HomeMy WebLinkAbout963393turn,
(January 1996)
Street 410 17th Street, Suite 1150
City, State, ZIP Code Denver, Colorado 80202
Interest conveyed: (Check one or both, as appropriate)
2. This assignment conveys the following interest:
Land Description
Containing 329.48 acres, more or Tess.
Lincoln and Sweetwater Counties, Wyoming
RECEIVED 2/27/2012 at 3:18 PM
RECEIVING 963393
BOOK: 781 PAGE: 782
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
t i Assignment approved for above described lands;(f A 1
signment approved effective yY66
UNITED
DEPARTMENT OF THE INTERIOR
BUREAU OF LAND MANAGEMENT
ASSIGNMENT OF RECORD TITLE INTEREST IN A
LEASE FOR OIL AND GAS OR GEOTHERMAL RESOURCES
Mineral Leasing Act of 1920 (30 U.S.C. 181 et seq.)
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: ASSIGNMENT
1. Assignee* Wamsutter Gas Partners LLC
00782
*If more than one assignee, check here and list the name(s) and address(es) of all additional assignees on the reverse of this form or on a
separate attached sheet of paper.
This record title assignment is for: (Check one) El Oil and Gas Lease, or Geothermal Lease
El
Additional space on reverse, if nee Do not submit documents or agreements other than
this form; such documents or agreements shall only be referenced herein.
TOWNSHIP 23 NORTH, RANGE 111 WEST, 6th P.M.
Section 18: SE /4SW /4, NE /4SE /4
Section 18: Lots 8, 9, 14 17 and that part M B of the bed
of the Green River riparian to Lots 8, 9, 14,
and 15
111
100%
50%
50%
11111111111011111111111111111 1111111111111111111110111111
ruicrvi APPROVED
OMB NO. 1004 -0034
Expires: September 30, 1998
Lease Serial No.
WYW- 128179
Lease Effective Date
(Anniversary Date)
1/1/1993
New Lease Serial No.
Record Title, Overriding Royalty, payment out of production or other
similar interests or payments
d
Percent of Interest
Owned
b
Conveyed
c
Retained
Perc
Overridin
or Simila
Reserved
e
-0-
a nt of
g Royalty
Interests
Previously
reserved
or conveyed
As of
Record
RECORDED 10/17/2011 AT 9 00 AM REC 1613187 BK# 1190 PG# RC
1680
Steven Dale Davis, CLERK of SWEETWATER COUNTY, WY Page 1 of 3
FOR BLM USE ONLY DO NOT WRITE BELOW THIS LINE
THE 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.
Assignment approved for attached land description
Assignment approved for land description indicated on
reverse of this form.
By /S/ Julie 4u L. Weaver c:hit1f, Branch of Fluid Minerals Adjudication 7 6 211
(Authorized Officer)
(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 rice, ed.
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 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) 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 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 assignment are otherwise in compliance with 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 applicable 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 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 day of March 2011, Executed this
but effective October 1, 2010
Name of Assignor Donald B. Anderson Ltd.
Please type or print
Assignor
Assi Assignee
S y:ti;. ;4 �i Assi nee
Donald B. Anderson, General Partner
or Assignor
(Additional)
Atterncy in fact Atter-I:ley- in.-fact
(Signature)
1225 17th Street, Suite 1750
(Assignor's Address)
Denver Colorado
(City) (State)
PART B: CERTIFICATION AND REQUEST FOR APPROVAL
80202
(Zip Code)
or
Assignee
or
Attorney -in -fact
1111111111111111111111111111111111111111111111111111111111111111
RECORDED 10/17/2011 AT 9 00 AM REC 1613187 BK# 1190 PG# RC 1681
Steven Dale Davis, CLERK of SWEETWATER COUNTY, WY Pape 2 of 3
t,
day of t'mik(?a. (rf(-" 2011
Wamsutter Gas Partners LLC
By: Morse Energy Partners II LLC, Managing Member
By: Morse Energy Management II LLC, Managing Member
n
(Signature)
(Signature)
Public reporting burden For this form is estimated to average 30 minutes per response including the time 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 (1004- 0034), Washington, D.C. 20503.
00►783
Title 18 U.S.0 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 representations as to any matter within its jurisdiction.
*U.S. GPO: 1992 -774- 017/67023
STATE OF COLORADO
COUNTY OF DENVER
)ss.
ACKNOWLEDGMENTS
On this 9 day of March 2011, before me, a Notary Public in and for said
State and County, personally appeared Donald B. Anderson, known to me to be the General
Partner of Donald B. Anderson Ltd., a New Mexico General Partnership, that executed the
above instrument or the person who executed the instrument on behalf of said partnership
and acknowledged to me that such partnership executed the same.
WITNESS my hand and official seal.
My commission expires:
4( C/
STATE OF COLORADO
COUNTY OF \-)QIN
My Commission Expires:
(p )L-f Ico
ss:
ibs foregoing instrument was acknowledged before me this
2011, by bf in (Y)Q as Manager of Wamsutter Gas Partners LLC on behalf of
said limited liability company.
-4 ilt(AkLie
Notary Public
No ary Public
day o
Illlllllillilllilllilllllllillllllllllllllllllllllllllllllillllll RC
RECORDED 10/17/2011 AT 9 00 AM REC 1613187 BK# 1190 PG# 1682
Steven Dale Davis, CLERK of SWEETWATER COUNTY, WY Page 3 of 3
00784
My Commission Expires CuAui99'
WYW- 128179