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Home My WebLink About876962 vow 3o~-3 UNITED STATES FORM APPROVED ~ , - t,~ ..... . DEPARTMENT OF THE INTERIOR OMB NO. 1004-0034 ~ ~" .-' ',~ , ,4 ':¢'t ~',! ~:-" "' BUREAU OF LAND MANAGEMENT Expires: September 30, 1998 Qo (}p3tkSSIGNMENT OF RECORD TITLE INTEREST IN A Lease Serial No. R~ 3\.1\-._ "5 [kt;'l :[*EASE FOR OIL AND GAS OR GEOTHERMAL RESOURCES WYW 126775 UI ,. c ~' ~ ' ~'"I Lease Effective Date ~"t V,7 ?'"" ii'7 } i,,/~.5.~J _Mineral Leasing Act of 1920 (30 U.S.C. 181 et seq.) (Anniversary Date) f'}!7~ ¢~.7, ~.~,~ '( 0I'?ltl{BAct for Acquired Lands of 1947 (30 U.S.C. 351-J59) 5/1/92 G}'t - ' ' · Geothe~al Steam Act of 1970 (30 U.S.?. 1001-1025) N~w Lease SedalNo. Depaflment of the Interior Appropriations Act, Fiscal Year 1981 (42 U.S.C. 6508) ..~ Type or print plainly In Ink and siqn in ink. " a'7- 533 PART A: ASSIGNMENT ;;;OOK_~z~_PR PAGE 1. Assignee* BELCO ENERGY I L. P. Street 5735 PINELAND, SUITE 300 City, State, ZIP Code DALLAS, TX 75231 I ~"~ (~ ;" f"..~ (3 (Y)[...] '~'q'~' "? ;'~ t- rh t/ · If more than assignee, check here ~ and list the na4,~¢~;~ of al additional ass,gnees separate attached sheet ofpaper. This record title assignment is for: (Check one) Oil and Gas Lease, or Geothe~al Lease Interest conveyed: (Check one or both, as appropriate) ~ Record Title, ~ Ove~ding Royalty, payment out of production or other similar interests or payments 2. This assignment conveys the following interest: ' Land Description Percent of Interest Percent of Additional space on reverse, ceded. Do not submit documents or agreements other Owned Conveyed Retained Oveffiding RoyalW than this form; such docmnents or agreements shall only be referenced herein, or Similar Interests ..... Rescued Previously rescued :... . ,.'z ';, orconveye( a b c d e TWP 22N, RGE 114W, 6TH P.M. 100.00% 50.00% 50.00% NONE 5% SEC 15:E/2 FO R ASSi iNEE 320.00 AC~S, M/L L;INCOLN COUNTY, WY FOR BLM USE ONLY -- DO NOT WRITE BELOW THIS LINE UNITED STATES OF AME~CA Tlfi~ assignment is approved solely ~or admlnlstr~dve purposes. Approval doe~ not warrant that either party to this assignment holds legal or equltahle title to this lease. lands; . ~ Assignment approved for attached land description Assignment approved for above described ignment approved effectlve 3,U(,~ '{~ ':1, ~. ~ .~.. ~ Assignment approved for land description indicated on reverse of this fo~. ' (Authorized Officer) (Title) (Date) STATE OF TEXAS COUNTY OF DALLAS 'rile FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME BY GARY BYRD, VICE PRESIDENT - LAND OF BELCO ENERGY CORP., A NEVADA CORPORATION. ACTING AS GENERAL I'ARTNER OP BELCO ENERGY I L.P., A DELAWARE LIMITED PARTNERSHIP. ON BEHALF OF SAID PARTNERSHIP. GIVEN UNDEI), MY I lAND AND SEAL CE OFFICE THIS 4TM DAY OF JUNE 2001. I ~:¥ E. J, BALL I ~lq ~ ,¢..~.~.~h J*J~gO;;' · ~:+'~ ~ MY COMMISSIONFebBa~ 10 2~3EXPIRES ~1[~ NOTAEY PUBLIC ~ND ~OR STATE OF TEXAS L'"~,,?~',,,>' ' THE STATE OF TEXAS COUNTY OF HARRIS A S,lO .~.IFICATION AND REQUEST FOR APPROVAL The assisnor codifies as o~mcr of an imercst in t~e ~bove designated lease (ha~ h~she herc~y assisns to the above assiSnee(s) the ~sh~s specified above. 