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HomeMy WebLinkAbout20133055.tiffNADOA Model Form Division Order (Adopted 9/95) DIVISION ORDER ina noble energy Return To: Property Name : Operator : County / Parish and State : Property Description : Product : NOBLE ENERGY, INC 1625 BROADWAY STE 2200 DENVER CO 80202 US WAULERTAC23-fv9-1HN NI NOBLE ENERGY, INC WELD, CO Desk Code : DAD Date : OCT 17 2013 Effective Date: AUG 2013 An o6-03-3,154 RECEIVED Refer to next page for property description attachment ALL OCT 18 2013 WELD COUNTY COMMISSIONER OWNER NAME PROPERTY # OWNER # INTEREST WELD COUNTY CO % BOARD OF COUNTY COMMISSIONER 1150 0 ST P O BOX 758 GREELEY CO 80632 US 435839622 124102-8 0.09983257 RI The undersigned certifies the ownership of their decimal interest in production or proceeds as described above payable by Noble Energy, Inc. (Noble). Noble shall be notified, in writing of any change in ownership decimal interest, or payment address. All such changes shall be effective the first day of the month following receipt of such notice. Noble is authorized to withhold payment pending resolution of a title dispute or adverse claim asserted regarding the interest in production claimed herein by the undersigned. The undersigned agrees to indemnify and reimburse Noble any amount attributable to an interest to which the undersigned is not entitled. Noble may accrue proceeds until the total amount equals $25.00, or clear ALL payable proceeds in January of each year, whichever occurs first, or as required by applicable state statute. This Division Order does not amend any lease or operating agreement between the undersigned and the lessee or operator or any other contracts for the purchase of oil or gas. In addition to the terms and conditions of this Division Order, the undersigned and Noble may have certain statutory rights under the laws of the state in which the property is located. Special Clauses: Owner(s) Signature(s): William F. Garcia, Chair Owner(s) Tax I.D. Number(s): g4-6000-813 TIN(s) or SSN(s) Owner Daytime Telephone/Fax It: 970-336-7204 Address Correction : NT 213 2013 Attest: '1� A Clerk to the Board Deputy Clerto the Board Federal Law requires you to furnish your Social Security or Taxpayer Identification Number. Failure to comply will result in tax withholding in accordance with federal law, which will not be refundable by Payor. tolettC) EC:Polk 070/3 - 3os5 NOBLE ENERGY. INC. Property Description Attachment Property Name Operator County / Parish and State Property Description : WAHLERTAC23-69-1HN NI : NOBLE ENERGY, INC : WELD, CO T7N R63W SEC 14: S2/S2, SEC 23: N2/N2 CONTAINING 322.52 ACRES MORE OR LESS, WELD COUNTY, CO 00 U) 0 nformation § 0 et MIT O GIS E. Doc Y Wellbore a Orders Status: XX Cd Related Q.. Insp. Q. Insp. Scout Card Surface Location Data for API # 05-123-37159 Wahlert #AC23-69-1 HN Well Name/No: NOBLE ENERGY INC - 100322 oo \ sof \ N - co \a) )\\ U --J ( Cl) } } 35( 4 318 FNL 280 FEL O ] CO 2 C Cr) X \ 3 Wellbore Data for Sidetrack #00 HORIZONTAL 4/17/2015 4:29:43 PM cri O )f co / t /R / co H § ± ,.. = t z L o f \/ a go 2 ai af { CI / § < { 6 { \ $ C .. 4 3 a J0..))\#) 0 mae w!e a,L R9\\-86ON Lo- co��\\\)/)�)\) })){\f\{�\®/S 2fa5do a\5\\) )G/}a2RE/ °°ze )0mLLo-=t U00D u)a0_ o=«ereN-6 0a a a/k» ZHH H /H )\ij )\)ii \)/) z o k E ; 6§) Oad-- <Da 000 ;2]* -2=w$2§ m§=t >02HHm \) E r \ E �k o « + ° q .. » .. .. .. -aHc- a) g§§§:[}§f §f k7@ >o_a232oo000G/3 COCD CD )/ N LO co LL CO\)/ §in )\\ )/)) ] ) E k )12 o. �a o o -J2 \ / as Formation http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12337159&type=WELL COUNTY ATTORNEY STAFF APPROVAL This is to affirm the attached Division Order and authorization to receive payment for an oil and gas well has been reviewed by the County Attorney's staff as to form and legal description. Well Name(s): WAHLERTAC23-69-1HN NI WAHLERT AC23-69-HN NI BY: Stephanie Arries Assistant County Attorney File Location(s): LE0168-3 DATE: LE0168-4 LE0168-7 acres �aa-sa spec .ao 0.000%3 Noble Energy, Inc. Weld County Mineral Interest Plat Wahlert AC23-69HN & Wahlert AC23-69-1HN 5WSW 4.000 at SPJSE 40.000 at SEE 40.000 at SOW 40 000 at NWNW 40.000 ac NEM =HE 40.000 at *1000 ac Wahlert AC23-69H • Wahlert AC23-69-IHN NENE 40.000 ac Sno'W 40.000 ac SENW 40.000 at WINE 44.0000 ac 5ENE 40.040 ac Legend ❑ Well Spacing Unit T7N-R63W-Sec. 23: N/2N/2, Sec. 14: 5/25/2 ❑ Weld Co. Leasehold Interest (Within Spacing Unit) Wahlert AC23-69HN and AC23-69-1HN Spud Date: 69HN — 8/3/13; 69-1HN — 8/1/13 Hello