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HomeMy WebLinkAbout888235:~ :~)-3 U IN ITE D ST^T £ S 1999) . I EPAR [ME~ F OF 'FILE INTERIOR BUREAU OF LAND MANAGEMEN F ~ ASSIGNMENT OF :RECORD T TLE iNTEREST IN A ~SE FOR OIL AND GAS OR GEOTHERMAL RESOURCES Mineral Leasing Act of 19~0 (30 U,S,C, I SI et seq,) ~,:, r,~ ~]:;~' ;(:.,;Y '~];:: ;[} Act for A~quired Lands of 1947 (30 U.S.C. 351-359~ L.:,, ;? ~C~,~ ::~ ;',~74~ }:,L: Geothermal Steam Act of 1970 (30 U.S.C. 1001-1025) ~;.,~:;~D~partment of the Interior Appropriations Act. Fisca Year 1981 (4~ U.S.C. 6508) FORM 2D OMB NO. 1004-0034 Expires: December 31,2001 Lease Serial No. WYW-137971 Lease Effective iDate (Anniversary Date) November 1, 1995 New Serial No, Type or print plainly in ink and sign in ink. PART A: ASSIGNMENT Assignee' STONE NERG~,L.L.C. =: "RECEIVED Streel 1670 iBroadway, Suite 2800 City, State, ZiP Code Denver, Colorado 802024801 /~[Jfi 0 5 !'[}[J~( *lfmore 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. STONE ENERGY LLC This record title assignment is for: (Check one) [] Oil and Gas Lease, or [] Geotbem~al Lease ' Interest conveyed: (Check one or both, as appropriate) [] Record Title, [] Overriding Royalty, payment out of production Or other similar interests or payments 2. This assignment conveys the following mterest: ' ' Land Description Pc(cent of Interest Percent of Additional space on reverse,' if he'ed. DO not submit documents or agreements other tha~ Owned Conveyed Retained Overriding ROyalty this form; such documents or agreements shall orily 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% No~e Those of Reco~c Containing 269~85 acres more or tess. LincOln Countyi Wyoming I Subject to the terms and conditions of that certain Farmout Agreement dated effective August 1, 2000 by'and between Marathon Oil Company and Basin Esplorati0n Inc., as :OR AS~c[GNEE FOR BLM USE ONLY -- DO NOT WRITE BELOW THIS LINE UNITED S-~ATES 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, /q~ Assignment approved tbr above described lands; Assignment approved effective /S/Carmen E. kov t (Aufltorized Officer) [] Assignment approved for attached land description zoot ~EB 0 1 [] Assignment approved for land description indicated on reverse of this form, LAND L^W EXAM ER JUL 3 0 ZOOZ, (Title) (Date) Part A (Continued)::: ADDITIONAL SPACE £or Names ami addresses of add{tional assignees in Item No. 1, if needed, or for Land :Description in Item No 2, it'necdcd~ STATE OF OKLAHOMA ) ) COUNTY OF KLAHOMA ) SS. [Wyoming Form] The foregoing i I~strument was acknowledged before me by D,J. Stone, Attorney-in-Fact of .Marathon Oil Company, this 31st day of December, 200.1. Wimess my hand and official seal. Phyllis A. Pace My Commission Expires: .... :-".~' ' ......... February 28, 2004 ~ [StAt) j N.~a:ipubtiCinancifo M',, r:,m?' '. :~ c:>'~?ir',s Feb 26 2004 pART B: CERTIFICATION AND REQUEST:FOR APPROVAL I. ~e As~ gner ce~ifies as o~er of an interest in thc above designated lease lhat he/she hereby ~signs to th~ above assigncc(s) the righm specified above. 2. Assignee ce~ifics as follows: (~) Assignee is a citizen of the United States; an ass~iation of such citizens; a municipality; or a co. ration organized under thc laws of the United States or of any Smtc or lemlo~ thereof. For thc assignment or NPR-A leases, assi~cc i* a citizen, national, or resident alien of the United States or association of such citizens, nationals, resident at ens or private, public or municipal co~mfions; (b) Assignee is not considered a minor under the laws of thc State in ~hich the lands covered by this assign~nt are kraaled; (c) A,si~ee'~ chargeable interest, direct and indirect, in each public domin and aequ red lands separately m the sa~ State, donor exceed 246,080 acres in oil and gas leases {of which up to 2~,~ acres ~y ~ in oil and ga~ Options) er 3~,~ acrcs in leases in each leasing District in Alaska of which up to 2~,~ ac~s ~y bc in options, if th s 'ts an oil and gas Ieee issued in accordance with the Mineral Leasing Acl of 1920, or 51,2~ acres in any one State if this is a geothcml lease; (d) All panics holding an interest in the assign~nt are othe~,ise in compliance with thc regulations (43 CFR Group 31~ or 32t~) and the authorizing Ac~; (e) Assignee is in compliance with recla~fion require~nm for all Federal oil and gas Ieee holdings as required by see. 17(g) of the Mineral Leasing Acl; and (0 Assi~ce is n~i in violation of sec, 41 of/he Mineral Leasing Act. 3. Assignce's signature lo thi~ ~si~nl constitutes acceptance of all applicable ~e~, conditions, stipulations and resections pemining to the lease described herein. For geotheml assign~n~, an oveMding royalty ~y not be less than one-tBudh ('A) of one ~reent of the value of ou~ut, nor greater Iran 50 ~rccnt of the ~tc of royalty due to the United Stale~ when lhis assign~mnt is added to att previously created ove~iding royalties (43 CFR 324 I certify that the statements made herein by me are true, complete, and co.ecl to the best of my knowledge and belief ~d ~e made in go~ faith. * Effective be~veen thc Pmies August 1, 2000 Name of Assignor ~ sho~m on cu~ent Ieee MA~THON OIL COMPANY Ple~e type or print Ass gnor or Attorney-in-fact ~;-,:~ , ~: (Signature) o.J. STONE 7301 N. W. Expressway [Assign6r'S Address) Oklahoma C t}/ Oklahoma 73132 Executed this' a ~ day of TO._ Iq ~O*1r V STONE ENERGY, L,L.C. Assignee or (Signature) / * Mi[had E. Cuba Denver District Land Manager (City) (State} (Zip Code) Public reporting burden for this form iS estimated to average 30 minutes per response including the time for reviewing instructions, gathering and maintaining data, complet ng 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, (10044)034}, Bureau Clearance Officer (WO-6301, Mail Stop 401 LS, 1849 C Street, N.W., Washington, D.C. 20240~ Title 18 1J.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 wiihin its jurisdiction. 'US. GPO: 1999-774-.004/41005 STATE OF COLORADO ) ) SS. COUNTY OF iDENVER ) The lbrego:i ng instrument 'was acknowledged before me th is 22''d day of January, 2002 by Michael E. Cuba, as Denver District. Land Manager for Stone iEnergy, L.L.C. Witness my hand and official seal. My Cpj'nlni s,si on.E:x pitts: N°t~i'ic '>78