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Home My WebLink About903133 ,U,~ITED §f-/~IFE!~ ~ D .~. _ DEPARI:f~i~'~ leH~.~ ~RI'~R~. ~K BUR~U OF ~ND ~EMENT " 0'3133 ., .- ,~., 27 ~.:~ ~: ~.~.~ ASSIGNMENT OF R~G~D TITLE INTEREST IN A.- L~SE FOR OIL AND GAS(OR'GEOTHERMAL RESOURCES 0 5 6~i-" -:~. 02 9 5 Mineral Leasing 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) - Debadment of the Interior Appropriat ons Act, Fiscal Year 1981 (42 u.S.C.'~508) FORM APPROVED OMB NO. 1004-0034 Expires: September 30, 1998 Lease Serial No. WYW~161009 Lease Effective Date (Anniversary Date) September 1, 2004 New..Ser al No. Type or print plainly in ink and sign in ink. Assignee* Street City, State, ZIP Code If more than one assignee, check here ~ttached sheet of paper. 'his record title assignment is for: (Check One) [] Oil and Gas Lease, or 3terest conveyed: (Check one or both, as appropriate) [] Record Title, This assic~nment conveys the followin9 interest: PART A: ASSIGNMENT EQG Resources, Inc. P.O. Box 4362 Houston, TX 77210 [] and list the name(s) and address(es) of all additional assignees on the reverse of this form or on a separate [] Geothermal Lease [] Overriding Royalty, payment out of production or other similar interests or payments Land Des~:ription Percent of Interest Percent of ~dditional space on reverse, if needed. Do not submit documents or agreements Owned Conveyed Retained Overriding Royalty ~ther than this form; such documents or agreements shall only be referenced or Similar Interests ~erein. Reserved Previously reserved or conveyed a b c d e f 'ownship 26 North, Range 112 West, 6th P.M. 100.00% 100.00% None None None ;ection 17: Lot 1(48.83), metes and bounds bed of Green River riparian, metes and bounds to Lot 1 ;ontaining 58.16 acres, more or less .incoln County, Wyoming FOR BLM USE ONLY - DO NOT WRITE BELOW THIS LINE UNITED STATES OF AMERICA 'his assignment is approved solely for administrative purposes. Approval does not warrant that either party to this assignment holds legal r equitable title to this lease. Assignment approved for above described lands; ,ssignment approved effective (Authorized Officer) [] Assignment approved for attached land description [] Assignment approved for land description indicated on reverse of this form. (Title) (Date) ~art A (Continued): ADDITIONAL SPACE for Names and addresses of additional assignees in Item No 1, if needed, or for Land Description in Item No. 2, If ~TATE OF VVYOMING ) ) ss. ;OUNTY OF LARAMIE ) · 0296 On this 2nd day of September, A.D. 2004, before me personal y appeared 'MARC RANDAL STRAHN President )f Hanson & Strahn, Inc., to me personally known, who, being by me duly sworn, did say that he is the President of -lanson & Strahn, Inc. and that the seal affixed to said instrument is the corporate seal of said corporation and that said nstrument was signed and sealed on behalf of said corporation by authority of its Board of Directors, and said ~resident acknowledged said instrument to be the free act and deed of said corporation. Witness my hand and seal this 2nd day of September, A.D. 2004. ~ly Commission Expires: Nbt~ry Public- Address: Cheyenne, Wyoming The Assignor certifies as owner of an interest in the above designated lease that he/she hereby assigns to the above assignee(s) the dghts specified above. 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 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 laws of the State in which the lands covered by this assignment are located [c) Assignee's chargeable interest, direct or 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 District 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 a geothermal lease; (d) All parties holding an interest in the assignment are othenNise 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 (f) Assignee is not in violation of sec. 41 of the Mineral Leasing Act. Assignee's signature to this assignment constitutes acceptance of all applicable terms, conditions, stipulations and restrictions pertaining to the lease described herein. 'or geothermal assignments, an overriding royalty may not be less than one-fourth (1/4) of one percent of the value of output, nor greater than 50 percent of the ate of royalty due to the United States when this assignment is added to all previously created overriding royalties (43 CFR 3241 ). certi~ 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. :xecuted this 2nd day of September ,20 04 ,204~ ~ lame of Assignor as shown on current lease~ Hans~4 Stgahn, Inc. ,.signor .~/'~¢..J.J-(' ///~~ /~~~nt ~ or Marc Randal StralLn, President " ittorney-in-fact N° Attest Required ~ .'I ~ f:: ".~ -P,O, a(~,x'3520 ,~....~_.~:_,.... (Assignor's Address) , .; :z _Cha~/~n~e ' F-.. :-, WY 82003 /~ I ~ ~ :~"'"'~":':,%..,;.,j.,L'''' ':'''' "' ,State) (Zip Code) ubli~;'" '~f i;l~'~ forI '~'~: .'[~,-~,~J~', - ,'~rrn.is estimated to average 30 m nutes per response nc ud ng the time for rev ew ng nstructions aather na and ma nra n n data. and :)m~:,' % · '- r/:,. ',~ ..... g . ~~.~:,W ~j'thb.'~3r{p D rect comments regarding the burden estimate or any other aspect of this form to U S De artment of the Interi r B - ~{. .~ · -- . ~ - . . . . P o. ureauofLand a i'~~r~afarl,~f~.~.r (DW-110), Denver Federal Center, Budding 40, P O. Box 25047 Denver CO 80225-0047 and the Office of Mana ement and ~~J~e~ct(J~n pr(~[e.~l~,(1004-O034) Washin ton DC 20503 g - .~ ~-'~--~,~ -- - , . ~ . . itle~ ,~..~_ c~l O~J ma_k~ja cnme for any person know,ngly and w,Jlfully to make to any Department or agency of the Un ted States an false fictitious r f~.~,~f~r~' ?~r,~r~r{{ations as to any matter within its jurisdiction. Y ' ' ' , "..':~,'5'~..~;,J'~".-" :-" ,. .... Assignee or n.. L. RIJAiViS Attorney-in-Fact AGENT AND ATrc~RNEY-!N-FACT *U.S. GPO: 1992~774-017/67022