HomeMy WebLinkAbout961196'Form 3 -1158
Ninth Editioe
(August 1961)
Q el in
�NV inY
Parcel #519
3. Land included in lease: StateWyoming
UNITED STATES
:i'ARTMENT OF THE INTEF, ■OR
BUREAU OF LAND MANAGEMENT
Mr.
Mrs. Balta Corp.
1. Miss
(First Name. Middle Initial, Last Name)
21 South Kearney Street
County Lincoln
(Offeror does not fill in this block) Total Area
Offeror duly executed this instrument this day of 19
(Lessee signature) (Lessee signature)
(Title)
Form t,.
Budget B po
Office
Serial No. 0319572
OFFER TO LEASE AND LEASE FOR OIL AND GAS
(Sec. 17 Noncompetitive Public Domain Lease)
The undersigned hereby offers to lease all or any of the lands described in item 2 that are available for lease, pursuant and subject to
the terms and provisions of the act of February 25, 1920 (41 Stat. 437, 30 U. S. C. sec. 181), as amended, hereinafter referred to as the
act, and to all reasonable regulations of the Secretary of the Interior now or hereafter in force, when not inconsistent with any express
and specific provisions herein, which are made a part hereof.
(Number and Street)
L Denver, Colorado 80222
(City and State) J
4
2. Land requested: State County T. R. Meridian
RECEIVED 9/28/2011 at 3:53 PM
RECEIVING 961196
BOOK: 773 PAGE: 477
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
Total Area Acres
T. 22N R. 113y .6th p Meridian
Sec. 1: Lots 1, 2 3 4, 5, 6 7.
SW S21Vti', SW W 2 E.
Sec. 12: Lots 1, 2, 3, 4, Wg 2, W=
Sec. 13: Lots 1, 2, 3, 4, WIZ, W2
1837.30 Acres Rental retained ;1 u
4. Amount remitted: Filing fee $10, Rental
S. Undersigned certifies as follows:
(a) Offeror is a citizen of the United States. Native born Naturalized Corporation or other legal
entity (specify what kind)•
(b) Offeror's ,interests, direct and indirect, do not exceed 200,000 acres in oil and gas options or 246,080 chargeable acres in
options, offers to lease and leases in the same State, or 300,000 chargeable acres in leases, offers to lease and options in each leas-
ing district in Alaska. (c) Offeror accepts as a part of this lease, to the extent applicable, the stipulations provided for in 43
CFR 191.6. (d) Offeror is 21 years of age or over (or if a corporation or other legal entity, is duly qualified as shown by state-
ments made or referred to herein). (e) Offeror has described all surveyed lands by legal subdivisions, all lands covered by pro-
tracted surveys by appropriate subdivisions thereof, or all unsurveyed lands not covered by protracted surveys by metes
and bounds, and further states that there are no settlers on unsurveyed lands described herein.
6. Offeror is is not the sole party in interest in' this offer and lease, if issued. (If not the sole party in interest, statements
should be filed as prescribed in Item 6' of the Special Instructions.)
7. Offeror's signature to this offer shall also constitute offeror's signature to, and acceptance of, this lease and any amendment the may cover any land described in this offer open to lease application at the time the offer was filed but omitted from this
for any reason, or signature to, or acceptance of, any separate lease for such land. The offeror further agrees that (a)
offer cannot be withdrawn, either in whole or in part, unless the withdrawal is received by the land office before this lease, an amend-
ment to this lease, or a separate lease, whichever covers the land described in the withdrawal, has been signed in behalf of th(
United States, and (b) this offer and lease shall apply only to lands not within a known geologic structure of a producing oil or gs
field.at the time the offer is filed.
8. If this lease form does not contain all of the terms and conditions of the lease form in effect at the date of filing, the offeror
agrees to be bound by the terms and conditions contained in that form.
9. It is hereby certified that the statements made herein are complete and correct to the best of offeror's knowledge and belief 'to
made in good faith.
