HomeMy WebLinkAbout870484Form 3000 -3
(October 1492)
1. Assignee*
Street
City, State, ZIP Code
rJ„ flf
i,• 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)
PART A: ASSIGNMENT
Union Pacific Resources Company
P.O. Box 7
Fort Worth, Texas 76101 -0007
*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 pa
This record title assignment
Interest conveyed: (Check o
Percent of Interest
50.00%
Conveyed
16.665%
33.335%
r._C IVLD
COUNTY
This assignment conveys the followin: interest:
Land Description
UNITED STATES
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.)
or •rint •Iainl
per.
is for: (Check one) a
Oil and Gas Lease, or Geothermal Lease
ne or both, as appropriate) Record Title, Overriding Royalty, payment out of production or other similar
interests or payments
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.
Township 19 North Range 113 West, 6th P.M.
Section 32: NE /4
containing 160.00 acres, more or less
Lincoln County, Wyoming
Assignment approved effective
CERTIFIED
to bet true and comparative copy
of official records on file
nou, MOO 87014
flEAU OF LAND MANAGEMENT
FOR BLM USE ONLY —DO NOT WRITE BELOW THIS LINE
UNCrED STATES OF AMERICA
This assignment is approved solely for administrative purposes. Approval does not warrant that either party to this assignment holds legal of
19uita file to this lease.
Assignment approved for above described lands; Assignment approved for attached land description
Assignment approved for land description indicated on reverse
of this form.
LAND LAW EXAM'sS I
13EC-0-1- j9 3if
By (%'t'
in ink and si• n in ink.
bG
FORM APPROVED
OMB NO. 1004 -0034
Expires: July 31, 1995
Lease Serial No.
WYW- 134456
Lease Effective Date
(Anniversary Date)
11 -1 -94
New Serial No.
Percent of
Overriding Royalty
or Similar Interests
Previously
reserved
or conveyed
f
5.5%
CLERK
02
ER
M! NG
191995
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