HomeMy WebLinkAbout961300Land Description
Percent of Interest
Percent of
Overrid ng Royalty
or Similar Interests
\dditional space on reverse, if needed. Do not submit documents or agreements other than
his form; such documents or agreements shall only be referenced herein.
a
Owned
b
Conveyed
y
c
Retained
d
Reserved
e
Previously
reserved
or conveyed
f
MASS TRANSFER See Exhibit "A" attached hereto
100% of
assigno
operati
rights
interes
None
s'
g
None
Subject t
burdens o
record
RECEIVED 10/6/2011 at 10:58 AM
RECEIVING 961300
BOOK: 774 PAGE:
JEANNE WAGNER
CERTIFIED
to be a true and compe
orthe;official recoros
rative copy
on file
LINCOLN COUNTY CLERK, KEMMERER, WY
EP 2 7 2011
REQUEST FOR APPROVAL
IN FILE cr2_,
BUREAU DELAND MAVADEMEN°
Form 3000 -3a
(October 1992)
1. Transferee (Sublessee)*
Street
City, State, ZIP Code
2. This transfer (sublease) conveys the following interest:
T ransfer approved 'ffective
i
ti
(Authorized Officer)
UNITED STATES
DEPARTMENT OF THE INTERIOR
BUREAU OF LAND MANAGEMENT
t'' t gg' OCTRANSFER OF OPERATING RIGHTS (SUBLEASE) IN A
i1c�1
1 F i LEASE FOR OIL AND GAS OR GEOTHERMAL RESOURCES
A `t
1
�[f't HG Mineral Leasing Act of 1920 (30 U.S.C. 181 et seq.)
C };1 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)
Type or print plainly In Ink and sign in ink.
PART A: TRANSFER
CA73QT OIL GAS CORPORATION
15375 Memorial Drive
Houston, TX 77079
*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
separate attached sheet of paper.
This transfer is for: (Check one) El Oil and Gas Lease, or Geothermal Lease
Interest conveyed:' (Check one or both, as appropriate) BX Operating Rights (sublease)
FOR BLM USE ONLY —DO NOT 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.
MAR 01 1997
Overriding Royalty, payment out of production or other
similar interests or payments
LAND LAW EXAMINER
Ti t le)
FORM APPROVED
OMB NO. 1004 -0034
Expires: July 31. 1995
Lease Serial No.
000006
MASS TRANSFER
See Exhibit "A"
attached hereto.
on a
t‘JUN 19?
(Date)
Part A (Continued): ADDITIONAL SPACE for Names and addresses of additional transferees in Item No. 1, if needed, or for Land Description in item No. 2 if needed.
TRANSFERORS:
1 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
but effective
1996, at 7:00
2( day of 1996
for all as of August 1,
a.m.
ST. MARY LAND EXPLORATION COMPANY
Milam Randolph Pbaro
Vice President Land
1776 Lincoln Street, Suite 1:1.00
Denver, CO 80203
Executed this r2( day of /`V 1996
but effective for all purposes as of
August 1, 1996, at 7:00 a.m.
Ralph H. Smith
7060 South Yale, Suite 800
Tulsa, OK 74136
J
000007
PART B: CERTIFICATION AND REQUEST FOR APPROVAL
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 ranslercc ccrtifics as follows: (a) Transferee is a citizen of the United States: an association of such citizens: a municipality: or u 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 a hick the lands covered by this translcr are located: lc) •ransleree'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 200,00(1 acres may be in oil and gas options), or 300.000 acres in leases in each leasing
District in Alaska of which up 10 200.000 acres may be in options. if this is an oil and gas lease issued in accordance with the Mineral Leasing Act of 192(1, or 51.2011
acres in any one State if this is a geothermal (case: and (d) All parties holding an interest in the transler are otherwise in compliance with the regulations (43 CFR (iroup
3101) or 32(1(1) and the aulhuri/ing Acts: (cl Trtnnslerce is in compliance with reclamation requirements for all Federal oil and gas lease holdings as required by sec. 17(')
of the Mineral Leasing Act: and (0 Transferee is not in violation ul sec. 41 uI the Mineral Leasing Act.
3. Transterce'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 he less than one- fourth of one percent of the value of nutpm, 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
Name of Transferor
Transferor
or
Attorney -in -fact
(City)
day of 19
SEE ABOVE
Please type or print
SEE ABOVE
(Signature)
SEE ABOVE
(Signature)
SEE ABOVE
('T'ransferor's Address)
SFF AROUR
(State) (Zip Code)
Executed this day of 19
but effective for all pure. ses as of
August 1, 1996, at 7:00 a.m.
Transferee
By:
CA IT 0 L GAS CO
(Sig
H. WAYNE i ACK
ATTORNEY -IN FACT
ignature)
BURDEN HOURS STATEMENT
Public reporting burden for this form is estimated to average 30 minutes per response. including the time for reviewing instructions, gathering and maintaining data, an
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 Lan
Management. (Alternate) Bureau Clearance Officer. (WO-7711. 18 and C Streets. N.W'.. Washington. D.C. 20240. and the Office of Management and Budget, Paperwor
Rcducrion Proicct (1004 0034). Washington. D.C. 20503.
Title 18 U.S.C. Sec. 1001 mrkcs it a crime fort. ,crson knowingly and willfully to shake to any Dcpartmer' agency of the United Slates any false. fictitious or fraudulc
statements represrntations as to any matter ,n its jurisdiction.
'U.S. GPO: 1992.774.017/070:
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