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Home My WebLink About20122682.tiff CHECK NUMBER CHECK DATE PLAINS MARKETING, L.P. OWNER NUMBER 01303824 09/20/2012 P.O. BOX 4648 • HOUSTON, TX 77210-4648 0221176 LEASE NUMBER 01-041471 01-155410 FOR YOUR INFORMATION LEASE NAME FARNIK #1 CANAL 2,3 DIRECT ALL INQUIRIES REGARDING THIS CHECK TO: LEASE STATE/COUNTY CO/WELD CO/WELD PLAINS MARKETING,LP, OPERATOR NAME SMITH ENERGY C TIGGES OIL LLC ATTN:CUSTOMER RELATIONS PRODUCT OIL OIL P.O.BOX 4648 PRODUCTION DATE(MM/YY) 08/2012 07/2012 HOUSTON,TX 77210-4648 LEASE BARRELS OR MCF 183.02 171.04 800-7727S89 LEASE GROSS VALUE 15,494.66 13,066.60 RECEIVED 713446-4460 OPERATOR PAY .00 .00 713-646-4571 (FAX) LEASE SEVERANCE TAX .00 .00 BE SURE TO INCLUDE LEASE NUMBER LEASE NET VALUE 15,494.66 13,066.60 SET 2 4 2012 AND OWNER NUMBER. AVG PRICE PER BBL/MCF 84.66 76.39 JC Please visit our websIte ilt OWNER KIND OF INTEREST ROYALTY WORKNG ROYALTY WWW.PAALP.COM OWNER DECIMAL .12500000 .00153460 k r.±L_J COJNTY and select Owner/Operator OWNER GROSS VALUE 1,936.84 20.05 ..' Ati 1IgginNERS Relations to register and view OWNER SEVERANCE TAX .00 .00 your information online. OIL AND GAS ASSESSMENT .00 .00 TAX RESERVE CODES: COLORADO SEVERANCE TAX .00 .00 LAD VALOREM 6.AD VALOREM/SEVERANCE 2.SEVERANCE 7.NET PRO/BUS PRIV/REAL EST UTAH WITHHOLDING TAX .00 .00 3.NET PROCEEDS B.AD VAL/NET PRO/BUS PRIVi REA TAX RESERVE (SEE CODE) .00 .00 4.BUSINESS PRIVILEGE 9.UTAH OCCUPATIONAL TAX 5.REAL ESTATE OWNER NET 1,936.84 20.05 LEASE NUMBER LEASE NAME ILFASE STATE/COUNTY OPERATOR NAME PRODUCT PRODUCTION DATE(MM/YY) LEASE BARRELS OR MCF LEASE GROSS VALUE OPERATOR PAY LEASE SEVERANCE TAX LEASE NET VALUE AVG PRICE PER BBL/MCF • OWNER KIND OF INTEREST OWNER DECIMAL OWNER GROSS VALUE OWNER SEVERANCE TAX OIL AND GAS ASSESSMENT COLORADO SEVERANCE TAX UTAH WITHHOLDING TAX 2012-2682 TAX RESERVE (SEE CODE) OWNER NET CHECK GROSS SEVERANCE TAX WINDFALL PROFIT TAX BACKUP WITHHOLDING NON-RESIDENT ALIEN TAX CHECK NE'. 1,956.89 .00 .00 .00 .00 1,956.85 WFB WELD COUNTY COLORADO C/O BOARD OF COUNTY COMMISSIONERS PAGE: 1 OF: YTD GROSS YTD SEVERANCE TAX YTD WINDFALL PROFIT TAX YTD BACKUP WITHHOLDING YTD NON-RESIDENT ALIEN TAX YTD CHECK t 6,176.12 .00 .00 .00 .00 6,176.12 PM LP217 Hello