2. Assignee cedi~es as follows: (a) Assignee is a citizen of the United S~cs; aa ~ssociation of such citizens; a munici~zlity; or a co~omdon orsanized under the laws of [he United States or of any State or ~e~ito~ thereof. For the assignment of NP~-A ]cases, assiSnee is ~ citizen, national, or resident alien of the United S~tcs or ~ssociations of such citizens, n~tionals, ~csidcnt ~licns or priwte, public or municipal co~orations; (b) Assignee is not considered a minor under the Jaw of ~hc S~te in which lhe I~nds covered by this assignment arc locsted; (c) AssiSnee's cM~cabIc interest, direct and indircc[, in each pu~llc domain and acquired lands the s~_m~ State, d0 not cxcccd 246,080 acres in oil ~nd ~as le~scs (o[ which up to 200,000 acres may be in oil and 8~s options), or 300,000 acres in ]eascs in each ]¢asin District in Alaska of which up to 200,000 acres may be in options, if this is an oil and ~s lease issued in ~ccordance with thc ~ineral L¢asin8 Act of acres in any one Slate if (his is a 8eolhcm~al le~sc; and (d) All ~anies holdin8 an interest in the asssi~menI are othe~ise in compIiance with thc resulations (43 CF~ Group 3100 or 3200) and ~he ~utho~zln8 Acts; (e) Assisnee is i~ compliaacc with reclamation requirements for all Federal oil ~nd ~ss Jesse holdinSs as required ~y sec. ]7(~) of the Mineral Leasing Act; and (f) ' Assignee is not in violation of sec. 4I of the Mineral Leasing Act. 3. Assignee's signature to this assignment constitutes acceptance ct ali applicable te~s, conditions, stipulations and restrictions pe~aining to the lease described herein. For geothe~al transfers, an ove~iding royal~ may not be less than on-crouCh (~) of one percent of the value of output, nor greater than 50 percent of the rate of royahy due to the United States when this assignment is added to all previously created ove~d~ng royalties (43 CFR 3241). 1 ce~iFy that the statements made herein by me are t~e, complete, and co~ect to the best of my knowledge and belief and are m~de in good faith. Executed this 1ST day of OCTOBER 200 0 Executed this ~ day of ~~ Belco Energy . Name of Assignor as shown on cu~ent lease ~DEX ~SOURCES~ L.L.C. By ~.~.. ~......~_.._.._, ._ Please type or print Assignor Asstgnee or ~ (Signature) ~ -- Attorney-in-Fact ~ Attorney-in- ~~ - TOM L. DODDS, VICE P~SIDENT / ~--~/'~-'""~ 1001 FA~IN, SUITE 2000 ~ ~ ' - (Assignor's Address) HOUSTON,,TX 77002 (City) (Sta~) (Zip Code) BURDEN HOURS STATEMENT Public repofl[ng burden for lhls form is estimated to average 30 minutes per response, including the time of reviewing instructions, galhe~ng and mainlining data, and completing and reviewing ~he fo~. Direct comments regarding the burden estimate or any other aspect of this form lo U.S. Depaflment of the Inle~or, Bureau of Land Management, Bureau Clearance Officer, (DW-II0), Derive Federal Cener, Building 40, P.O. Box 25047, Denver, CO 80225-0047 and the Office of Management and Budget, Paperwork Reduction Project (1004.0034). Washington, D.C. 20503. Title 18 U.S.C. Sec. 1001 makes it a crime for any person ~ow[ngly and willfully lo make to any Depa~ment or agency of the United states ally false, fictitious or f~udulent ~l~te~ents or representations as ~o any matter within its jufisdictlon. 'U.S. GPO: ~92-714~71~7023