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Fonn 3000 -3a
(October 1992)
1. Transferee (Sublessee)*
Street
City, State, ZIP Code
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)
PART A: TRANSFER
Lario Oil Gas Company
21118th Sn te
Hetrver O 862O2
*If more than one transferee, check here and list the name(s) and address(es) of all additional transferees on the reverse of this form or on a
separate attached sheet of paper.
This transfer is for: (Check one) Oil and Gas Lease, or Geothermal Lease
Interest conveyed: (Check one or both, as appropriate) Operating Rights (sublease) Overriding Royalty, payment out of production or other
similar interests or payments
2. This transfer (sublease) conveys the following interest:
Land Description
TOWNSHIP 23 NORTH, RANGE 112 WEST, 6 P.M.
Section 7: SW /4SE /4
Containing 40.00 acres, more or less
Lincoln County, Wyoming
UNITED STATES
DEPARTMENT OF THE INTERIOR
BUREAU OF LAND MANAGEMENT
Type or print plainly in ink and sign in ink.
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.
Limited from the surface to the stratigraphic equivalent of 10,815' as found in
the Sage 22 -7 well, located in the SE /4 of Section 7- T23N- R112W, Lincoh8 7 2'7 8
County, Wyoming Lincoh8 11
This Assignment is made subject to that certain Farmout Agreement, dated
December 8, 1995, by and between Lario Oil Gas Company, Petra( Exploration LLC and
Marathon Oil Company (succeeded by Texaco Exploration and Production Inc.) covering
the above lands, and is made effective August 24, 2000, the day after payout of the Sage
22 -7 well.
By this assignment, 1% of the overriding royalty previously reserved by Lario Oil Gas
Company is extinguished.
Transfer approved effective
By
(Authorized Officer)
30.1 South Market Street
Wichira, KS 67202
1
Owned
100.00%
FOR BLM USE ONLY -DO NdT 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.
WY2232-02- A(FONTENELLE)
Percent of Interest
Conveyed
(Title)
Retained
)1 23
FORM APPROVED
OMB NO. 1004 -0034
Expires: July 31, 1995
Lease Serial No.
WYW- 132410
Percent of
Overriding Royalty
or Similar Interests
Reserved Previously
reserved
or conveyed
f
17.50% 82.50% 1,1 RECD IVEt ne 7.50%
LINCOLN COJNTY CL. RK
r M 8:
J AiINL. R
KEMMERER. WYOM 4G
462
BOOK PR PAGE 80
(Date)
1
ran A tc,onunuea AUUl 1 1UNAL S1'AI:B tor Names and addrdssevbf additidnal transferees iii-Item No. 1, if needed, or for Land Description in Item No. 2, if needed.
STATE OF COLORADO
CITY AND
COUNTY OF DENVER
ss.
The foregoing instrument was acknowledged before me this day of 2001,
by m ."7. Nu 1 s the attorney in fact for Texaco Exploration and Procbctio 1 Inc., a Delaware
corporation.
Witness my hand and official seal.
0372'781.
806
2. Transferee certifies as follows: (a) Transferee is a citizen of the United States; an association of such citizens; a municipality; or a uv, vv.
n..
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 each public domain and acquired lands separately in
the same State, do not exceed 246,080 acres in oil and gas leases (of which up to 200,000 acres may be in oil and gas options), or 300,000 acres in leases in each leasing
District in Alaska of which up to 200,000 acres may be in options, 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; (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) Transferee is not in violation of sec. 41 of the 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 (1/4) 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).
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 good faith.
Effective as of 7:00A.M, August 24, 2000
Executed this day of _April 2001
TEXACO EXPLORATION AND
PRODUCTION INC.
Name of Transferor
Transferor
or
Attorney -in -fact
P. O. Box 2100
Denver
Please type or print
(City)
(Signatu
M
(Transferor's Address)
CO
(State)
Public reporting burden for this form is estimated to average 30
completing and reviewing the form. Direct conunents regarding
Management, (Alternate) Bureau Clearance Officer, (WO -771),
Reduction Project (1004 0034), Washington, D.C. 20503.
80201
(Zip Code)
BURDEN HOURS STATEMENT
Transferee
—70 402e)
i °kx Michael
xiOntlIMIRItag
Executed this 18th day of April 20 01
LARIO OIL GAS COMPANY
(Signature
O 'Shaugh essy, President
Assistant ecretary
Title 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 to any matter within its jurisdiction.
0
f 0, N
t.'a :.:7 s
n- `T
minutes er response, including the time for reviewing
P P g g instructions, gatlferlrfg; and maintaining,•data, and
the burden estimate or any other aspect of this form to U.S. Department of t}le' •Interior, Bureau of Land
1849 C Street, N.W., Washington, D.C. 20240, and the Office of Management and Budget, Paperwork
'U.S. GPO: 1992 774 017 /67023