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HomeMy WebLinkAbout869414Land 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% .5000025% (ORRI) 100% 0% 0% Section 18: Lots 3, 4, E2, E2W2 Section 19: E2E2, NWNE, NENW, SESW, SWSE Section 20: N2NE, W2, SE Section 30: E2, E2NW Lincoln County, Wyoming Containing 1837.87 acres, more or less r Form 3000 UNITED STATES (October 199 DEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT iI)i:.'i TKL 4T OF I IIE: iti l i i!IT: U<< ,1- rat,} OF LAti>> I t.'1 ASSIGNMENT OF RECORD TITLE INTEREST IN A n CEASE FOR OIL AND GAS OR GEOTHERMAL RESOURCES 00 Off`, 2L Ai. 9: 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: Assignment approved for above described lands; By Mineral Leasing Act of 1920 (30 U.S.C. 181 et seq.) RECEIVED Act for Acquired Lands of 1947 (30 U.S.C. 351 -359) C Y YOM G Geothermal Steam Act of 1970 (30 U.S.C. 1001 -1025) epartment of the Interior Appropriations Act, Fiscal Year 1981 (42 U.S.C. 6508) (Authorized Officer) Type or print plainly In Ink and si n In ink. PART A: ASSIGNMENT t-' BOOK 455 PR PAGE 1 i 1 3, RECF�VED *If more than one transferee, check here ]and list the name(s) and address(es) of all additional transferees on the r�ve of this form or on a separate at ched sh of paper. 9. This transfer is for: (Check one) 1 Oil and Gas Lease, or Geothermal L8e6 .J 14 1 1 4 Interest conveyed: (Check one or both, as appropriate) Record Title. X Overriding Royalty, payment out of productiontleri't similar interests or payments FOR BLM USE ONLY -DO NOT WRITE BELOW THIS LINE Assignment approved for attached land description KCE l M �I t u'1 rib FORM APPROVED OMB NO. 1004 -0034 Expires: July 31, 1995 Lease Serial No WYW- 150893 Lease Effective Date August 1, 2000 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. 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