HomeMy WebLinkAbout868723By
Form 3000 -3
(January 1996)
1. Assignee* Nixon Lange
Street 7538 S. Salida Court
City, State, ZIP Code Aurora, CO 80016
2. This assignment conveys the following interest:
Mary J. Rugweil
(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)
e or print plainly In ink and sign in ink.
yP
a
T.023N, R.115W, 06th PM, WY
Section 026: S2N2, E2SW, SE;
Section 035: NWNE, SENE, NENW, E2SE;
Containing 600.00 acres, more or less,
Lincoln County, Wyoming.
PART A: ASSIGNMENT
*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 paper.
This record title assignment is for: (Check one) E] Oil and Gas Lease, or Geothermal Lease
Interest conveyed: (Check one or both, as appropriate) I i Record Title, Overriding Royalty, payment out of production or other similar
interests or payments
Percent of Interest
Owned
b
1
x-
Conveyed
c
100%
1?R PAGF... 30 3
Retained
d
00 0
ti
6'w
Reserved
e
0 k.
t si`t
r E ..r
Land Description
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.
86
BOOK' 5 3.
(Title)
FORM APPROVED
OMB NO. 1004-0034
Expires: September 30. 1998
Lease Serial No.
WYW 138663
Lease Effective Date
(Anniversary Date)
April 01, 1996
New Serial No.
Ioll ,vaIsNI.
Percent of
Overriding Royalty
or Similar Interests
Previously
reserved
or conveyed
f
R ivr- po,
r%t �r, r ,J AT
si Y' 01 vi ING
FOR BLM USE ONLY —DO NOT WRITE BELOW THIS LINE
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
citable title to this lease.
Assignment approved for above described lands;
Assignment approved effective AUG 1 1999
Assignment approved for attached land description
Assignment approved for land description indicated on reverse
of this form.
LAND LAW EXAMINER,
MOV 1 7 1999
(Date) f
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