HomeMy WebLinkAbout888237 IJNI TED STATES.
DEPARTMENT OF THE hNTERIOR
BUREAU OF LAN D MANAGEMENT
ASSIGNMENT OF RECORD TITLE INTEREST IN A
FOR OIL AND GAS OR GEOTHERMAL RESOURCES
Mineral Lea:sing 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 A~t,: FiScal Year i 981 (42 U.S.C. 6508)
FORM. .... 2D
OMB NO. 1004-0034
Expires: December 31,200I
Lease :Serial No.
vv~qx'.147499
:Lease E ffectl v e Date '
(Anniversary Date)
February 1~ 1999
New Serial No.
,. : .:.: · Type or print plainly in ink and sign in ink.
PART A: ASSIGNMENT
STONE ENERGY, 1.,LC.
1670 B:roadway, Suite 2800
Denver, Colorado 80202-4801
· lfmore than one assignee, check here F'] 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 papeL
This record title assignment is for: (Check one) ~ Oil and Gas Lease, or [] Geothermal Lease
Interest:conveyed: (Check oneor both, as appropriate) [] Record Title, [-'] Overriding Royahy, payment out of production or other similar
. ::.:: interests or payments
I. A~signee*
Street
City, State, ZIP Code
2 This assignment conveys: ;:he following in:teresk
......... "' . Land 12Jeschpt:i0n "' Percent oflnterest' Percent or ' '
Additional space on r~'~:~:se.'"i'f %~ded Do not subm~i~"~ehme;ts 0~ 'agreements other that Owt~ed Conveyed Retained Ove~iding Royal,
this :form; such dohuments o~ agr~men~s Sh~ii ontY be referenced hereim or Simil~ InteresB
' Rese~ Previously
rese~'cd
or conveyed
a b c d e f
To~shiP 24 'N0~h, Range: 1
Section 18: Lot I
Lincoln County, W~oming BO( ~K PR PAGE
Subject to Ihe temps and conditlons 6:~ ~:t: C~in Fa~out Agreement ~led effective :
August I, 2~ by and between Marathon Oil Company and Basin Expto~tion, Inc., as
888237
:i: FOR BLM USE ONLY -- DO NOT WRITE BELOW THIS LINE
:: i: UNITED STATES OF AMERICA
~ll-iS assignment is approved solely for administrative purposes. Approval does not warrant that either party to this a~ignment holds legal or
equilable title 10 this lease.
~ :Assignment approved for above described lands;
Assignment approved cffec:tive ~' ~:2: L :il ]]
(:Authorized Officer)
Assignment approved for attached land description
Assignment approved for land description indicated on reverse
of this form.
(Title) FOR a~i~i:4ec:
Pa:fl tX ¢CondnUed) AD.Di~!QNAk St'A~E for in !!~r~ ~0:: ! ~ ffi~e:¢l~d(0r.f0[ ~d DescriptiOn in lt~i~!~°. 2, if needed.
STATE OF OKI_,AHOMA )
)
COUNTY OF OKLAHOMA )
SS. [Wyoming 'Form]
3:8 3
The foregoing instru:rnent: was ack:nowledged before me by D.J.
Stone, Attorney-in-Fact of Marathon Oil Company, this 31st day Of
December, 2001.
My Commission Expires:
February 28, 2004
Witness my ha:nd and officinl seal.
:Not a,,'J Public
Phylhs A. [)acc
{ "*,.~:./t~t',5" .,,., c
REQUEST
FOR
APPROVAL,
1. The Asslgnor certifies as owner of an interest in the above designated tease [hat he/she hereby assigns to the above assignee(s) the rights specified above.
2, Assignee certifies as follows: (a) Assignee is a citizen of the United States; an assoclalion of such citizens; a municipality; or a corporal on organized under the laws
of the United States or of any State or temto~, 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 corporations; (b) Assignee is not: considered a minor under the taws Of the State
in which the rands covered by this assignment are located; (c)Asstgnee's chargeab e interests, direct and indirect, in each~pubiic domain and acquired rands separately in
the same State, do not exceed 246,080 acres in oll and gas leases (of which up Io 200,000 acres may be in oil and gas options), or 300,000 acres in leases in each teasing
District in Alaska of which up to 200,000 acres may be in options, if this is an oil and gas tease issued in accordance with the Mineral Leasing Act of 1920, or 51,200
acres in any one State if this is a geothermal tease; (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 oll and gas lease holdings as required by sec. 17(g)
of the Mineral Leasing Act; and {0 Assignee is not in violation of sec. 41 of the Mineral Leasing Act.
3. Assignee's signature to this assignment constitutes acceptance ofall applicable terms, conditions, stipulations and restrictions pertaining to the tease described 'herein.
For geothem~l assignments, an overriding roya![y may nOt be less. than one-fourth (%) of one percent of the value oroutput, nor greater than 50 percent of the rate of royalty
due tO the United States when this assignment is added tO alt previously created overriding royalties (43 CFR 3241 ).
I certify tliat the statements made herein by n~e are: t~e:, complete, and correct to the best of my knowledge and belief and are made in good faith.
* Effective between the Parties August I, 2000
Executed this ~ :~-¢'i ~2~; day of ~'~ : ~
: ' ~L~:!i;;,,,::::c,.~.,~)[?~---,r :; 2001 , 2002
Name of Assignor as shown on: current lease MARATHON 0lC COMPANY PIease .type or print
U' .
7301 N. W. Express~sa:¥ ,
{Ass~g~ or s Address)
Oklaho~ C~tB 0k:lahoma:7313:2'
(City) (Stm:e)::< (Zip Code):
Executed this 22 day of.
STONE ENERGY, gL.C,
Assignee
or
(Signature)
* M ichor{ E. Cuba
Denver District Land Manager
Assignor
or.
AttorneY-in-fact
Public reporting burden for this form i~ csti~ted t:0:?,~[age: JO minute$ per rc~p0nse including the time for reviewing instructions? gathering and maintaining data, and
completing and reviewing the form. Direct conlments t'~gardi'ng th~ burden estimate or any other aspect of this form to U.S. Department of the Interior, Bureau of Land
Managemeht¢ (1004-0034) Bureau Clearance Officer (WO-630) Ma 1 Stop 401 LS, 1849 C Street, N.W., Washington, D.C. 20240~
Title 18 tL§,¢. See, 1001 makes it a crime for any :person kno~ngly and willful y to make to any Department or agency of the United States any lalse, fictitious or fraudulent
:l: statements or represe:ntafions as :to any matter within;its jurisdictions::
'U,S, GPO: 1999-774-004/4!005
STATE OF COLORADO )
; ss.
COUNTY OF DENVER ) , ~*.. ,.
The foregoing instrument was acknowledged before me this 22''d day of January,
2002 by Michael E. Cuba, as Denver District Land Manager for Slone Energy, L.L.C.
Witness my hand and official seal.
My Commission iE:xpires:
i:;::~,i~:~ !;~:!'~:::~: ::::2: 7~{:,??;
Notary Pul~tic