(Attorney -in -fact)
This lease for the lands described in item 3 above is hereby issued, subject to the provisions of the offer and on the reverse
THE UNITED STATES OF AME ICA
By C t
URT 1 1955 y (Signingo oar)
111 55 ))S ;r iei+.l GAS Effective date of lease
13 1965
(Date)
THIS OFFER MAY BE REJECTED AND RETURNED TO THE OFFEROR AND WILL AFFORD THE NO PRIORI'
IF IT IS NOT PROPERLY FILLED IN AND EXECUTED OR IF IT IS NOT ACCOMPANIED BY THE REQUIRED DOCUMEN
OR PAYMENTS. SEE ITEM 9 OF GENERAL IN(1TRUCTIONS
C. sa• tr s crime for any pers•)n knowingly and wi. Ike to any Department or ag 'f the Uni'
or t'spresentations a.' thin its jn'' fiction.
ous on one sheet o,
000477
CERTIFIED
1
arid comparative copy
f: cords on filo
11 0,
BUR l U OF L ND MAN it' MEM'
000478
o 11 i 11 fit t
or r
fraction 1 I
y 11 i I I I k' 1 h,•
Ih i. h Iii. i I I h b R 1 lent ear, I l l int
as street. sari in 1 f I j 1 IP 1 1 faros 1 I
h I h f 1 1 '1 1 f 1 1, I f
R M1 1 I 1 111 1 1 1 1 f
rch h 1 Fr of lF "n leas h Inn l+ 1 1 1 he f 1 I I I I 1 I' trope, 00, 3r, TI 111
1 ld veme 11 1 11 I- 1 1 herein or
11
k I 1 I. I
ceeoatioos oral intr. r, 121 1 .1 f I) 1 11 I. in I I i complete k I 11 f f 1 1 1 1 a It the i^ f l t l t '1 f f 11 II 1 I' 1 1 'I
rrf e I 1 I r
prescribed l 1 1 1 11 II 1 1 1. 1 1 t 1 1 1
1 I. 1' 1,1 I l all oohs.... LL" of II it 1 1 11
'par 1 I r he lea
11 1 I f 1 them. R I limit. f
of I 1 '1 l r 1 I 111 1 I nnr ec l l r I d l sorts.. owner. or
lash.. 1: r 1 f 1
lessee. l i t 1 1 1 1 ,)die until I I nn, f movements ,nrl o i o. e 11 )h of S I k 11 1 done. ,r., Lhr n ...k I I
n 0' I I I lease, 1 1 e l f. t .11 11.,1 I fl' 1 f 1. the I lensed I l 1 o hind steps n to ho Stolen and
imiugniaintailloli 0: the 1 I
M1 1 I 1 I er 1 F 1 I f I
If I I t 1 r.I amt fl I
1 r 1 1 1 i f 1 t I Mogul lands I tease. 1
h f l rrL 1
I,•tdatl b 1 '1 ,I lyre, rl,.l m i r e .1d+s 1 I t l tar ten to mv, ton hr ,the onlir the 1 order I ra to loud h I,r hr. ally of r, I ,I ."'.—',1"1“" rn tee I f ern,.
30 I f I ah I l r 1' drilling o f n rod ire nt nc� 11.1 e 11
1 ro 1 1 .1 11 1 carmine I I,
1, I rn I I
fA 1 J. h. (h fthinl 1 h'n rlrl1. II I 1' A e 1 11:
subscribe 1 methods with 1 1 1 1 1 1
1er h hl. 1 1 1 1 elnmm. 1 h 1 ti 1 )I I Omer.). Rr:n, 1 k f
n 1 n the held r r nn I 1 rnf. n,i h r,r'nv rl I f il, f 1 n n n I I '1,,.1 the e
oft
Io .I P rel,•I rd he th rr .1 the Inter, Interior m then n rrd r. a, for "I inn I 1 rn 1 v thereof rnf h n.1 .r r *1: r:,
ml he eei"I,l, and advs wail, Plot .bol Inr like 11 f nr term 'rl^ r nil h•: �r other mar.. Imar.. adellu .S Prr o all y lrnrties in inter a, nrlmline the r l f t h l and snfrr f „r i hr r.•r rr.,,: r. r ,Ir
uilr... "t n 'o ln l g v nrota r and rRrcliveir rill wcll.s ,Ili :lire rk,r, n•1 er ne. rl,frr ,f u: air a' n r f Lar. Irnr; :a In n0': l u r s
I it W —f1 I d
1 'rill and n odor all welds r provisions of el prior Ie ".r" dxu ni 'i fl eJ, xnlxr ,,,.r,,,,
the hum. land Irnim,ee by wells n lands s t (thi :n rerhun,rd hrforr I: "'hi r rhe I sa 11 h r �minr
L110 hu m or iro of the United Stoles I d n t thlrsw r ot menders r oa n he d s u ,c 11 vnl hri n
>nit. a of in I lessee x11 r end orders of the of the afa r i ml mim w,.I n
°t o w'hieh Il,e en olliex and retools n na1 into deferent lessee so o do the l r ll n I that n hhe property d em/ ao Irn o
lu Ie than n e those of this tense; o 'n limn n of s drilhnR I't`s u rpo I,n� the r n ten: L r rnf �r' "I, "l u 1•'n P nre
