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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
Clerk to the Board
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20123177.tiff
0032727541 ANADARKO PETROLEUM CORPORATION PO BOX 1330 RECEIVED Owner Number: 374715 Check Date: 10/25/12 HOUSTON,TX 77251-1330 Check Number: 0032727541 OCT 3 0 2012 Check Amount: $125.10 1 - s'65 / rpee,f/�'t #_ Acting on behalf of itself and/or its affiliates. WELD COUNTY ADJUSTMENT CODE PRODUCT CODE COMMISSIONERS C0 CDEHYDRATION 300,40F_. CONDENSATE • G.. GATHERING 200-206_. GAS F FUEL 400 LIQUID PRODUCTS • IIIIIIIIIIIIII1111IIIIIIIIIIIIIII•IIIIIIII111IIIIII•IIII•III.I M...SERVICE FEE 400 . SULPHUR P. PROCESSING 209.. HELIUM , R TREATING 40C_. PLANT CONDENSATE 02109 CKA 001 001 29812 - 0032127541 NNNNNNNNNNNN S.. SEVERANCE TAX• 409... GASOLINE WELD COUNTY COLORADO T . TRANSPORTATION - V._ AD VALOREM TAX INTEREST TYPE C/O BOARD OF COUNTY COMMIS I. STATE WITHHOLDING WI... WORKING INTEREST X.. OTHER DEDUCTS PP...PRODUCTION PAYMENT 91510TH STREET Z. SETTLEMENT OR OVERRIDING ROYALTY GREELEY CO 80631 GAIN/LOSS RI.. ROYALTY INTEREST CR._SURFACE OWNER •MAY INCLUDE OTHER MI MINERAL INTEREST UNLEASED TAXES RU_ NON PARTICIPATING ROYALTY BL_. BLANCHARD '.. FOR APC'S SSN POLICY CALL 800-359-1692 OR EMAIL OWNER.RELATIONS@ANADARKO.COM ' ACCESS YOUR CHECKSTUB ONLINE RETAIN THIS STATEMENT ANY QUESTIONS PLEASE CALL WITH OUR SECURE WEBSITE AT FOR TAX PURPOSES OUR OWNER RELATIONS HOTLINE AT htlp://www.oildex.corn DUPLICATES CANNOT BE FURNISHED 800-359-1692 PROD PROPERTY PROPERTY PROPERTY OWNER • OWNER OWNER ADJ OWNER DATE 'PROD INT PROPERTY E CODE TYPE QUANTITY PRICE BTU GROSS ADJUSTMENTS! NET DECIMAL GROSS ADJUSTMENTS CODE NET VALUE TAXES VALUE INTEREST VALUE (TAXES VALUE 07/12 100 CR 1.64 80.500 132.02 0.00 132.02 0.00004113 0.01 0.00 S 0.01 • 07/12 100 CR 2.68 80.612 216.04 0.00 216.04 0.00004113 0.01 0.00 S 0.01 , 07/12 100 CR 3.48 80.606 280.51 0.00 280.51 0.02730607 7.66 (0.50) S 7.16 07/12 200 CR 4650 5.082 236.29 0.00 236.29 0.02730607 645 (0.49) S 5.96 -R••E-TY: 1151113411112 U •- 42 AAE3 C•UNTY: WEU STATE: C• • • 07/12 200 CR 46.50 5082 236.29 0.00 236.29 0.00274960 0.65 (0.05) S 0.60 -• E•TY: 1151113711112 U•RR42 •' AES C•UNTV: WEL• STATE: C• 07/12 100 CR 3.78 80.661 304.90 0.00 304.90 0.02730607 8.33 (0.55) S 7.78 07/12 200 CR 50.55 5081 256.86 0.00 256.86 0.02730607 7.01 (0.53) S 6.48 R• ERTY: 1151113:'112 UPR- •2 -AAE6 C•UNTY: WEU STATE: C• 07/12 100 CR 1408 80.556 1,134.23 0.00 1,134.23 0.00274960 3.12 (0.20) S 2.92 07/12 200 CR 60.75 5082 308.70 0.00 308.70 0.00274960 0.85 (0.06) S 0.79 •-••E'TV: 1151117711112 U -- 42 AAJ2 C•UNTY: WEL• STATE: C• 07/12 100 CR 098 80.857 79.24 0.00 79.24 0.00758600 0.60 (0.04) S 0.56 07/12 200 CR 10.05 4.434 44.56 0.00 44.56 0.00758600 0.3" •• a" PROPERTY: 0050107900002 UPRR 42 PA AJ 4 COUNTY: WELD STATE: 2012-3177 02109 CKA 001 001 29812 - 0032'27541 NNNNNNNNNNNN 0032727541 ANADARKO PETROLEUM CORPORATION Page: 2 Owner Number: 374715 Check Date: 10/25/12 Check Number: 0032727541 Check Amount: $125.10 WELD COUNTY COLORADO - CIO BOARD OF COUNTY COMMIS PROD PROD INT PROPERTY T PROPERTY PROPERTY PROPERTY OWNER OWNER OWNER ADJ OWNER DATE CODE TYPE QUANTITY PRICE