HomeMy WebLinkAbout869410Land 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%
FOR
0%
ASSIGNE
o%
0%
Section I: 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
Fonn.3000 -3
(October 1992)
1. Assignee* Baseline Minerals, Inc.
Street 1645 Court Place, Suite 422
City, State, ZIP Code Denver, CO 80202
2. This assignment conveys the following interest:
By
UNITED STATES
DEPARTMENT OF THE INTERIOR
BUREAU OF LAND MANAGEMENT
T �f 1tic
Mineral Leasing Act of 1920 (30 U.S.C. 181 et seq.)
Act for Acquired Lands of 1947 (30 U.S.C. 351 -359)
�'tYOM� Geothermal Steam Act of 1970 (30 U.S.C. 1001 -1025)
CHE?E tlt Department of the Interior Appropriations Act, Fiscal Year 1981 (42 U.S.C. 6508)
ASSIGNMENT OF RECORD TITLE INTEREST IN A
LEASE FOR OIL AND GAS OR GEOTHERMAL RESOURCES
/S/ Carmen E. Lovett
(Authorized Officer)
Type or print plainly In Ink and sign In ink.
PART A: ASSIGNMENT
BOOK .EL PR PAGE ca
LAND LAW EXAMINER
(Title)
FORM APPROVED
OMB NO. 1004 -0034
Expires: July 31, 1995
Lease Serial No
WYW- 150484
Lease Effective Date
June 1, 2000
*If more than one transferee, check here 1 and list the name(s) and address(es) of all additiog F't7(
l ansferees on the reverse oi X rm or on a gttsh
separate ed
sheet of paper: t
This transfer is for: (Check one) [X] Oil and Gas Lease, or Geothermal Lease
hE.b. I!tE��6-t t
Interest conveyed: (Check one or both, as appropriate) X] Record Title. Overriding Royalty, payment out of production or other
similar interests or payments
FOR BLM USE ONLY -DO NOT WRITE BELOW THIS LINE
THE UNITED STATES OF AMERICA
This signment 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 described a Assignment approved for attached land description
Assignment approved effective 1, 1 0 1 2000 ,1 Assignment approved for land description indicated on reverse of this form
OCT 0 6 2000
(Date)
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