HomeMy WebLinkAbout868722Land 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
h.
Conveyed
c
Retained
d
Reserved
e
Previously
reserved
or
conveyed
f
Township 23 North. Range 115 West. 6"' P.M.
100%
100%
r l l
00 OCT-3 dEA
ASSIGNEE
0%
r 1
It'll
r i
4lW u
0%
It 00
1, t° fit
3%
Section 26: S2N2, E2SW, SE
Section 35: NWNE, SENE, NENW, E2SE a
1300K PR PAGE
Lincoln County, Wyoming
Containing 600.00 acres, more or less
FOR
�)C
Form 3000 -3
(October 1992)
,,`�4�P'IE•rilr 0�('
Of Cal 0414E, $101411,1G
1. Assignee*
Street
City, State, ZIP Code
2. This assignment conveys the following interest:
By
181 Carmen E. Lovett
(Authorized Officer)
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.)
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)
Baseline Minerals, Inc.
1645 Court Place, Suite 422
Denver, CO 80202
Type or print plainly In Ink and sign In ink.
PART A: ASSIGNMENT
This transfer is for: (Check one) [X] Oil and Gas Lease, or Geothermal Lease
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
(Title) (Date)
FORM APPROVED
OMB NO. 1004 -0034
Expires: July 31, 1995
Lease Serial No
WYW- 138663
Lease Effective Date
April 1, 1996
*If more than one transferee, check here 1 1 and list the name(s) and address(es) of all additional transferees on the reverse of this form or on a separate attached
sheet of paper.
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.
Assignment approved for above described land SEP 01 2000 1 Assignment approved for attached land description
ssignment approved effective Assignment approved for land description indicated on reverse of this form
LAND LAW EXAMINER SEP 15 2000
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