and u oduv with the consent t the Diener. of the I enlnne,:l i to T th lessee slit se of .sir.111.vlcr enter Iran nr met' "fnr nllonl "r 1 1I. xr
Spryest, to c a the lessor in toll eneh month for the estimated fnstroh el, r '1'l u ,r. the Irsxer s1:n11 not he ess :l r vsl: n Ic reel hinds 10 <hu n l!r, f mil ���ntca an d to the n h
l o o s v nf n royalty thin I h dry the t der t minr. nr.1 by rapines beyond lr.ssrr'n p a•I r for nlna the n) thn United mi
llir c IY) at the elerrinn ol the IrxsenM1mn drill and determined te cfi ]',r. "0',l waves, /rr, Anm control. r1 or d0' unit to snr l tan 01011in welh,re1
wells r ti (2) tndr with n of wells lawfully assessed nod levied f odnr the lows of the when due. h I' •c ht I its
allotments n conformity g wit field A rst whirl: o 1" ten et cr, noon improvements, nil anti ndurr,l from r0' the nd r,; I n i r,1 broken„
vita, Mwhich r of hor endn sanctioned hr ,vltr "hie law'or he other igl,l" of the Iessom novord jra' xla. nnA r :or:. a lum he
f,the endue such If3) nd> tine onw "rk" nil employees property, freedom of nnreh "s.o aril Iron I i:,< Mr I rlxs,. <r ere hr r t.r cr: :1,...I In'
other m winger. of t h e U it e d r t and r leas Ili dim helium the
interior "drill^odnlbly wells xreiner notice employees Iron tw ice, h) n11 l.s ,r :ln :nmge ,I.,I,r
b0' over order (hot cite lexsrd rn "'f„lr r of the United Staten. .ne month in I' n ;hr ',I.�
area and developed end money it ,rAriras1 l• 1 I to rt. In rl1
P ody nd in nc ,ee with I 111 .\nn,li..r: iron:nlr t with the nrt fmo,a,:rr o url' a 'd m I::,r'.,1 0,• ,h,. 0.,c,...,
p on n ,ng n neon e nrdm I c the ,rein
m d) R and tn)x s ":'k':ndrr tl,:. r, ear. Its work, f OH I
rdhra— (]e)mT 1 I' i The 1 f 1 1 1. I III
.ah,eol P oor rr. I I 1' 1 Opp Pr"' r e d or hold from to leased 1 i f I I 11 r 1 I II it ill
m Wil'rnnt will I' creed. Aim. I rl I. II I 1 I II f I I f•h
r Rrn(nlr —Tn nor tl,v lessor in advuncu no frontlet rental at t. f t 1 t l 1 employed. 1 f which l l l 1 f r atid ng he InnJs are h l J the Fan. r I, (II I i creed. t... f 1 t I 111011 l t f l 1 1 which
J I 1,11: +O r- .f it I 1 overt,
1 l I e I I i
1.1
Ib) (f h 1 f I I. g d within y k :I I tl an ni
11 I k'. f )A11 1 lU f bun. see tioo 1 1 Pont,. I applicants F 1 1
f l rid fi ll. A t II 1 1 II I)
ft A h f f n1lr,, II 1 `,I„ 1I wells. I 1 rrhe•
11 A R h h f
R 11 I A mlM in ne<ho t1 11 rorient.
h r h f 1 r J scorer` f f 11 f "r,.„',':,',,,,'..,'„'„7,; t II u. d arm/arr' 1 _I hot tint
/ands lensed, 32 n fraction a F if II„ 11 1 f I1 1 .I 'l i
Id) If h committed I I erareerotive or unit i r l 1 I, I I 1 I 1 1 1 111 I' t'
p n1,1< I I II n ot e M 1 le n l vrnrlue 'I d TI f it 1 t l I i
contains general emersion /Lr nllneat on ofproduction. I 1 I' I I .I k t _nn
e
rental n prescribed h n r olln lion subpar. 1 I I 1 1 1 +cr s
I h( l f h shall ,1 h h 11 F officer 1 f l t kl n el or
r
v P 1 1 I r n, nm1. 1f 1ir„ rein Secretory f l trillin g 1 commit Minimum ,—f with I 1 h et h r l ,I n ,r Fodor. ollirr pro-
r otter ni It. of I leased t I 1-11O lms "r I rnf ern Lnl I it iserl 1 ,0 u n
nitpla .•rl )1 rl
01, or r mollify l lny told 1,1 limo 'Lhun
i fraction lher¢a^ xt the r snnot,m A I t -I. from rite hinds <o. "rrd hr this .mid the o tino
of en<h t f l 0110 difference F 0'e 1
during t RI rd tern 1 the I 1 1 A 1 1 t'. I "f 5. Seto r,l out/ term of lrnu tense., t The t torrent.
