HomeMy WebLinkAbout888236 ~'ITED STATES
DEPAR~ ,tENT OF THE iNTERIOR
BUREAU OF LAND blANAGEblENT
ASSIGNMENT OF RECORD TITLE INTEREST IN A
~,~LEASE,, FOR OIL AND GAS OR GEOTHERMAL RESOURCES
Mineral iLeasing 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)
of the Interior Appropriations Act, Fiscal Year 1981 (42 U.S.C. 6508)
Type or print piatnly in ink and sign in ink.
FORM APPROVED
OMB NO. 1004-00:34
Expires: December 31, 2001
Lease Serial No.
W~t'W-147498
Lease Effective Date
(Anniversary Date)
February I, 1999
New Serial No.
PART A: ASSIGNMENT
1. Assilgn,¢'~ STONE EN:ERGY, L L.C.
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.
Tl~s record title assignment is for: ('Check one) [] Oi:] and Gas Lease, or [] Geothermal Lease
interest conveyed;. (Check one or both, as appropriate) [~ Record Title, [] Overriding Royalty, payment out of prOduction or other similar
: . interests or payments
Tiffs assignment conveys the followin~ interest:
....... Land Description : ....... Percent oflnterest Percent of
Additi0nal Spa~e: on reverse, if fieeded. DO not SUbmif'docu~ent~ ~i'~greements 6~her than O~ed Conveyed Retained Ove~idtng Royalty
ibis fo~; suc:h dbeumen~ or ag~ements shall only ~ refe~nced:hetein, or Similar Interests
Relerved Previously
resen, ed
or conv~ed
a b c d e f
TOwnship 24 No~h, Ra~¢ 112 West; 6~h P.M, 1~,~% ~,~% ~.~% N~e N~e
I
Section 1:WI/2 SWI/4
Section t I: WI/2NEI/4 El.~ NWt/4
Coats n ng 280.~ a~r~ mom or I~S.
Linc01n County, Wyoming
Subject i0the te~s and conditions of thai ce~in F~out Agreement date
August 1,2~ by and ~tw~n Ma~thon Oil Company and B~x~)~it~ ~c., as
..........
FOR BLM USE ONLY -- DO NOT WRITE BELOW THIS LINE
UNITED STATES OF AMERICA
This assignment is :approved solely for adminiserative purposes. Approval doe~ not warrant that either party.' to this assignment hold~ legal or
equitable title to this lease.
[~ Assignment approved for a~ve described lands; ~ Assi~ent approved for at~ch~ I~d d~cfiption
Assign:merit approved effective FER ~ 1 1002 ~ Assignment approved for l~d description indicated on reverse
as~:,:. :: .:~ND LAW E~MtNE~
(Authorized Officer) (Title) (Date)
PanA{Continued)
)NAL SPACE lbr Names and addresses of additio~ : :es in Item N61 i if needed, or for Land Descriptio o, 2, if needed.
STATE OF OKLAHOMA ) '
) SS, [Wyoming Form]
COUNTY OF OKLAHOMA )
The foregoing instrument ',,,,as acknowledged before me by D.J.
Stone, Attorney-in-Fact of Marathon Oil Company, this 31.'t day of
December, 2001.
Witness my hand and official seal.
Phyllis A. Pace
My Commission F
PART B:: ;CERTIFICATION'"'- AND REQUEST FOR APPROVAL
1, The Assignor certifies as owner of an interest in thc above designated lease that hc/shc hcrcb~ assi~s to thc above assigacc(5) thc dgh~s s~cificd
2. Assi~ee ~e~ifieS as follows: (a) AsSignee is a cidzen of the United S~tes; an ass~iation of such citizens; a municipality; or a co.ration organized under the laws
of the united States or ofany Sram or te~to~ thereoL For the ~si~nt: ofNPR-A le~es, assignee is a citizen, national, or resident alien of~e United States or
association of such citizens, nationals, resident aliens or private, public or municipal co.radons; (b) Assi~ee is not considered a minor under the laws ofthe State
in which the lands covered by this assign~nt are located; (c) Assi~ee's chargeable interesu, direct and indirect, in,each public do'in and acquiri~ lands separately in
the same State, do not exceed 246,080 acres in Oil and gas le~es (of which up to 2~,~ acres amy ~ in oil and gas options), or 3~,~ acres in leases in each leasing
District in Alaska 0fwhich up to 2~,~ acres ~y ~ in options, if this is an oil and gas lease issued in accordance wi~h the Mineral ~asing Act of 1920 or 51,2~
acres in anyone State if this i, a geolheml lease (d) All pa~ies holding an interest in the assign~nt are othe~ise in co~liance with the regulations (43 CFR Group
3100 or 32~) and the authorizing Acts; (e) ASsignee is in compliance with reclamation require~nu for all Federal oil and gas Ieee holdings as required by sec. 17(g)
of the Mineral Lea~ing Act; and (0 Assignee is hotin vloiafion ~f Sec. 4~ 0fthe Mineral ~asing Act.
3. Assignec'a signature to this assign~nt constitutes accep~nce of all applicable te~, conditions, stipulations and restrictions ~aining to the lease descried hereim
For geothe~l ~$ignnznts, an ovemJding royalty n~y not be Jess than one-rough (%) of one ~rcent of the value of output, nor greater than 50 percent of the rate of royal~
due to the Uniied Sm~s wh~ this ~sign~nt is added to all previously created ovemding royalties (43 CFR 3241 ).
I ce~ify thru the statements made herein by me are true, complete, aad conect to the best of my ~owledge and belief and are made in good faith.
* Effective between the Parties AUgust I, 2000
2002
Name:ocAssi~:or ~ sho~ on cument le~e MARATHON OIL COMPANY
Please ty~ or print
Executed this ,) ~ day of
STONE ENERGY, LLC.
Assignee
or
(Signature)
a; Michat~ E. Cuba
Denver District Land Manager
Assignor or
Attomey:-in-fact
r~'' /4 , (Signature)
U · D.j. STONE
730I I'4, W~ Expresswa,v
"(Assignor'~ ~ddr~ss)
Oklahoma City, Oklahotna 73132
(City) (State) ; (Zip Code)
Public reporting burden :for this form is estimated to :average 30 minhtes per response including the time for reviewing instructions, gather/ag and maintaining data, and
completing and reviewing the form. Direct conments regardlng the burdefi :estimate or any other aspect of this form to U.S. Department of the Interior, Bureau of Land
Managen~nt, (10{)44)034) Bureau Clearance Officer (WO430), Mai:! Stop 401 LS, 1849 C Street, N,W.. Washington, D,C. 20240.
· : :
Title t 8 U.&C. See. 100l makes it a crime for any person knowingly and i~iilfUily to nuake to any Department or agency of the united States any false, fictitious or fraudulent
"Statements:or representations as to any matter with in its hmsd ct on
*U.S. GPO: 1999-TT4-004/41005
STATE OF COLORADO )
) SS.
C:OUNTY OF DENVER
381
The: fOregoing instrument was acknowledged before ~ne this 22"d da3, of January,
2002 by iMichael E. Cuba, as Denver District Land Manager for Stone Energy, L.L.C.
¥ m~css my hand and official seal.
My Commission Expires:
Nolary Puglic