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Home My WebLink About888230 Form 3000-3 UNITED STATE'S (January 1999) ..4 ~: ::~ i(?, DEPARTMENT OF THE INTER1OR . . i',~ .w',"~q~ BUREAU OF LAND MANAGEMENT :,'::- !' q~;' ~:" ASSIGNMENT OF RECORD TITLE INTEREST IN A ~¥~i ~: ~LEASE FOR OIL AND GAS OR GEOTHERMAL RESOURCES U'~4 Mineral Leasing Act of 1920 (30 U.S.C. 181 et seq.) .... :~'~ '~'k ~ ;F .L) Act for Acquired Lands of 1947 (30 U.S.C. 351-359) ¥\'i~ ~,;- \,~. ',~ LW ~x ~,~ Geothermal Steam Act of 1970 (30 U.S.C. 1001~1025) V C ~x~'L' Department of the Interior Appropriations Act, Fiscal Year 1981 (42 U.S.C. 6508) FORM APPROVED OMB NO. 1004-0034 Expires: December 31, 2001 · Lease Serial No. WYW-150470 Lease Effective Date (Anniversary Date) June 1, 2000 New Serial No. Type or print plainly in ink and sign in ink. PART A: ASSIGNMENT 1. A,signee* STONE ENERGY, L.L.C. ~3OOK~PR i~AGE~ ' ' Street 1670 Broadway, Suite 2800 City, State, ZIP Code Denver, Colorado 80202-4801 *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) [] Oil and Gas Lease, or [] Geothermal Lease Interest conveyed: (Checkone or both, as appropriate) [] Record Title, [] Overriding Royalty, payment out of prodhction 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 submit documents or agreements other tha~ 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 Township 25 North, Range 112 West, 6th P.M. 100.00% 50.00% 50.00% None None Section 31: Lot 2, NEI/4, SEI/4 NWl/4, NE1/4 SWI/4, hi/2 SEI/4 Section 32: Lots 1-4, N1/2, hi/2 SI/2 Section 33:S1/2 NEI/4, NWl/4 Containing 1,152.60 acres more or less. Lincoln County, Wyoming =--=--.--.-- -= .......... RECF_IV£) LINCO~ ',l COUNTF' CLERK Subject to the terms and conditions of that certain Farmout Agreer~. n[3ta.te~d~fe~fiveeq August 1, 2000 by and between Marathon Oil Company and Basir~x~o~al~id~, ~c~[s (~,"~ t~,/ D amended ~ ' ~; ~-? /~'~I 9:0[} FOR BLM USE ONLY -- DO NOT WRITE BELOW THIS LINE UNITED STATES OF AMERICA ~is a~i~nment is approved solely for administrative purposes. Approval does not warrant that either party to this assignment holds legal or eq~il4ble title to this lease. [] Assignment approved for attached land description ~ Assignment approved for above described lands; 200 Assignment approved effective FEB I 2 [] Assignment approved forland description indicated on reverse of this form. Is/Theresa M. Stevens t NO LAW EXAMINER FEB 1 3 2007 (Authorized Officer) (Title) (Date) Part A (Continued): )NAL SPACE for Names and addresses of addition es in Item No. 1, if needed, or for Land Descriptim ~. 2, if need~fl,,, STATE ~- OKI~AH6~A ) 3 8 2 ) SS. [Wyoming Foci CO~TY OF O~AHOMA ) The foregoing instrument was acknowledged before me ~ by ~~ · Stone, Attorney-in-Fact of Marathon Oil Company, this 31st da {J December, 2001. Witness rny hand and official seal. Nota~f l~ubli c'-'- ...... Phyllis A. Pace My Commission Expires: February 28, 2004 I ............. PI-I'fL[.IS A PACE / tx.s,,:.a.L) "'~ Oklahoma Counly [ ......_.~.....:- Nola, 1 PUblic in and [or Stale of Oklahoma 1.__ _:~.L...... My commission expires Feb 28 2004. PART B: CERTIFICATION AND.REQUEST. FOR:APPROVAL .-_ :_ ........ .._ 1. Thc Assignor certifies as owner of an interest in thc above designated lease that he/she hereby assigns to thc above assignee(s) thc rights specified above. 2. 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 thc laws of thc United States or of any State or territory thereof. For thc assignment of NPR-A leases, assignee is a citizen, national, or rcsidcnt alien of thc United States or association of such citizens, nationals, resident aliens or private, public or municipal corporations; (b) Assignee is not considered a minor under thc laws of thc State in which thc lands covered by this assignment arc located; (c) Assigncc's chargeable interests, direct and indirect, in each public domain and acquired lands separately in thc samc 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 acrcs may be in options, if this is an oil and gas lease issued in accordance with thc Mineral Leasing Act of 1920, or 51,200 acres in any one State if this is a gcothcrrnal lease; (d) All parties holding an interest in thc assignment arc otherwise in compliance with thc regulations (43 CFR Group 3100 or 3200) and thc authorizing Acts; (c) 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. 3. 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 (%) 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 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. * Effective between the Parties August 1 )2_000~ Executed this ~3 1~'- dayof ,2001 Name of Assignor as shown on current lease MARATHON OIL COMPANY Please type or print Assignor or Attorney-in-fact 7301 N. W. Expressway (Assignor's Address) Oklahoma City, Oklahoma 73132 (City) (State) (Zip Code) Executed this (5~ c~ dayof TCLfhLgO,,.[F~/ ,2002 STONE ENERGY, L.L.C. Assignee or (Signature) / * Mich{el E. Cuba Denver District Land Manager Public reporting 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, (1004-0034), Bureau Clearance Officer (WO-630), Mail Stop 401 LS, 1849 C Street, N.W., Washington, D.C. 20240. Title 18 U.S.C. Sec. 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. *U.S. GPO: 1999-774-OO4/41005 STATE OF COLORADO COUNTY OF DENVER SS. 363 The foregoing instrument was acknowledged before me this 22"d day of January, 2002 by Michael E. Cuba, as Denver District Land Manager for Stone Energy, L.L.C. Witness my hand and official seal. My Commission Expires: ~/00mmt~10n F~im 0~-01-2005 Notary Publ~ic-