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Home My WebLink About886105 Fq~ 3o0o-s UNITED STATES (J,~u.~ t~6) ' DEPARTMENT OF THE INTERIOR BUREAU OF LAND MAfWAGEMENT BEpfiRTH[JlTOF,..:~i ^u[ ,., ' ,~- v,c.r,,, ----- l'}I[, Itt~ToE[?:~ --ASSIGNMENT OF RECORD TITLE INTEREST IN A BUREAU g, _J-x. L:.; ;~'., ;'~.' .: .... L~'AUE FOR OIL AND GAS OR GEOTHERMAL RESOURCES 02 0~'~ 15 ~H 9:00 MincralLeasingActofl,20C30V.S.C. 181¢tscq.) Act for Acquired Lands of 1947 (30 U.S.C. 351-359) [ 5,~ v"-* :"w EF Ph f[~ [~'~ Geothermal Steam Act of 1970 (30 U.S.C. 1001-1025) CHE.'(£~!E, ¥~ 'f 0t4~"rtme"t of the/nterior Appropriations Act, Fiscal Year 1981 (42 U.S.C. 6508) FORM APPROVED OMB NO. 1004-0034 Expires: September 30, 1998 Lease Serial No. WYW-150886 Lease Effective Date (Anniversary Date) 8/01/2000 New Serial No. Type Or print plainly in ink and sign in ink. PART A: ASSIGNMENT Assignee* CABOT OIL & GAS CORPORATION Street 600 SEVENTEENTH STREET #gOON City, State, ZIp Code DENVER CO 80202 *If more than one assignee, check her~E1 and list the name(s) ~nd address(es) of all additional assignees on the reverse of this form 'or on ~ separate attached sheet of paper. This record title assignment is for: (Check onej~ Oil and Gas Lease, or [] Geothermal Lease Interest conveyed: (Check one or both, a*appropriate)~ Record Title, [] Overriding Royalty, payment out of production or other similar interests or payments 2, This assignment conveys the following interest: , Land Description Percent of Interest Percent of Additional space on reverse, if needed. Do not snbmit doeument~ or agreements other than Owned Conveyed Retained Overriding Royalty this form; such documents or agreements shall only be referenced herein, or Similar Interests Reserved Previously ~- reserved or conveyed a b c d e f Townsh[o 19 North, Ranqe 115 West, 6th PM 100% 100°A 0% 6.50% NONE Section 28: ALL ¢ont_aining 640.00 acres, more or less \. .'t R£CE V£o Llnc(aln.~,.County, WY ~ 8 ~ I 0 ~ LINC 3L~V COb VTy ell WY5912 FOR BLM USE ONLY -- DO NOT WRITE BELOW THIS LINE UN]TED STAT,SS OF 2~R[CA 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. j~ Assignment approved for above described lands; [] Assignment approved for attached land description Assignment approved effective }!¢.?,.f k:¢? ~! ?.[!~2 [] Assignment approved for land description indicated on reverse of this form. ............. 2.002 (Authorized Officer) (Title) FOR ASSIGF~E ADDITIONAL SPACE for Names and addresses of additional assignees in Item No. 1, if needed, or for Land Description in iten~'~:;~-~, ~ ~eeded. ' 5'18 PART B: CERTIFICATION AND REQUEST FOR APPROVAL 1. The Assignor certifies as owner of an interest in tbe above designated lease that he/sbe hereby assigns to the above assignee(s) the rights specified above. 2. Assignee certifies as follows: (a) Assignee is a citizen of~eUnited States; an association ofsuch citizens; a municipality; or a corporation organized under the laws of the United States or of any State or territory thereof. For the assignment ofHPR-A lease~, 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 co~omlions; (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 246,0110 acres in oil and..gas leases (of which up, {o 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; (d) All parties holding an interest in the assignment are othe,..r~.vise in compliance with the regulations (43 CFR Group 3100 or 3200) and the authorizing Acts; (e) Assignee is in compliance with reclamation requirements fro' 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. "' 3. Assignee's signature to this assignment constitutes acceptance of all applicable tenns, conditions, stipulations and resirictions pertaining to the lease described herein. For geothermal assignments, an Overriding royalty may not be'leSs than one-four~h (~) 0~ofie PerCq~t' o~' the valu~ of output, nor greater ihan 50 Pei:cent 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 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. Name of Assignor as shown on current lease PETRAL EXPLORATION LLC Captiva Resources, Inc. ~. ~,:/// Please type or print CABOT OIL & GAS CORPORATION Assignor . j/~/~ ~t,~...~_ . Assignee or, A~ony IL Ma}t~r (Signature) / Attorney-in-fact (Signature) P. O. Box 5083 (Assignor's Address) Denver CO 80202 (City) (State) (Zip Code) or Attorney-in-fact josignature) rli/luire - Attorney-In-Fact Public reporting burden for this foden is estimated to average 30 minutes per r~sponse incliidi~g the tim,'for reviewing instructions gathering and maintaining data, and completing and reviewing the form. ·Direct comments regarding the burden estimate' or any other a~p~i~t i~f'thi~ form to U.S. Department 0fthe Interior, Bureau.~f Land Management, Bureau Clearance Officer (DW-1 I0), 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, 1001makes 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.- · . :- "" ;::7: :.:"': ' ; :.: .: · , i!'! ':?.:.: , *U.S. GPO: 1996-774-004/41005 STATE OF COLORADO ) ) ss. COUNTY OF DENVER ) On this /~T day Qf~,.~'~.J~.~ 2002, before me personally appeared ANTHONY R. HAYER, to me personally known, wtho, being by me duly sworn, did say that he is the President of Captiva Resources Znc, as Nanager of Petral Exploration LLQ a~, that the seal affixed to said instrument was signed and sealed on behalf of said Captiva Resources Inc., as Nanager of Petral Exploration, LLC., and said ANTHONY R. HAYER acknowledged said instrument to be the free a~ and deed of said corporation. .... ~ ~'"W~NESS my hand and seal this ~ day ~~ 2002. I P. O. Box 5083 Denver, CO 80217-5083 REASSIGNMENT R/DER An'ACHED TO LEASE WYOI~I[NG FEDERAL WYW-15088R In the event Assignee desires to ~urrender 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 anniv, ersary date specified in said lease, and Assignor hereunder shall then have sixty (60) days after 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.