info -ition is being collected pursuant to the few (43 CFR 3106 3(e)).
'his information will be used to create a record of lease 4augnatat
:futons' to this request is required to obtain a benefit.
and manually signed copies in the &cons late 111.M office.
S25.00 nenrefundaole Alin( leeervst •ccentpany this •tsuaver.:.
Fite •saignmest within ninety (90) days •fee• Oslo of fine:
e a6CYtN0.
3. EFFECTIVE DATE or ASSIGNMENT Ths •seignment. if
approved, takes effect as the first day of the mouth following
the date of filing of an required papers. If an eperetor's bond
is requited. it *us i Ise furnished prior to appreval of the
as a imam.
of the Un+red
EU�
to b ca r,°
Eli= l.6
GP sae. e••
42
Ei 5'Ttd RE'
ue ana comparative cagey
ofii ial record:; on file
2
I._ l\ID A GEMiENT
1.
Executed this
ROB RT L. M>`
PART 1I
OF OPERAT RIGHTS I ANDiOR OPERATING AGREEMENT (SUBLEASE)
A. ASSIGNEE CERTIFIES THAT the assignee and all other parties in interest (as defined in 43 CFR 3100.0 -5())) In this as•
signment are:
1. Citizens of the 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) b.∎ ^r
authorized officer of the Bureau of Land Management, he will be bound by the terms and conditions of the lease des: ::fie:
herein as to the interests covered by this assignment, including, but not limited to, the obligation to conduct all opera:;; .s
on the leasehold in accordance with the terms and conditions of the lease, to condition all wells for proper abattdor.re
restore the leased lands upon completion of any drilling operations as prescribed in the lease, and to furnish and
such bond as may be requited 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 undersigied's
knowledge and belief and are made in good faith.
i-ii day of /Y;,- ;;:.:..le,_
1
(Assignee's Signature)
FILIN;. AND NUMBER OF COPIES File three (3) eemplenre
USE OF FORM Use only for assignment of operating rights
(including uoraing rnrr■rsis) in oil and gas 1 If transfer
of operating rights is accompanied by an operating agreement,
single copy of such •grsement must be submitted with the
assignment. If more than one transfer of operating rights to
made out of lease, separate instrument of transfer is
required for each assignment. A separate Instrument of assign.
ment shall be used for each tease out of which an assignment
is made.
r 192/
Cale 18 U.S.C., Section 1001, makes it a cruse for any person knowingly and willfully to make to any department or agency of the United
■tetes any false, fictitious. or fraudulent statements or representations •s to any matter within Its lurisdictien.
INSTRUCTIONS
102 Inverness Terrace Fast
(Assignee's Address)
Englewood, Colorado 80112
(City)
NOTICE
The Privacy Act of 1974 and the regulation in 43 CFR 2.48(4)
provide that you be furnished the following information in
connection with information required by this •ssaptmeat and
requtat approval
AUTHORITY: 30 U.S.C. et. son.
PRINCIPAL PURPOSE The irtlorrnelion is t0 be used to
precast the assignment and request for approval.
ROUTINE USES:
(1) The adjudication of the assignee's rights to the land or
resources.
(2) Doc entation for public information in support of nota-
tions made tie land status records for the management,
disposal, and use of public Lands and resources.
(3) Transfer to appropriate Federal agencies when concur-
rence is requited prior to granting right an publac
lands or resource*.
(4)(S) lnforn•tion 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 inve stigations or prosecutions.
EFFECT OF NOT PROVIDING tNFORMATION —If all tha in.
formation is not provided, the assignment may be rejected.
he Paperwork Reduction At of 1980 (44 U.S.C. 3501 et seq.) requires us to inform you tbat:
information is being collected pursuant to the law (43 CFR 3106- 3(c)).
his irfc -s :ion will be used to create a record of lease assiment_
expense to this request is required to obtain a benefit.
(State) (Zip Code)
and manually signed copies in the appropriate FILM office.
$25.00nonrefundable filing fee roust accompany this assignment.
File assignment within smutty (90) days slim date of fin.:
•atcatioa.
3. EFFECTIVE DATE OF ASSIGNMENT The •ssiCmoent. .f
approved, takes effect on the first day of the month followins
the date of filing of ell requited papers. If an operator's bond
is required, et must be furnished prier to approval of the
•satgnment•
are ass•s••
k C e
tC Lnr. true End comparative. copy
e flici,al records ds on We
IANAGEME!
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 the 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) bt :`e
authorized officer of the Bureau of Land Management, he will be bound by the terms and conditions of the lease des :::1-e=
herein as to the interests covered by this assignment, including, but not limited to, the obligation to conduct all opera:;; -.s
on the leasehold in accordance with the terms and conditions of the lease, to condition all wells for proper abandon. a
restore the leased lands upon completion of any drilling operations as prescribed in the lease, and to furnish and
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.belie( and are -at dE'ht good faith.
Executed this e ieZ day of Ai'dr/'.'6'e',c 19
!(ASstgneE Signat*ee)
JORDAN R. SMIT4e
ASSIGNEE'. APPLICATION FOR APPROVAL OF TRA
OF OPERATING RIGHTS ANDiOR OPERATING AGREEMENT (SUBLEASE)
'tt1e 14 U.S.C., Section 1001, makes it crime fee any person knowingly and willfully to make to any departtnent or agency of the United
rates any false. fictitious, orfraudu)ent statements or representations as to any matter within its ienadictien.
USE OF roam Use only for •saignment of operating rights
(rnrludrne optima intrrerir) in oil and gas 1 If transfer
of operating rights is accompanied by an operating agreement.
single copy of such agreement .lust be submitted with the
•saignment. If more than one transfer of operating rights ss
made out of a lease, separate Instrument of transfer is
required for each assignment. A separate instrument of •ssign•
rent shall be used for each less• out of which as assignment
is made.
FILING AND NUMBER OF COPIES File three (3) completed
rAK l 11
INSTRUCTIONS
102 Inverness Terrace East
Englewood, Colorado 80112
NOTICE
The Privacy Act of 1974 end the regulation in 43 CFR 2.41(d)
provide that you be furnished the following information as
connection with information required by this assignment sad
request for approval
AUTHORITY, 30 U.S.C. et. seq.
PRINCIPAL PURPOSE The information is to be used to
process the assignment and request for approval.
ROUTINE USES:
(1) The adjudication of the •signee's rights to the land or
reaoare•s,
(2) Doc.'entation for public infor,..ation in support of nets•
tiona made on land status records for the management,
Caporal, and use of public lands and resources.
(3) Transfer to •;propriate Federal agencies when concur.
rents 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 •11 the ia.
formation is not provided, the assignment may be rejected.
ie Paperwork Reduction Aet of 1950 (44 V.S.C. 3501 et seq.) requires us to inform you that:
us rotor -atron is being collected pursuant to the 1.w (43 CFR 3106 3(e)).
infer ation will be used to create a record of lease assigameaL
'sponse to this request is required to obtain benefit.
(Assignee's Address)
(City) (State) (Zip Code)
nd manually signed copies in the •ppreprute BLM office. o
125.00 nonrefundable filing feemurr accompany this assignment.
File assignment within ninety (90) days loiter date of (ins:
tr•ecumon.
3. EFFECTIVE DATE OF ASSIGNMENT The •ssigetreent. if
approved, takes effect cm the fast day of the eeeth following
the date of filing of an required papers. If an operator's bona
is required, it must be (unlashed prior to •ppreval of the
s II
13U
0 e0 ur it
4 J L
1429
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of(ici re file ds on >�Y
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