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Home My WebLink About870757Land Description Percent of Interest Percent of Overriding Royalty Or Similar interests Additional space on reverse, if needed. Do not submit documents or agreements other than this form; such documents or agreements shall only be referenced herein. A Owned b Conveyed c Retained d Reserved E Previously reserved or conveyed f Township 22 North. Range 115 West, 6" P.M. 100% 100% 0% .5000025% 0% Section 1: Lots 1 -4, S2N2, S2 Section 2: Lots 1, 2, S2NE, SW, N2SE, SWSE Section 11: N2, NESW, S2SW, SE Lincoln County, Wyoming Containing 1,688.44 acres, more or less t Form 3000 UNITED STATES (October 1992) DEPARTMENT OF THE INTERIOR °i 1iL 1 N[t _ftIUR BUREAU OF LAND MANAGEMENT �t,Ill of l orris Mia }l( Et ASSIGNMENT OF RECORD TITLE INTEREST IN A (30 0C1 r" 4 9% 00 LEASE FOR OIL AND GAS OR GEOTHERMAL RESOURCES yy a Mineral Leasing Act of 1920 (30 U.S.C. 181 et seq.) r F"•+ Act for Acquired Lands of 1947 (30 U.S.C. 351 -359) �+YOIING CH,([) 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) sheet of paper. PART A: ASSIGNMENT 1. Assignee* Condor Exploration, LLC BOOK 4 5 8 PR PAGE_? 7538 S. Salida Court 2: 2 City, State, ZIP Code Aurora, CO 80016 RECEIVED LINCOLN COUNTY CLERK *If more than one transferee, check here and list the name(s) and address (eo IIId 'ti ppaI,�ransferees on the reverse of this form or on -a separate attached ed: (Check one or both, as appropriate) X R ecord Title. E A N N E WAGNER Interest conve Y Overriding Royalty, payment out of production or otl�eEM M E R R W Y M 1 N G similar interests or payments This transfer is for: (Check one) [X] Oil and Gas Lease, or Geothermal Lease 2. This assignment conveys the following interest: 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 above descri ed lands• .00 ssignment approved effective i1 By (AuthorizadWatit Type or print plainly In Ink and sign In ink. FOR BLM USE ONLY -DO NOT WRITE BELOW THIS LINE THE UNITED STATES OF AMERICA FOR ASSIGNOR Assignment approved for attached land description Assignment approved for land description indicated on reverse of this form I+ kND LAW EXAMINER (Title) (Date) FORM APPROVED OMB NO. 1004 -0034 Expires: July 31, 1995 Lease Serial No WYW- 150484 Lease Effective Date June 1, 2000 f rt 9 00 1 l 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 OS 70'75 ACKNOWLEDGMENT STATE OF COLORADO COUNTY OF DENVER The foregoing instrument was acknowledged before me this 28th day of August, 2000, by Jo eph W. Thames, President of Baseline Minerals, Iqc.: G 0 My Commission Expires: 9' 1 PART B: CERTIFICATION AND REQUEST FOR APPROVAL 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; (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. Assignor: Or Attorney -in -fact wn on curre t lease den" Si ature) Executed this 28th August Name of Assignor as s (City) WHIM ph Them (Signature) 164 awt'P lace, Suite 422 (Assignor's Address) Denver, CO 80202 (State) (Zip Code) 2000 INERALS, INC. Executed this Assignee: Assignee: or Attorney -in -fact Assignee: Attorney -in -fact a l-- 9 1 day of /9al,a ST COND:' PLOR TION, LLC Lange, •�Ber (Signature) (Signature) 223 2000 Public reporting burden for this form is estimated to average 30 minutes per response including the lime 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, (Alternate) Bureau Clearance Officer (WO -771), 1849 C Street, N.W., Washington, D.C. 20240, and the Office of Management and Budget, Paperwork Reduction Project (1004- 0034), Washington, D.C. 20503 Title 18 U.S.C. 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.