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HomeMy WebLinkAbout961248Fo9n Approve.' by Board Feb. 1, 1979 To THE COMMISSIONER OF PUBLIC LANDS, State of Wyoming, Cheyenne, Wyoming 1. STATE OF WYOMING APPLICATION TO LEASE AND LEASE FOR OIL AND GAS Enter here the Parcel Number applied for if on Simultaneous Filing List. ,signed on (Name of Applicant) c/o Wyoming Energy Corporation, (Number and Street) New York, NY 10022 LINCOLN 2. Land requested (County) T 25 N., R 112 W., 6th P.M Total Area 615. AcresSIONGIMMIS 4. Amount remitted: Filing Fee JUL 2 1 1980 WILLIE TUCKER JR. (City and State) COMMON SCHOOL (Fund) 244 II certify that this Is a True and Comparable sec. 36 A 1 SPY of Original Record on file In the k Investments. DATE —Un EFFECTIVE DATE OF LEASE July 2, 1980 EEMENT.; UNIT AGREEMENT CONTRACTED Examined Jh'F 1_- 11- -91 2 -yr. extension granted t -93. 663 Fifth Avenue St a ,No o 621 C oun t y -..N. R. W. 6th P.M. Total Area_. Tbie lease embraoea bke area and the land described in item. 2. Advanced Rental (To be computed at $1.00 per acre or fraction thereof) By N 000688 hereby offers to lease for the purpose of prospecting for, developing, producing and marketing oil, gas, and other kindred hydrocarbons all or any of the lands described in item 2 that are available for lease, in accordance with the Laws of the State of Wyoming, and the rules and regulations governing the issuance of Oil and Gas leases made and established by the State Board of Land Commissioners and now in force, subject to the lease terms appearing upon the reverse of this offer to lease. (Not to be filled in by Offerer) Total 1 3. Land included in lease Z n 0 1 Z (Ft n 0 z 0 m 73 m m 73 m CO 0 V M z Z m D 0 z m 15.00 616.00 631.00 m 7J m 0 mm Z 0 N 0 5. Undersigned certifies as follows: (a) Each individual who is to acquire an interest in said lease by virtue of this offer is a citizen, or has declared an inten- tion to become a citizen, of the United States, is the head of family or over 19 years of age. Each corporation that is to acquire an interest in said lease by virtue of this offer is presently duly qualified to transact'business in Wyoming. The name and address of each such interested individual, including the partners or associates if an interest is to be acquired by a partnership or association, are as follows The name and address of each such corporation, or its service agent, and the State of its incorporation, are as follows: (b) No employee of the State Land Office is to acquire an interest in said lease by virtue of this offer. If applicant is an individual, it is further certified that he is not an officer in any corporation, a member of any partnership or association, or a majority stockholder in a corporation, which has or will file an application on the lands herein sought to be leased. (c) None of the land described in item 2 above is described in or covered by any other pending offer filed by this applicant or in which this applicant has any right., claim, interest, or title. 6. Offeror agrees: (a) That Offeror's signature to this offer shall constitute Offeror's signature to and acceptance of this lease insofar as said lease covers any land described in item 2 above open to lease application at the time this offer is filed, and shown in item 3 as included in this lease. (b) An acceptable application may be withdrawn at any time prior to issuance of lease but if withdrawn the rentals, and fees transmitted with said application will thereupon be forfeited to the State as penalty for failure to fulfill the obligations. (c) If the lease terms on the reverse of this offer do not express all of the terms and conditions of the lease form in effect on the date this offer is filed, the lessor shall amend the lease terms set out in this Offer to Lease and Lease by substituting therefor, and attaching to this Offer to Lease and Lease, the lease terms and conditions in effect on the date this offer is filed, and Offeror agrees to be bound by said substituted lease terms and conditions. 7. It is hereby certified that the statements made herein are complete and correct to the best of Offeror's knowledge and belief and are made in good faith. Any willful misrepresentation or concealment by Offeror of a material fact in this offer shall render this lease subject to cancellation. IN WITNESS WHEREOF, Offeror has duly executed this instrument this 16th day of `Tune 19. 80 Lessee e ..,i 4 WILLIE TUCKER JR. (L Sinature) .(Lessee Signature) This lease for the lands described in item 3 above is hereby issued, subject to the provisions of the above offer, and on the reverse side hereof. IN WITNESS WHEREOF, the said lessor has caused these presents to be signed by the Commissioner of Public Lands, Secretary of the Board of Land Commissioners, and the seal of the Board to be affixed. LESSOR: STATE OF WYOMING, acting by and through its Board of Land Commissioners. Commissioner of Public Lands— Secretary (Chapter 120, Session Laws of Wyoming, 1965)