may
mum ll> eh.) hr 031,31 W e only lone this 1 1 TI this r lit n e •r hind
R,<
vt i.s trolll no tix ti n n the hnr and I..\ e 1 in
1r 1r thereof Iry
xul Ih) n inn acreage n0' pre rand f It i .f the rii r l l I r the roil, r l 11'1 I n he e h t.
1 1 1 t o'f i d 'liw e
fi Royal. u” amen,),” —Tv Inn nl ales. I n the 1 f 1.0 1 011 t r II. k i rr cn with 1 `yed t iit Production n or sold r 1 le I d I 1 t "ln> a i n 1 r or hn rm L it and 1 l ,nnl'r ohle it
nn ,t the I l I tl I` 1 111 111 1 I 1 1 r I regulations
vital al, hl minimum vol., for 1 I I 1 of 1 .n h i I r.
I 1 1 1 1 f l i the 11 I f l'
l i r
1 1 1 I I 1 1 1 1
1 1 1 lien 1 1 1 paid 1 1 "r
r.
noel ,r In f I r, of I F d 1 I r l 1 1 1 i I f 1 1 1 o10,11 I I
ll I 1 from
to nc�
vent l 1 1 1 oiler A 1 r 1 'n I J 1 I f 1 I
I
to he lee 1
13 F.' i
provided. .1 II I a' ll 1 .'I' 1 I I I shall I I fl l 1 1 1 1 he 1 1 1 1 f I I I �j• I to, Of iiitlin on
I
and the i 1 1 l 114 Iftst Illy 01 1 1 rot
I I 1 I f other.
f f c '1 I 1 ^'I ,nl i li it tali l
I R t l l l'
t shot I I Ill. delivered relmmhr 1 shrill rmmo.w
onto, otherwise 1 t r
h lessor. tanks provided I I I 11 N
1 1 orte, :1 rr 1 op./ h•
nil le s b I
1 nest following he 1 month hi which I 1 hr
responsible noble for held I
4) flrt ralx he ,a
it, 11 rd r1l alit t hr t rl
hex tl:., lot mart ril r n acme nil and io tt cruiser) n
th
mr
d ad l r the I 1 control. he s., ess1 d r. rr„r In) n.l MI, Ileroin. a e !h et a t' I I -I f wr. er or ni rrhe r llr in,. rrrd II
Interior. I 11 1 owner ,f a controlling t
the order or t I royalty. I t other i I i 11. 1 6 d .Ili the t1 Mods which 1 r
t a regulation rin4 '1'))n1 1
1 1 1 1 I I )h 1 I i .I 11 ri ilhn has of +nht,rnrl hie
i Pm tease I i before l ohm h tint .1 1 r net j,,, C." h ,.1 r101 Om no not of am
d a y which io n romper r .alHo if 1 f l d 1 fit' r it ism II I or
f 1 II 1 I l f I h Al l) of f 4 1st 1'.n; n Oil ismi Stnr i(
11(
la 4. 01.1 0101
0,10,1 1 1 Sovvost nOt Inter thou 10 I f 1 1 h 11 t
for 1 1 I 1 .1 f e 1 if lie poll/tracts] 1 1 1 1 shrill I otiter
of 1 o f m1.1,,.f.f.to nil I i "Ili 1 f
disposed I 1 1 the Coifed
role, hrran�h„ri shall 1 on pied its If'nq n. I ,r r1p� I nIl. noel, r, orn deposits
nor; ,r, ■i rr„r.
he provided h. I I 1 rr „s n 1 f
v. ,r. er., r ,il r r into :,nil I
A. GENERAL INSTRUCTIONS
1 tor
r nharo or In
010 on, And tlin 11131,11. 1 P
t A
r l 1 Ir.
horn .,"rnrh
1 T la IF 1, Co.., .noe orm G
ynrL 1 this loose u0' bar :u Lhn not" in
ns' i hn t aol• %inebla.
f
11.d. ril 1.
