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Home My WebLink About20133146.tiffNADOA Model Form Division Order (Adopted 9/451 fl 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 WAHLERT AC23-69HN NI NOBLE ENERGY, INC WELD, CO DIVISION ORDER Desk Code : DAD Date : OCT 17 2013 Effective Date: AUG 2013 /9/0.2-tt' -/' S -32/5-4 Refer to next page for property description attachment ALL OWNER NAME PROPERTY # OWNER # INTEREST WELD COUNTY CO % BOARD OF COUNTY COMMISSIONER 1150O ST P O BOX 758 GREELEY CO 80632 US 435839621 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): Owner(s) Tax I.D. Number(s): TIN(s) or SSN(s) Owner Daytime Telephone/Fax #: Address Correction : William F. Garcia, Chair 84-6000-8131OJaReOn.OQp5oF Attest: Clerk . the Bo B : Deputy Clerk to the Board �(uT28 0l3 Federal Law requires you to furnish your Social Security or Taxpayer Identification Number. Failure to comply will result in tax withholding in federal law, which will not be refundable by Payor. Cen4x7x.t rec--) e,C,: t true) -N Noble LEova-3 a- o/5'- 7 aoi -3i4c NOBLE ENERGY. INC. Property Description Attachment Property Name Operator County / Parish and State Prone Descri t : WAHLERT AC23-69HN 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 oo co 0 COGIS - WELL I COGIS - WELL Information la Doc it Wellbore al Related Q. Insp. Q Insp. Scout Card Surface Location Data for API # 05-123-37156 ame for production) % -J to ? ® In co 0 \ 7\ \ ( Ow § m 3O c » a.2c§ s= )})gip - 3} / t >+ut \z) 7k / CD / / ( ) < \ \ \ $ _ » 0 k \)..\)\4 o thCU®0e/ - cOow 2 ®kC)(/</2aeN.C ±z§�o cc%=momma.., -_ §q�EE)±-)4\\})\ IX != (0 0 a) _c �}\�\#=�0 Dzm0 )L%ff} \Dt oo (( �=aua_.uB »s ' o �ae6e3 E/ 0 G »E\3aaaa.: §®Q§22m �k»k^k^k/ MN1*�0kO ZF\h\H/�- ©5(m�e mu )_�_Y_�_Y )\\///\ \± G\)\)\)\/ c) (0 Wahlert #AC23-69HN Well Name/No: CO a\ 5 \R § ®� co # )1—O (| §3.. )t02 i\ ) �)5K$V735 =Ea. ruEoEEf§ \$)jn->w oo32»JCU 0GJG.21 o0o a C) §) ac )/ 0 /] o� 0 o. cre §)•521 W00p00 Era '0Vf 0'17;2 = 13-« k 0 it z http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12337156&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 File Location(s): LE0168-3 WAHLERT AC23-69-HN NI LE0168-4 BY: DATE: Stephanie Arries Assistant County Attorney LE0168-7 /69 -7? -/ eu rc5 3aa.6> spdt:( Noble Energy, Inc. Weld County Mineral Interest Plat Wahlert AC23-69HN & Wahlert AC23-69-1HN 14 40 GOO ac SESW :0 000 ac 00000 43 040 ac E00 40 000 ac 11th N'.N 40 000 ac MEOW 4a 000 a0 tIMIE 441000 ac Wahlert AC23-69HN• • Wahlert AC23-69-1HN NE0E 41000 ac scow 40000 ac SEMMJI 40 000 ac SWIIE 40000 ac :ENE 40000 ac Legend ❑ Well Spacing Unit T7N-R63W-Sec. 23: N/2N/2, Sec. 14: S/25/2 ❑ Weld Co. Leasehold Interest (Within Spacing Unit) Wahlert AC23-69HN and AC23-69-1HN z — zW CILLI o z O Z Z F_ O D— ozO o N N M co rn Z c G Tic 3 Z g c O d' D O Ou_ � N co a 0 ts N V 2 C 3 Z O o re A C F O z o O O (U 1O O in N 2.49720940% 2.49348880% 2.49100840% a N O U N @ as d U F U O aQ o 0 in N- r LOU 12.486047% 12.467444% 12.455042% 0 y (p 7,O TO J z 0 O O O o N 0 O O O 0 N 0 O O O O 0 N 0 O O O O 0 N d N N a) J O O O o r 0 O O O O r 0 O O O O r 0 O O O O r Q FE X W >- >- >- } G) dZ J Z M L U f0 H (U co 7 co LANDOWNER ROYALTY ("LOR") Mineral Interest ("MI") x Lease Royalty x Tract Weld County, Colorado Weld County, Colorado Weld County, Colorado Spud Date: 69HN — 8/3/13; 69-1HN — 8/1/13 Hello