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Home My WebLink About963394Form 3000 -3 (January 1996) 1. Assignee* Street 410 17th Street, Suite 1150 City, State, ZIP Code Denver, Colorado 80202 2. This assignment conveys the following interest: Land Description this form; such documents or agreements shall only be referenced herein. a Containing 329.48 acres, more or less. Lincoln and Sweetwater Counties, Wyoming RECEIVED 2/27/2012 at 3:22 PM RECEIVING 963394 BOOK: 781 PAGE: 785 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY UNITED STATES DEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT ASSIGNMENT OF RECORD TITLE INTEREST IN A 2011 111‘4 20 Ci 9urfaE FOR OIL AND GAS OR GEOTHERMAL RESOURCES Mineral Leasing Act of 1920 (30 U.S.C. 181 et seq.) a Act for Acquired Lands of 1947 (30 U.S.C. 351 -359) r•tA rtittl i i 1J Geothermal Steam Act of 1970 (30 U.S.C. 1001 -1025) LA ,L" t t'I LJe partment 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 Wamsutter Gas Partners LLC *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) Oil and Gas Lease, or Geothermal Lease Interest conveyed: (Check one or both, as appropriate) RI Record Title, Overriding Royalty, payment out of production or other similar interests or payments f n b Conveyed Percent of Interest Owned Retained Reserved e c-. Additional space on reverse, i Do not submit documents or agreements other than 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 50% 11111111111111111111111111111111111111111111111111111111111111 RECORDED 10/17/2011 AT 9 00 AM REC 1613188 BK# 1190 PG# RC 1683 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 00785 50% 0% r'I FORM 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. -0- Percent of Overriding Royalty or Similar Interests Previously reserved or conveyed As of Record 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. N Assignment approved for above described lands; AUG 0 1 2011 Assignment approved for attached land description Assignment approved effective Assignment approved for land description indicated on reverse of this form. By 181 Julie L. Weaver Chief, Drench of Fluid Minerals Adjudicati ®in SEP 2 Q 2011 (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 needed. 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 4-4t4, day of March 2011, Executed this ''r 3 day of 04 (j(L• 2011 but effective October 1, 2010 Name of Assignor Donald B. Anderson Ltd. Wamsutter Gas Partners LLC Please type print By: Morse Energy Partners II LLC, Managing Member Assignor 1,'9 ,7 l Assignee By: Morse Energy Managgment II LLC, Managing Member cr /ssionor (Additional) 1225 17th Street, Suite 1750 Donald B. Anderson, General Partner Atterney- e-faet Atterney-in -fact (Signature) (Assignor's Address) Denver Colorado (City) (State) PART B: CERTIFICATION AND REQUEST FOR APPROVAL 80202 (Zip Code) or Assignee or Attorney -in -fact 1 III 111 11 11111111 III 11111 I I 11111111 111111 HID RC RECORDED 1 0/1 71201 1 AT 9:00 AM REC 1613188 BK# 1190 PG# 1684 Steven Dale Davis, CLERK of SWEETWATER COUNTY, WY Page 2 of 3 (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. 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. J x' *U.S. GPO: 1992 -774- 017/67023 2011 s17,1 c Vii ACKNOWLEDGMENTS QQ 'REC r,. V n ;r Cr__l; I °a STATE OF COLORADO ".?F )ss. COUNTY OF DENVER On this ((.CIA 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: STATE OF COLORADO COUNTY OF (i l VA-•-- '1Ji foregoing instrument was acknowledged before me this day of a4-�- 2011, by t) Q (`fat_ as Manager of Wamsutter Gas Partners LLC on behalf of said limited liability company. My Commission Expires: (010. 10), ss: Notary Public e i r Notary Public IIIII11111 1 I IIlllll III Il lil ll ll 111 II 1111 0 RECORDED 10/17/2011 AT 9 00 AM REC 1613188 BK# 1190 PG# RC 1685 Steven Dale Davis, CLERK of SWEETWATER COUNTY, WY Page 3 of 3 00787 till Commission Expires 06104 WYW- 128179 ►3