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HomeMy WebLinkAbout20132389.tiffNADOA Model Form Division Order (Adooted 9/95) DIVISION ORDER energy Return To: Property Name : Operator : County / Parish and State Property Description : Product : NOBLE ENERGY, INC 1625 BROADWAY STE 2200 DENVER OO80202 US BETHYL GW29-13 LY NOBLE ENERGY, INC WELD, CO Desk Code : JCN 130001 Date : AUG 15 2013 Effective Date: JAN 2013 w'- (5s-ia3- 3sg(8 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 435831276 124102 - 8 0.20000000 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) William F. Garcia, Chair 84-6000-813 Attest: Owner Daytime Telephone/Fax #: 970-336-7204 Address Correction : Federal Law requires you to furnish your Social Security or Taxpayer Identification Number. Failure to comply will result in tax withholdirfg in accordance with federal law, which will not be refundable by Payor. 2013-2389 CtmGAA 0.9tiv,ta, cAaiV3 NOBLE ENERGY, INC. Property Description Attachment Property Name Operator County / Parish and State prooerty Description : BETHYL GW29-13 LY : NOBLE ENERGY, INC : WELD, CO T8N R63W SEC 29: SWSW, CONTAINING 40.13 ACRES MORE OR LESS, WELD COUNTY, COLORADO COGIS - WELL Information Page 1 of 1 COGIS - WELL Information Scout Card Ids Related Q, Insp. Q. MIT 0 GIS a Doc ']f Wellbore Surface Location Data for API # 05-123-35868 Well Name/No: Bethvl #GW29-13 (click well name for production) Operator: NOBLE ENERGY INC - 100322 Status Date: 3/15/2013 Federal or State Lease #: County: WELD #123 Location: Field: WILDCAT - #99999 Elevation: Planned Location 875 FSL 233 FWL Wellbore Data for Sidetrack #00 PR 3/15/2013 Spud Date: 12/17/2012 Wellbore Permit Permit #: Prop Depth/Form: 9095 Mineral Owner: FEE Unit: Unit Number Formation and Spacing: Code: LYNS , Formation: LYONS , Order , Unit Acreage: 40, Drill Unit: SWSW Casing: String Type: SURF , Hole Size: 13.75, Size: 9.625, Top: 0, Depth: 800, Weight: 36 Cement: Sacks: 275, Top: 0, Bottom: 800, Method Grade: Casing: String Type: 1ST , Hole Size: 8.75, Size: 7, Top: 0, Depth: 9095, Weight: 26 Cement: Sacks: 600, Top: , Bottom: 9095, Method Grade: Wellbore Completed Completion Date: N/A Measured TD: Measured PB depth: True Vertical TD: True Vertical PB depth: Top PZ Location: Sec: 29 Twp: 8N 63W Footage: 660 FFSLL 660 FFWLL Depth Bottom Hole Location: Sec: 29 Twp: 8N 63W Footages: 660 FFSLL 660 FFWLL Depth Formation Log Top Log Bottom Completed information for formation N-COM 1st Production Date: Status Date: Commingled: Formation Name: Tubing Size: Tubing Packer Depth: Open Hole Top: No Initial Test Data was found for formation N-COM . No Perforation Data was found for formation N-COM . Lat/Long: 40.6268/-104.46753 Spud Date is: DIRECTIONAL Expiration Date: Surface Mineral Owner Same: Surface Owner sgak Order Status: F SWSW 29 8N 63W 6 PM 4,938 ft. Lat/Long Source: Field Meal Status: ACTUAL 7/25/2014 5:22:01 PM N FEE Cored N/A Choke Size: n 4/1/2013 Open Hole Completion: t ''^^ -- 1I77d t I�,J Production Method: V G'iUU>11-1 �� NOT COMPLETED Status: Wen l v1 u'� Tubing Setting Depth: G ( Tubing Multi* Packer: ( «F ✓1G 1 J Gl (3'11 Open Hole Bottom: http://cogcc. state.co.us/cogis/FacilityDetail.asp?facid=12335868&type=WELL 8/15/2013 Hello