The URL can be used to link to this page

Browse Search

Home My WebLink About20120917.tiff 1 KERB-MCGEE OIL AN GAS ONSHORE DIVISION ORDER Venture Number: 327423 /7.n1 0 5- 12 3- 3361Y Property Number: 1095302 f,/ lJ WELD COUNTY Property Name: MARKHAM 34-8 JSND �' COMM I S S I OM E R S Product: All Products J (i WELD COUNTY BOARD OF COMMISSIONER Status: NOT APPLICABLE PO Box:758 2011 MAR 2b A 10: 20 County/State: WELD/CO Effective Date: ATES OF FIRST SALESOwner Number: WELD COUNTY BOARD OF COMMISSIONER GREELEY,CO 80632 RECEIVED Interest Amt/Type: 0.03125000/ Unit Description: T2N-R65W,Sec 8:SW/4SW/4,Sec 7:SE/4SE/4 . - Scc NW/4NW/4&Sec 18:NE/4NE/4 COVEERING 160 ACRES,M/L OF THE J-SAND FORMATION The undersigned certifies the ownership of their decimal interest in production or proceeds as described above payable by KERR-MCGEE OIL AND GAS ONSHORE(Payor). Payor 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. Payor 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 Payor any amount attributable to an interest to which the undersigned is not entitled. Payor may accrue proceeds until the total amount equals$100,or Sept.30 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 Payor may have certain statutory rights under the laws of the state in which the property is located. Note:NADOA Model Form Division Order(Adopted 9/95) 5 )7 14 vvq- tvivii- rx 005) WELD COUNTY BOARD OF COMMISSIONER *Tax ID#XXX-XX-0813 **Tax ID# /pi (---- ,‘„,,.......7--A_______ Attes Clerk o th Bo Owner Signa /Corporate Title Owner Address(if different from above) 2y I' �A $ean P. Conway,,Chair By: Deputy a a,s: a Board Owner Signature/Corporate Title City,State Zip Code �� I /.i % �, ' 970-356-4000 APR 0 4 2012 Owner Daytime Phone item .��.,,� *Failure to furnish your Social Security/Tax ID number will result in withholding tax in accordance with federal law and any tax withheld will not be refundable by payor. **Insert Tax ID number for all individual parties listed above in the Name and Address box 2012-0917 Return to: KERR-MCGEE OIL AND GAS ONSHORE Date Prepared: Marc..__,____ P.O.Box 173779 ),�1,- �N �lte LP v\9) Prepared by: KP Z Lb"©V& 11//-0 Denver,CO 80217-3779 IA t " Susp: N 1-800-677-5603 `� 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, legal description, and percentage of royalties, if applicable. BY:Aav ti Courfty Attorney DATE: 3 -? Hello