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Land Description
Percent of Interest
Percent of
Overrid'ng 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
State of Wyoming, County of Lincoln
P. 20 N., R. 112 W., 6th Prin. Mer.
Sec. 10: NW•NE4, S2NE4, SE+
22: E'-
26: Wi
2ontaining a total of 920.00 acres, more or
less
100%
0%
FOR BLM USE ONLY —DO NOT WRITE BELOW THIS LINE
Form 3000 -3a
(January 1996)
1. Transferee (Sublessee)*
Street
City, State, ZIP Code
*If more than one transferee, check here 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.
This transfer is for: (Check one) RI Oil and Gas Lease, or Geothermal Lease
Interest conveyed: (Check one or both, as appropriate) Operating Rights (sublease) Overriding Royalty, payment out of production or other
similar interests or payments
2. This transfer (sublease) conveys the following interest:
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)'
PART A: TRANSFER
Teckla Oil Co,, LLC
4791 East Stallion Lane
Inverness, Florida 34452 -9083
THE UNITED STATES OF AMERICA
This transfer is approved solely for administrative purposes. Approval does not warrant that either party to this transfer holds legal or equitable
title to this lease.
Transfer approved effective
By
(Authorized Officer)
UNITED STATES
DEPARTMENT OF THE INTERIOR
BUREAU OF LAND MANAGEMENT
TRANSFER OF OPERATING RIGHTS (SUBLEASE) IN A
LEASE FOR OIL AND GAS OR GEOTHERMAL RESOURCES
Type or print plainly In Ink and sign In Ink.
FORM APPROVED
OMB NO. 1004 -0034
Expires: September 30, 1998
Lease Serial No.
W -47820
606
(Title) (Date)
1
Part A (Continued): ADDITIONAL SPACE for Names and addresses of additional transferees in Item No. 1, if needed, or for Land Description in Item No. 2 if needed.
PART 0: CERTIFICATION AND REQUEST FOR APPROVAL
1. The transferor certifies as owner of an interest in the above designated lease that heishe hereby transfers to the above transferee(s) the rights specified above.
2 Transferee certifies as follows: (a) Transferee 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 transfer of NPR -A leases, transferee is a citizen, National, or resident alien of the United States or
associations of such citizens, nationals, resident aliens or private. public or municipal corporations; (b) Transferee is not considered a minor under t he laws of the State
in which the lands covered by this transfer are located; (c) Transferee's chargeable interests, direct and indirect, in cacti 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 be 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; and (d) Ali parties holding an interest in the transfer are otherwise in compliance with the regulations (43 CFR Group
3100 or 3200) and the authorizing Acts; (e) Transferee is in compliance with reclamation requirements for all Federal oii and gas lease holdings as required by sec. 17(g)
of the Mineral Leasing Act; and (f) Transferee is not in violation of sec. 41 of the Mineral Leasing Act.
3 Transferee's signature to this assignment constitutes acceptance of all applicable terms, conditions, stipulations and restrictions pertaining to the lease described herein.
Applicable terms and conditions include, but are not limited to, an obligation to conduct all operations on the leasehold in accordance with the terms and conditions of
the lease, to condition all wells for proper abandonment, to restore the leased lands upon completion of any operations as described in the lease, and to furnish and maintain
such bond as may be required by the lessor pursuant to regulations 43 CFR 3104, 3134, or 3206.
For geothermal transfers, an overriding royalty may not be less than one fourth (r4) of one percent of the value of output. nor greater than 50 percent of the rate of royalty
due to the United States when this transfer is added to all previously created overriding royalties (43 CFR 3241).
I certify 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.
Executed this G day of 19 Executed ed this t/" day of f 19 oQU
Transferor
NameofTransferor Charles E. Strange Trust, established May 6, 1974
Please or print
or (Signature)
,�X Charles E. Strange, Trustee
(Sigma)
3500 Lakeside Court, Suite 101
(Transferor's Address)
Reno Nevada 89509
(City) (State) (Zip Code)
BURDEN HOURS STATEMENT
Transferee Teckla Oil Co.
(Sig at
09U-ea, c
or
(Signature)
Monica Haufler, Ma aging Member
LLC
6 07
Public reporting burden for this form is estimated to average 3t) 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 as 'c t to U.S. Depantnent of the Interior, Bureau of Land
Management, Bureau Clearance Officer (DW -110), Denver Federal Center, Building 40, P.O. Box x,047 De CO 80225 -0047 and the Office of Management and
Budget, Paperwork Reduction Project (1004-0034), Washington, D.C. 20503.
Title 18 U.S.C. Sec. 1001 makes it a crime for any person knowingly and willfully to make to any Dep cy of the United States any false. fictitious or fraudulent
statements or representations as to any matter within its jurisdiction.
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