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Part A (Continued): ADDITIONAL SPACE for Names and addresses of additional transferees in Item No. 1, if needed, or for Land Description in hem No. 2 if needed
0872231.
ACKNOWLEDGEMENT
STATE OF COLORADO
COUNTY OF DENVER
The foregoing instrument was 4-7 o
acknowledged before me this
My Commission Expires: 1 t 9-
%sf
40
day of A[ 11 0 by Nixon R. Lange, Manager for Condor Expl
t hLC a L l
Notary Public
PART B: CERTIFICATION AND REQUEST FOR APPROVAL
I. 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 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; and (d)
All parties holding an interest in the transfer are otherwise in compliance with the regulations (43 CFR Group 31 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.Trransferee's signature m 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 he less than one -fourth /i) 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.
Executed this
Transferor:
Transferor:
or
Attorney in fact
Al day of /l f Nt fit h-6/1—
CONDOR EXPLORATION, LLC Transferee:
r y* i anager (S
tor
7538 ida Court
(Transferor's Address)
Aurora, CO 80016
(City) (State) (Zip Code)
2000 Executed this
Transferee
Attorney -in -fact
BURDEN HOURS STATEMENT
day of
BRDJ ASSOCIATES, LLC
Transferee: y 't0•rao
Or carry B. Rowe Manager 1gnature)
Attorney -in -fact
(Signature)
2000
Public retorting burden for this form is estimated to average 30 minutes per response including the lime for reviewing instructions, gathering and maintaining data, and completing
and reviewing the form. Direct comments regarding the burden estimate or any other aspect of this form to U .S. Department of the Interior, Bureau of Land Management, Bureau
Clearance Officer (DW -110), Denver Federal Center, Building 40, P.O. Box 25047, Denver, CO 80225 -0047 and the Office of Management and Budget, Paperwork Reduction
Project (11) 04- 0034), Washington, D.C. 20503.
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 representhtions as to any matter within its jurisdiction.