moots royalty fn
Potion p od h ol n 1< f,f
LEASE 1
YNST'1; ONS
'Phil, of h. h11 d nnn 'Pr,vr'r, c 1
and must be signed ink. n p, nL p k The
2. Thin b
g p l I i
d used wire' deposits i t l tit v P CI r h
disposals r such lands for tht.• purpose I 1' g F d fi
should not br R I f offering 4, lease I an 1 T 11 l
ai known gaol l f a producing oil e
1 fld I. r 1 b F
UIT s? n br mode by 'not. d eta 21. ,.f
cameos or the l'n ll °t ales d by mPen l 1 0 p R I f f l
or associttlirms,
•Pho are 4. This dint 1st he prepare.) to the ,lu1nlupl teat* tiff blot i the or ,11
1 nre I
proper I hr tome 1111.A, elite omens laeaate r ep th e r e ');,..7" 'II1 1 d nil
uifer or i: 110 la 1 1)1,0' dr.far n, be file) (t t l i,f e rm which brie 11. 1 1 1 ell,.,
f the Interior, Washington I, the tit ear f Land At t 'I"'" 1.) i fl f it I' 1
r)) 102.42 11) If less Ikon ed. 1 D C. See 1 I r r
1 1 r r the rote of first filing the other me
are 1 ntr 001 'e II II 1.
fatting ng rr, which the 1 111 be rejected ta d e fit 1
ill nTV' 1 I ,t t f p 1 f' I I i
The memo 1 It •Ir 11 ,1114 Inst ruct
h I e first tiled1 ,t tl p n _R it I gar
g t r nl.' If that 1 I
n 1* 1 e„ .n1 I shall d r I k 1 d
tit f ps h i ands I f 11 I to covored 1, the tease. f. If additional ,l should toot(' needed furnishing n 1 1
I I I 1 of i I offer additional shoots, t t required I It 4 1 1 \L TI (TI() '1 I I I I r
h11 h l [L I hadd i I rem_ 'rya fl I III' 11
1 f 1 P I .1 1 I I s l 1 ill I referred
F s Irrose fil h it I. 'h I Iwo. dea al) t m f I t h 1 fl 1 1 tl 1 1
C tit h h P J' PP I he 1 1 II 11 )1 11 corroder, I wt I .1 all a fa
fl I ',1' uln tit I 1*2 n the equivalent mutt I I i
the I h li b N. 1'12.42 I I) All of thu land within provided I 1 1 1 1 n f I. 1 f
11 home will Ire eir here. J d ud E the l mottled tool Runless, f I n ,Ito glh n, I. The t surveyed '11 r If J tut f i t
h. 1 n c a t 1 r 40,113. h' land h e 'f miss nr I description t constructed
II ithdraw al •f 11 R n 1 I "1
I rate lease to bp doted 1 ce with d dram, in h f 4 be l._ \s i 'II I
s unit 1 f 1 41('YN:'r 'R.1 i. a p I l i fl' I G. II I" When '1"""" ..I I t l \aa111R tl 1'il
x0' P• ace I� I I 1 11 r,l
the
I charged 11 Ili the ten), a r II 1 1 d
added
a. \s •a d had he included the gi ll l lease 1 't though h 1 h .1.. t t:l n t o 'en 1 I II I' i FI( fit f was 1 ...goo.. 1 1 II r of t I t I ill I nr 1
ally 1 f the lease. I
f I the offer.
t I t 'I )h f h h I ll The tl filing of retained J )Ming on I ir l). 1 r 1 1
h I I lessee
�'d d fractional d' I. If priorities 1.1 May
f -assignments offer 1 I i. R oteme Ip that tit. t 11 t hr respect d c I) requested, I
toter l r t I r l 11.
e t be bound by the nlr q t 1 I d of U r Is an .m r',),.
t that it S I I t1 I
he
signed h he assignee, In 1 1 I d t ll t ..r ,hr
II 1 b approved es e 1 rt requested d clua s Into or irregular quarter-n.0... ter 1 hit
covered enastts h 11 f ors for the I nutted which se is not known the a rental
'rite T I A R l tit 1 do containing the ng e 1 f i f f I f l
d 110 p t The hoot Iv.<r,r n offeror n II I 1 noel 411 I( tit T i I I .k II pal.,
Ines 11, i, who part, tU, dal remit e ted .1'r ports the 1 t or corm 4 0'r Ili e.l
II 1 i is 1011 l
in f 1 I lesser rill I II f
I
rent o 1,111,1 1 v 1. .t, 0110h
rz• icht.lher dtr
ro to stilton of the lessee Ire retitled
1 a 1
•1 ,1,(111111111lieti
t
'tor ond lloitlittigs of '1 l 113,111/n6 rrf air ot
lip t sulintil t•1e
d it, n 111,0 tht 611 curcanw.