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HomeMy WebLinkAbout886104 UNITED STATES DEPARTMENT OF TI~ INTERIOR BUREAU OF LAND MA~qAGEMENT BRA ~,;..~.~.~ SSIGNMENT OF RECORD TITLE INTEREST IN A F~'Jb'~':~r LE~SE 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) ,~0~t orthe ~nt~ior Appropriations Act, Fiscal Year 1981 (42 U.S.C. 6508) 1. Assignee* Sireet City, State, ZIP Code Type or print plainly In ink and sign in ink. FORM APPROVED OMB NO. 1004-0034 Expires: September 30, 1998 Lease Serial No. WYW-150884 Lease Effective Date (Anniversary Date) 8/01/2000 New Serial No. PART A: ASSIGNMENT CABOT OIL & GAS CORPORATION 600 SEVENTEENTH STREET #900N DENVER CO 80202 *If more than one assignee, check her~E] and list the name(s) and address(~) Of all additional assignees on the reverse of this form or on a separaie attached sheet of paper. This record title assignment is for: (Ch~kone.~ Oil and Gas Lease, or [] Geothermal Lease Interest conveyed: (Check one or both, ax appr6priate}~ Record Title, [] Overriding Royalty, payment out of production or other similar interests or paymen~ 2. This assignment conveys thc following interest: . . Land Description Percent of Interest Percent of Additional space on reverse, ff needed. Do not submit documents or agreements other than Owned Conveyed Retained Overriding~ Royalty this form; such documcnt~ or agreements shall only be referenced herein, or Similar Interests Reserved Previously reserved or conveyed a b c d e f Townshlo 19 North, Range 115 West, 6~11 PM 100°/I 100% 0% 6.50% NONE Section 4: Lots 1-4, S/2N/2, S/2 RECEIVE" Section 6: Lots 1, 2, 4-7, S/2NE/4, SE~4NW/4, E/2SW/4, SE/4 L NOOL~~,u~,~i~n'"~'"°'CLERK Sea,on " 8 8 6 10 Section 1.8: LOTS 2-4, E/2, E/2W/2 Containing 2,1.63,96 acres, more or less Lincoln County, WY .......... WY5911 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 Litable title to this lease. signment approved for above described lands; [] Assignment approved for attached land description Assignment approved effective NOV 0 1 200Z [] Assignment approved for land description indicated on reverse of this form. ~y la/Pamela J. Lewis Chief, Fluid Minerals Adludioalioa l~OV (Authorized Officer) (Title) FOR , .;:., ,.:; .... '0 8 2°02 Part A (Continued): ADDITIONAL SPACE for Names and addresses of additional assignees in Item No. 1, ifneeded, or for Land Description in Item No. 2, if needed. PART B: CERTIFICATION AND REQUEST FOR APPROVAL 1. The Assignor certifies as owner of an interest in thc ~-bove designated lease that he/she hereby assigns to the above assignee(s) the rights specified above. 2. Assignee certifies as follows: (a) Assigne~ 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 corporationai (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 ired gas options), or 300,000 acres in leases in each leasing D/strict in Alaska of which up to 200,000 acres may be in options, if this is an oil and gas lea.~ 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. l?(g) of the Mineral Leasing Act; and (0 Assignee is not in violation of sec. 41 of the Mineral L~asing Act. 3, Assignee's signature to this assignment constitutes acceptance of all applicable terms, conditions, stipulations and restrictions pertaining te the lease described herein. For geothermal assignments, an overriding royalty may not be less than one-fourth (¼) of one p~cent of the value of output, nor greater than 50 percent of the rate of royalty due to the United States when this assignment is added to all previously created overriding royalties (43 CFR 3241 ). I c~rtify that thc statcracnts m ' . adc hcrcm by mc are'"true, complctc, and correct to thc best of my knowledge and belief and arc made in good faith. Name of Assignor as shown.on cgrrent lease PETRAL EXPLORATION CaptivaResources, Inc. asJ,~ /// '. Please type or print LLC CABOT OIL& (3AS CORPORATION or - ~nth/n~ Ii.. l~lay~r / (Signature) Assignce or Attorney'in'fact Attorney-in-fact (Signature) P. O. Box 5083 (Assignor's Address) Denver CO 80202 (City) (State) (Zip Code) .~g~/(Signature) // - ' (Signaturd) " John S. Muire Attorney-In-Fact Public reporting burden for this form is estimated to average 30 minutes per response including thc time for reviewing inslructions gathering and maintaining dam, and completi~g and reviewing tho form. Direct comments regarding the burden estimate or any other aspect of this form to U.S. Department of the Inierior, Bureau of Land Management, Bureau Clearance Officer (DW-110), Denver Federal Center Building 40, P.O Box 25047, Denver, 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 Dcpamnent or agency of the United States any false, fictitious or fraudulent statements or representations as to any matter within its jurisdiction.. ' 'U.S. GPO: 1998-774-004/41005 STATE OF COLORADO ) ) ss. COUNTY OF DENVER ) 'On this j~-l' day.o~ ~,~;~t~j,e~ 2002, before me .personally appeared ANTHONY R. IVlAYER, to me personally known;-vv~o, being by me duly sworn, did say that' he is the President of Captiva Resources Inc, as IVlanager of Petral Exploration LLC, and, that the seal affixed to said instrument was signed and sealed on behalf of said Captiva Resources Inc., as Manager of Petral Exploration, LLC., and said ANTHONY R. MAYER acknowledged said instrument to be the free act and deed of said corporation. ,, ~ i~/~NESS my, hand and seal this 'My ~j~o!~ exPires: day o~ 2002. ' S. U Pacheco - Notary Public P. O. Box 5083 Denver, CO 80217-5083 REASSI'GNMENT R~[DER A'n'ACHED TO..LEASE WYOM];NG FEDERAL vvYW~15088~ In the event Assignee desires to surrender said lease as to all or any part of the acreage covered thereby, said Assignee agrees to notify Assignor by registered mail, at least seventy-five (75) days in advance of the anniversary date specified in said lease, and Assignor hereunder shall then have sixty (60) days a~ter receipt of such notice within which to elect to take a reassignment of said lease as~to the portion thereof to be relinquished. Should Assignor hereunder elect to receive such a reassignment same will be delivered by Assignee prior to the anniversary date of the lease.