BTU GROSS ADJUSTMENTS: NET DECIMAL GROSS ADJUSTMENTS CODE NET VALUE TAXES _ VALUE INTEREST VALUE /TAXES VALUE 07/12 100 CR 0.56 80.839 45.27 0.00 45.27 0.00704233 0.32 (0.02) S 0.30 07/12 200 CR 14.10 4.434 62.52 0.00 62.52 0.00704233 0.44 (0.03) S 0.41 •'r E'TY. 1151'131311112 U'R' 42 'AAV 1 C•UNTY: WEL• STATE: C• 107/12 100 CR 0.71 80.014 56.81 0.00 56.81 0.00758600 0.43 (0.03) S 0.40 ' 07/12 200 CR 1.05 4.238 4.45 0.00 4.45 0.00758600 0.03 0.00 S 0.03 07/12 100 CR 12.59 83.321 1,049.01 0.00 992.10 0.00964480 10.12 (059) S 8.98 (56.91) (0.55) X 07/12 200 CR 196.49 4.410 866.45 0.00 654.52 0.00964480 8.36 (0.39) S 5.93 (154.83) (1.49) T (57.10) (055) X 07/12 200 CR 110.22 4.362 480.79 0.00 363.21 0.00985173 4.74 (0.22) S 3.36 (85.90) (0.85) T (31.68) (0.31) X •-••E'TY: •15.3:27111.2 U•'C -4JN=-C• C•UNTY: WEL• STATE: C• 07/12 200 CR 148.28 4.335 642.81 0.00 485.58 0.00935820 6.02 (0.28) S 4.27 (114.87) (1.07) T (42.36) (0.40) X 07/12 300 CR 359 83.440 299.55 0.00 283.30 0.00935820 2.80 (0.16) S 2.49 (16.25) (0.15) X 06/12 100 CR 3.15 75.175 236.80 0.00 236.80 0.00126720 0.30 (0.02) S 0.28 07/12 100 CR 4.06 80581 327.16 0.00 327.16 0.00126720 0.41 (0.03) S 0.38 06/12 200 CR 555 4.987 1.000 27.68 000 27.68 000126720 0.04 0.00 S 0.04 07/12 200 CR 5/0 5.700 1.000 32.49 0.00 3249 0.00126720 0.04 0.00 S 0.04 -R• E"TY'. 115172:21 u12 U•'• 43 'A 13 C•UNTY'. WEL• STATE'. C• 07/12 200 CR 570 5.700 32.49 000 32.49 0.00126720 0.04 0.00 S 0.04 -R••E'TV: •154:51411112 U•'C -14J5 N=-C• C•UNTY: WEL• STATE: C• 07/12 200 CR 103.10 4410 454.62 0.00 343.42 0.00964480 4.38 (0.20) S 3.11 (81.24) (0.78) T (29.96) (0.29) X 07/12 300 CR 7.25 83.368 604.42 0.00 571.63 0.00964480 5.83 (0.34) S 5.17 (32.79) (0.32) X 07/12 200 CR 4.09 4.413 18.05 0.00 13.64 0.00900233 0.16 (0.01) S 0.11 (3.22) (0.03) T (1.19) (0.01) X 07/12 300 CR 0.25 82.880 20.72 0.00 19.60 0.00900233 0.19 (0.01) S 0.17 (1.12) (0.01) X --o- - 1,54:5471,1.2 U 'C -14J55USX G UNTY: WEL• STATE: C• 07/12 100 CR 7.25 83.368 604.42 0.00 571.63 0.00964480 5.83 (0.34) S 5.17 (32.79) (0.32) X 07/12 200 CR 103.10 4.410 454.62 0.00 343.42 0.00964480 4.38 (0.20) S 3.11 (8124) (0.78) T (29.96) (0.29) X 07/12 100 CR 1247 83.351 1,039.39 0.00 983.00 0.00715467 7.44 (0.43) S 6.61 (56.39) (0.40) X 07/12 200 CR 486.38 4335 2,108.53 0.00 1,592.80 0.00715467 15.09 (0.70) S 10.70 (376.79) (2.70) T (138.94) (0.99) X 02109 CNN 0111 001 29812 - 0032727541 NNNNNNNNNmlw _. 0032727541 Page: 3 PROD PROD INT PROPERTY PROPERTY PROPERTY PROPERTY OWNER I OWNER OWNER ADJ OWNER DATE CODE TYPE QUANTITY PRICE BTU GROSS ADJUSTMENTS! NET DECIMAL GROSS ADJUSTMENTS CODE NET VALUE TAXES VALUE INTEREST VALUE /TAXES I VALUE 07/12 200 CR 233.49 4.498 1,050.13 0.00 793.28 0.00825367 8.67 (0.40) S 6.15 (187.65) (1.55) T (69.20) (0.57) X 07/12 200 CR 116.59 4.498 524.38 0.00 396.12 0.00900233 4.72 (0.22) S 3.35 (93.70) (0.84) T (34.56) (0.31) X •R. E'TY: u55 1454n n2 REI H I9-2•N N=-C. CsWEL• SP TE: C. 07/12 200 CR 503.96 4.135 2,083.66 0.00 1,574.03 0.00923953 19.25 (0.89) S 13.65 (372.33) (3.44) T (137.30) (1.27) X 07/12 300 CR 12.09 83.338 1,007.56 0.00 952.91 0.00923953 9.31 (0.54) S 8.27 (54.65) (0.50) X TOTALS 154.37 - -- 125.10
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