HomeMy WebLinkAbout888243 UNITED STATES
DEPARTMENT OF TIlE INTERIOR
BUREAU OF LAND MANAGEMENT
~ASSIGNMENT OF RECORD TITLE INTEREST IN A
FOR OIL AND GAS OR GEOTHERMAL RESOURC'ES
Mineral Leasing Act o f 1920 (30 U.S.C. 181 et seq )
t ,,Act for Acqu ;red Lands of 1947 (30 U.S C. 351-359)
Geothe:rmal stehm Act of 1970 (30 ILS;C. 100 i-I 025)
of the Interior ApprOpriations Act, Fiscal Year 1981 (42 U.S.C. 6508)
FORM ........ ED
OMB NO. 1(}04-0034
Expires: December 3 I, 2001
Lease Serial No.
WYW-150468
Lease Effective Date
(Anniversary Date)
June 1, 2000
New Serial No.
,Type Or print plainly in ink and sign in ink.
Assign ee'*
Street
City. State, ZIP Code
STONE ENERGY, L.L.C.
1670 Broadwa:y, Suite 2800
Denver, Colorado 80202-4801
PART A: ASSIGNMENT
'lfmorethan 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 sheel of paper~
This record title assignment is for: (Check oneJ [] Oil and Gas Lease, or [] Geothermal Lease
Interest conveyed: (Check one or both. as appropriate) [] Record Title. [] Overriding Royalty, payment out of production ~or o'iher similar
interests or payments
2. This assignment conveys the. following interest:
' ' Land Descril:;tion Percent of. Interest Percent of
Additional space on reverse, if needed. Do not S:ubm{t documents or agreements other that Owned Conveyed Retained Overriding Royalty
this form; such documents or agreeme:~B sh~l. on y be re[erenced herein or Similar Interests
Reserved Previously
reserved
· ~ : or conveyed
a b c d e f
Lt'own~hlp 24 North, Range t'12 We~t~ 6th P,--JM.: ' ' 100.00% 50.00% 50.00% None None
Section 18: Lots 2-4, NEll4 SWIM ' ;" ~:: :
Section 19:SEll4 NEI/4
Section 20:Wi/2
Conlaining 484.04 acres mote or less.
Lincoln County, Wyoming
Su ~ject to Ire terms and conditions of that certain Farmnut Agreemem dated effective
August 1,2000 by and between Marathon Oil Company and Basin l:.xptoration, Inc, as
amended
'
880°' o ....
' ':' "
FOR BLM USE ONLY -- DO NOT WRITHE BELOW THIS LINE
UNITED ~;)'q'ATES OF AMERICA
:!Thls a?~.i~,n, menf is approved solely for administrative purposes. Approval doe~ not warrant that either par~ to this as~ignmenl holds legal or
2u~title ,o this lease. '
~Assignment approved for a~ve descried lands; ~ Assignment approved for anached l~d de~riplion
*.,~.m~.,~o..~a IlS 1'2002 ..... Assignment approv~ forl~d description indicated onreverse
of this form.
FEB 13 2002
(A ufl~ohzed Officer) .......... (T~¢) ........... (Date)
FOR ASSIGNEE
STATE OF OiKLAHOMA
COUNTY OF OKLAHOMA
SS. [Wyoming Form]
T ·
· he. foregoing instrument v,
~ as acknowledged before me by D,J.
Stone, Attorney-in-Fact of Marathon Oil Company, this 31sI day of
December, 200I.
My Commission Expi:res:
February 28, 2004
Witness my hand and official seal.
Notar~l ublic- '
Phyllis A. iPace
h kSEAl,) [ p:J:ol;:l~y Pt,blic in and for
J ~;: ........... My com,,'4s?.:~ e~p~ms Feb 28 2~04 J
401
PART B.:: CERTIFICATION AND REQUEST,FOR APPROVAL ·
1. The Assignor certifies as owner of an interest in the above designated lease that he/she hereby assigns to the 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 the laws
of the United States or of any State or territory thereof. For the assignment of NPR-A leases, assignee is a citizen, national, or resident alien of ibc United States or
association ofsuch citizens, nationals, resident aliens or private, public or municipal corporations; (b) Assignee is not considered a minor under the laws of the State
in which the lands covered by this assignn'tent are located; (c) As$ignee's chargeable interests, direct and indirect, in each public domain~and acquired lands separately in
the same 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
D/strict in Alaska of which up to 200,000 acres may be in options, if this is an oil and gas lease issued in accordance with the Mineral Leasing Act of 1920, or 51,200
acres in any one State if this is ageothermal lease; (d) All parties ho}ding 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 oil 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 of all app[icable terms, conditions, stipulations and restrictions pertaining to the lease described herein.
For geothermal assignments, an overriding royalty may not be less than one-tBurth (%) of one percent of the value of output, nor greater than 50 percent of the role of royally
due to the United States when this assignment is added to all previously created overriding royalties (43 CFR3241 ).
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 I, 2000
Executed this 7) i5;-''~: day of':!.Z~.~.~,~;.-., ~.~,~?~.--,, , 2001
Name of Assignor as shown on current lease MARATHON OIL COMPANY
Please type or print
Assignor or
Attorney-in-fact
%,. ~ (Signature)
{.tf' * DJ. STONE
7301 N. W. Expressway,'
(Assignor's AddreSsi
Oklahoma Ci~', Oklahoma 73132
(City) (State) (Zip Code)
Executed this '.~ 6~ day of 5~5!, {~ LkO, lr/[ ,2002
STONE ENERGY, EEC
Assignee
or
(Signature)
! " Mi~nael E. Cuba
Denver Distr/ct 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 esnmate or any other aspect of this form to U.S: Department of the Interior, Bureau of Land
Management, (1004-O034), Bureau Clearance Officer (:WOt630), Mail Stop 401 LS, 1849 C Street, N.W., Washington, D.C. 20240.
Title 18 I.J.S.C~ Sec, 1001 makes it a crime for any person knowingly and willfully to nkake to any Depan'ment or agency of the United States any false, fictitious or fraudulent
statements or representations as to any matter w/thin its jurisdie.tfon.
*U.S, GPO: 1999-774-004141005
STATE OF COLORADO )
) SS.
COUNTY OF DENVER
4O2
The lbregoing instrument was acknowledge:d before me this 27d day of January,
2002 by Michael E. Cuba, as Denver District Land Manager for Stone Energy, L.L.C.
Witness my hand and offic:ial seal.
My Commission Expires:
Notary Pubffc