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Home My WebLink About877140 (J~.,~ ~) UN~TED STATES FORM APPROVED DEPARTMENT OF THE INTERIOR OMB NO. 1004-0034 BUREAU OF LAND MANAGEMENT Expires: September 30, 1998 ASSIGNMENT OF RECORD TITLE INTEREST IN A Lease Serial No. .. LEASE FOR OIL AND GAs OR GEOTHERMAL RESOURCES VVYW-138537 :.?-, . Lease'Effective Date Mineral Leasing Act of 1920 (30 U.S.C. 181 et seq.) (An~'i~ersa'ry Date) Act for Acquired Lands of 1947 (30 U.S.C. 351-359) D . Geothermal Steam Act of 1970 (30 U S C 1001 1025~ ~Pri[2,, 1996 apartment of the ' ' ' ' ' - ' I I'~ew uerial No: . Interior Approprlahons Act, Fiscal Year 1981 (42 U.S.C. 6508) 1. Assignee* EOG Resources, Inc. PART A: ASSIGNMENT Skeet P.O. Box 4362 city, State, ZIP Code Houston, TX 77210-4362 *If more than one assignee, check here [] and list the 'name(s) and address(es) of alt additional assignees, on the reverse of this form or on a separate attached sheet of paper. This record title assignment is for: (Check One) [] Oil and Gas Lease, or [] Geothermal Lease Interest conveyed: (Check one orboth, as appropriate) [] Record Title, [] Overriding Royalty, payment out of production or other similar interests - or~ents Additional space on reverse, if needed. Do not submit documents or agreements ~Percent of Interest , Owned . ~w~ ,-,.. Percent of other than this form; such documents or agreements shall only be referenced )' t~em~necl I Overriding Royalty herein. ~ ~ or Similar Interests I Reserved Prey y a ' ~ · reserved b c ~ or conveyed ~ C ~ e To,vnsh/ 26 North Ran.qe 113 West, 6th P.M_._~ Section 32:SE1/4SW1/4 100.00% 100.00% None None Of Record Section 33: Lot 1(27.82) .... Containing 67.82 acres, more or Jess Lincoln County, Wyoming Subject tCJ the Re-Assignment Clause attached to Record Title Assignment from R. K. O'Connell to Contax Energy Company. _____ 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. E~ Assignment approved for above described lands; Assignment approved effective [~ Assignment approved for attached land description [] Assignment approved for land description indicated on By reverse of this form. (Title) '----'-- (Date) --------- Part A (Continued): ADDITIONAL SPACE for Names and addresses of additional assignees in Item No. 1, if needed or for Land Description in item No. 2, If needed. STATE OF WYOMING ) ) ss, COUNTY OF LARAMIE ) On this 1st day of October, A.D. 2001, before me personally appeared KATHI HANSON, Secretary 'of The Wolf Haven Corporation, to me personally known, who, being by .me duly sworn, did say that she is the Secretary of The Wolf Haven Corporation and that the seal affixed to said instrument is the corporate seal of said corporation and that said instrument was signed and sealed on behalf of said corporation by authority of its Board of Directors, and said Secretary acknowledged said instrument to be the free act and deed of said corporation. ' Witness my hand and seal this 1st day of October, A.D. 2001. Notary Public My Commission Expires: ' -7- / G- O'~ Address: Cheyenne, Wyoming ~DONNSLL - ltOTA~ ..l, -~. 'ATE OF // {{ COUNTY OF ~ S l 1. The Assignor certifies as owner of an interest in the above designated lease that he/she hereby assigns to the above assignee(s) the rights specified above. 2. ; Assignee certifies as follows:(a) Assignee 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 assignment of NPR~A leases, assignee s a citizen, national, or resident alien of the United States or association of such citizens, nationals, resident aliens or private, public or municipal corporations, (b) Assignee is not considered a minor under the laws of the State In which the lands covered by this assignment are located; (c) Assignee's chargeab e interest, direct or 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 assignment are otherwise in compliance w th the regulations (43 CFR Group 3100 or 3200) and the authorizing Acts; (e) Assignee 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) Assignee is not in violation of sec..41 of the Mineral Leasing Act. 3. Assignee's signature to this assignment constitutes acceptance of all app cable terms conditions stipulations and restrictions pertaining to the lease described herein. , For geothermal assignments, 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 assignment is added to all previously created overriding royalties (43 CFR 3241). · I'Certif3/that th~ s~at-~m'e'nts made her~in"-"'---'~,-me ar~"'-'~ true, c°~-lpiete, and 'correct to i~e best of my knoll'edge and beli'ef and are made in good faith. Executed this 1st day of October ,20 01 Executed this L~ Name of Assignor as shown on currenUeal~e The Wplf Haven Corporation EOG Resources, Inc. -~"~ -/'/ or-- /' '", Kat~i Hanson, Secretary or Attorney-in-fact ,o Attest Required Attorney-in-Fact. ~e .,' .,' ....· ' % wY J. M~cha'el Schween -' ' - ' . 82003-2480 Agent and Attorney-in. Fact Pubiic'rep°rti~ bur~en.fc~'this ~'~.i~ estimated to average 30 minutes per response includin the time for r vi ' ' ' corrD eting an~ revt~wi~he f(~rrT~' "Direct commen ................. g e ewmg Instructions, gathering and maintaining data, an ~ regarulng [ne Duroen estimate or an other as d Management' Bure;~u ~ is~ran~e'~t~..cer /Dr^, ~ .................. Y _ _ pact of this form to U S. Department of the In{eri ' ~ ' ' . ,~ vv-,~v),weHverreaeraluenter, uUllaing40 P.L) BOX250.47 r3,~n,,~,, r-~,a,-,,-,.-, .......... or,.Bureau of Land B~Jdget, Paper,X, ork Rer.~(i'.ctionlP'r~ Washin ton, D.C. 20503 ...... , ...... , ~,.., ou,~zo-uu,~/, an(3 the utNce of Managemen{ and Title 18 U.S. C; Sec. 100! makes i~ 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. · U.S. GPO: 1992-774-017 / 67022 STATE OF COLORADO ) (j~"7~.41~) )§ .... COUNTY OF DENVER ) BEFORE ME, the undersigned, a Notaw Public. in and for said county and state on thi~ of. October 2~01, personally appeared J. Michael Schween,. Agent and Attorney~in-F ~eesources, and that said instrument was signed on behalf of said corporation and said instrument.to be the free actand deed of said corporation. IN WITNESS WHEREOF, I have hereto set my hand and affixed my notarial seal the day and year last above written. My Commission Expires: