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HomeMy WebLinkAbout888241 UNITED STATES DEPARTMENT OF THE INTERIOR :.) :; BUREAU :OF LAND MANA G E M ENT 3NMENT OF RECORD TITLE INTEREST :iN A LE~SE FOR OIL AND GAS OR GEOTHERMAL RESOURCES Mineral Leasing Act of 1920 (30 U.S,C. i81 et seq.) Act for Acquired Lanas of 1947 (30 U.S.C. 351-359) Steam Act of 1970 (30 U S C 1001-1025) ~:;~'~g:pavtalenf 0~ the Interior Appropriations Act, Fiscal Year 1981 (42 U.S.C. 6so8) Type or print plainly In ink and sign in Ink. FORM ED OMB NO. 1004-0034 Expires: December 31,2001 Lease Serial No. WYW-147503 Lease Effective Date (Anniversaxy Date) February I, I999 New Serial No. PART A: ASSIGNMENT 1. Assignee~ - STONE ENERGY; LL.C. Street 1670 Broadway, Suite 2800 U City, State, ZIP Code enver, Colorado 802024801 *l£more than one assignee, check here[] and list the narne(s) and address(es) o£ all additional assignees on the reverse of this form or on a separate attached sheet of paper, This record title assignment is for: [Check oney [] Oil and Gas Lease. or [] Geotlmrmal Lease Interest conveyed: (CT eckoneorboth, as appropriate) [] Record Title, [] Overriding Royalty, payment out of production or other similar interests or payments 2. This assignment conveys tim following interest: Land Description Percent of Interest Percent of Additional space on reverse, ir needed. Do not submit documents or agreements other than Owned ConY:eyed 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 p 24 North, Range 112 W;~, 6th P.M. t00.00% 50.00% 50.00% None None Section 31:S1/2 SEI/4 Containing 80,00 acres Lincoln County, 'Wyoming pAGE Subject to the terms and conditions of that certain Farmout Agreement dated effective August t, 2000 by and between Marathon Oil Company and Basin Exploration, Inn,, as amended FOR BLM USE ONLY - DO NOT WRITE BELOW THIS LINE UNITED STATES OF AMERICA ~ This assignment is approved solely for administrative purposes. Approval does not warrant that either party to this assignment holds legal or equitable lille to this lease. ~Assignment approved for above described lands; Assi~nment~ approved effect ye !];: iiii:::; i'"' ],, :;;:, :;::":' :,: ,:~ '~ ,, Assignment approved for attached land description Assignment approved for land description indicated on reverse of this form. (Title) FOR a°e"r'~tr'r'(Date) Part A (Continued): ADDITIONAL SPACE for Names and addresses of additional assignees n Item No~ I receded or for Land Description in Item N0~ 2, if needed. STATE OF OKLAHOMA ) ) COUNTY OF OKLAHOMA ) SS. [WyOming iFonn] The foregoing instrument was acknowledged before me by D,J. Storm., Attorney-in-Fact of 'Marathon Oil Company, this 31'~ day of December, 2001. I ty~,~ ~-~ Witness my hand and official seal. Notarf~ubl c ~ Phyllis A. Pace My Commission Expires /'¢ ~ X% c~:,~:~a~.~ c~ ,~. February 28, 2004 ~ ~sr.~tl i ~,~ .... ,r,,~,i~. " = PART'B: GERTIFIGATION AND REOUEST FOR APPROVAL 1. ~e Ass gnor certifies as o~er oran interest in the above designated lease that he/she hereby assigns to the above assignee(s) the figh~ specified above. 2. Assignee ceE:tries as follows: (a) Assignee is a citizen of the United States; an assr;al;on of such citizens; a municipality; or a co.mt;on organized under the laws of the United States or of any State or ~emto~ tbereofi For the ~si~ment of NPR-A leases, ~si~ee is a citizen, national or resident alien of ~e United States or associati6n of ~uch citizens, nationals, resident aliens or private, public or municipal co.rations; O) Assignee is not considered a minor under the laws of the State in which the lands covered by thi~ ~si~nt are located (C) Assignee's chargeable interests, direct and indirect, in each public d0:min and acquired lands ~epamtely in the sa~ Smte~ do not exceed 246,080 acres in oil and gas leases (of whlch up to 2~,~ acres ~y ~ in oil and gas options), or 3~,~ acres in leases in each leasing District in Alaska of which up to 2~,~ acres may be in options, if this is an oil and gas lease issued in accordance wilh the Mineral Leasing Act of 1920, or 51,2~J acres in any one State iflhis i~ a geolheml lease; (d) Alt parties holding an interest in the ass;ghent are othenvise in compliance with the regulations (13 CFR Group 31~ or 3200) and the authorizing Acts; (e) Assignee is in co~liance with reclamlion require~nu for all Federal oil and g~ lease holdings as required by sec~ 17(g) of the Mineral Le~ing Acl; and (0 Assignee is not in violation of sec. 41 of the Mineral l~asing Act- 3. Assignee's signature to this assignn~nt constitutes acceptance of all applicable lem~, conditions, stipulatio~ and resections pe~aining to the lease described herein. For geothe~al assi~nmnis, an oven ding royalty may not be less than one-fourth (%) of one percent of lhe value of output, nor greater than 50 percent of the rote of royalty due to the United Slates when this assi~n~nt is added to all previously created ovemding royalties (43 CFR 3241). [ ceil;fy that the statemems made herein by me are true, complete, and cogect to the best of my knowledge ~d belief and are made in good faith. * Effeclive between the Parties August I, 2000 Executed this ':%:'fa ~":2~L.- day,,, , .' ~.- ........ ~,~_,o .--~ 2001 'Name ofAssi~or ~ shown on cugeni lease MA~THON OIL COMPANY Please type or print Assignor OF Attorney-in-fact t";' 7) I ?~ (Signature) 7301 N W. Expressway (.Asstgnors Address) Oklahoma City, Oklahoma: 73132 Execs{ed this G~ & day of To~g'l D,.O,.,Fx/ ,2002 STONE ENERGY L.L,C. Assignee or (Si~natu~re) / * Mi-c~ael 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, and completing and reviewing the form. Direct:commenu'regarding the burden est mate or any other aspect of this form to U.S. Department of the Interior, Bureau of Land Management, (I004-0034), Bureau Clearance O ['ricer (WO~630), Mail Stop 40t LS, 1849 C Street, N.W., Washington, D.C. 202,10. 'Titi~ 18 U.s.Ci Sec. 10ol makes it a crime for any person knowingly and willfully to make to any Department or agency of the Uni!ed States any false, fictitious or fraudulent statements or representat ohs as lo any matter within .i~ ju~$diction. 'US~ GPO: 1999-774-004/41005 STATE OF COLORADO ) ) SS. COUNTY OF DENV:ER ) The foregoing instrument was acknowledged before me this 22"'f day of January, 2002 bY Michael E. Cuba, as Denver District Land Manager for Stone. Energy, L.L.C. 0'9 6 Witness my hand and official sea]. My Commission Expires: