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Home My WebLink About868492Form 3000 -3 (October 1992) ERtOR Ur 10c1 MAN t1 Efi1 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: State of Wyoming, Lincoln County T23N,R115W Sec. 23: All; Sec. 26: W2SW; Sec. 27: W2NE, SENE, W2, SE; Containing 1,880.00 acres. Subject to attached reassignment rider. Assignment approved effective AU lfr._ W YOMt4O UNITED STATES DEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT jui' LEASE FOR 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) Type or print plainly in ink and sign in Ink. PART A: ASSIGNMENT FORM APPROVED OMB NO. 1004 -0034 Expires: July 31, 1995 Lease Serial No. WYW- 141441 Lease Effective Date (Anniversary Date) September 1, 1997 New Serial No. *If more than one assignee, check here 0 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) Q'Oi1 and Gas Lease, or Geothermal Lease Interest conveyed: (Check one or both, as appropriate) &I Title, Overriding Royalty, payment out of production or other similar interests or payments Percent of Interest Owned b 100% Conveyed c 100% c Retained d None RECc Reserved e N D 5.00 of 8/8 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. 452 4 PAGE 2 Sec. 34: N2, N2S2; Sec. 35: W2NW. 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 equitable title to this lease. Assignment approved for above described lands; /s/ Theresa M. Stevens By (A4InFinnd officer) a 7 100 9 Assignment approved for attached land description Percent of Overriding Royalty or Similar Interests Assignment approved for land description indicated on reverse of this form. A.STA NE AU L; 0. it (Data) Previously reserved or conveyed None Part A (Continued): ADDITIONAL SPACE for Names and addresses of additional assignees in Item No. 1, if needed, or for Land Description in Item No. 2, if needed. OS S49 4 2/1 PART B: CERTIFICATION AND REQUEST FOR APPROVAL the Assignor certifies as owner of an interest in the above designated lease that he /she hereby assigns to the above assignee(s) the rights specified above. Assignee certifies as follows: (a) Assignee is a citizen of the United States; an association of such citizens; a municipality; or a corporation organized under the laws of the United States or of any State or territory thereof. For the assignment of NPR -A leases, assignee is a citizen, national, or resident alien of the United States or association of such citizens, nationals, resident aliens or private, public or municipal corporations, (b) Assignee is not considered a minor under the laws of the State in which the lands covered by this assignment are located; (c) Assignee's chargeable interests, direct and indirect, in each public domain and acquired lands separately in the same State, do not exceed 246,080 acres in oil and gas leases (of which up to 200,000 acres may be in oil and gas options), or 300,000 acres in leases in each leasing District in Alaska of which up to 200,000 acres may he in options, if this is an oil and gas lease issued in accordance with the Mineral Leasing Act of 1920, or 51,200 acres in any one State if this is a geothermal lease; (d) All parties holding an interest in the assignment are otherwise in compliance with the regulations (43 CFR Group 3100 or 3200) and the authorizing Acts; (e) Assignee is in compliance with reclamation requirements for all Federal oil and gas lease holdings as required by sec. 17(g) of the Mineral Leasing Act; and (f) Assignee is not in violation of sec. 41 of the Mineral Leasing Act. Assignee's signature to this assignment constitutes acceptance of all applicable terms, conditions, stipulations and restrictions pertaining to the lease described herein. For geothermal assignments, an overriding royalty may not be less than one fourth (1/4) of one percent of the value of output, nor greater than 50 percent of the rate of royally due to the United States when this assignment is added to all previously created overriding royalties (43 CFR 3241). 1 certif.) that the statements made herein by me are true, complete, and correct to the best of my knowledge and belief and are made in good faith. 22n Executed this day of Assignor or Attorney -in -fact May 2000 Name of Assignor as show oh current 1 gnatu Gregor Klurfeld, President (Signature) 185 Candlewood Path Liberty Petroleum Corporation type or print (Assignor's Address) Dix Hills NY 11746 (City) (State) (Zip Code) Executed this Att•rney -in -fact (Signature) Public feporting burden for this form is estimated to average 30 minutes per response, including the time for reviewing instructions, gathering and maintaining data, and completing and reviewing the form. Direct comments regarding the burden estimate or any other aspect of this form to U.S. Department of the Interior, Bureau of Land Management, (Alternate) Bureau Clearance Officer, (WO -771), 1849 C Street, N.W., Washington, D.C. 20240. and the Office of Management and Budget, Paperwork Reduction Project (1004-0034), Washington, D.C. 20503. Title 18 U S.0 Seca 1001 makes it a crime for any person knowingly and willfully to make to any Department or agency of the United States any false, fictitious or fraudulent statements or representations as to any matter within its jurisdiction. 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