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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 -
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20113558.tiff
DETACH CHECK STUB AT PERFORATED LINE CHECK NUMBER CHECK DATE PLAINS MARKETING , L . P . OWNER NUMBER 09407058 04/20/2011 P . O . BOX 4648 • HOUSTON, TX 77210-4648 0739937 LEASE NUMBER ....... ..... ... . .. .:. .� r x w ... �...... . : .... ... '�-A'.:...�:a': :ti'�»>xo'n ra 3't ..r �` x^ -5` �fi w - >i < 01 -123537 01 -133124 _'• ' ..:.. ... .:_ 'k.: v :.: .'' : w LEASE NAME KISSLER-AMEN E PIERCE UNIT mr i S n ..�:t:.a y.�-:o. , ≤A c ....9:' .�i T.» T AL 1-25 :. . .m . . :.r; :fie <. .ac. �E `' x a'e'. . ox d rZ,.• e k s w w w ° ° a �e iµ LEASE STATE/COUNTY . . . �> -. :: oxo w: r ':.:. x<% ": °x< >:w: CO/WELD CO/WELD >'°`°��;:... ,� - � tic,. . . . 's :" �"� � ':...'Y'.:�...,.x ; OPERATOR NAME ST JAMES ENERG STELBAR OIL CO ..ox ...:6x':w:::. z1t 'r u�� . PRODUCT CONDENSATE OIL :"°� " "�`"°';:' ° ~ ::atlJA'l�T .COf:.:'.:.'..� .x.. . .. .�Atra:v:� •')`;...� f>O-. PRODUCTION DATE ( MM/YY )MM/YY ) - ::o cx : :. mlAW;y 03/2011 03/2011 : � -._-� .� LEASE BARRELS EOR( MCF 190 . 98 2, 693 . 65 w:<°:.' •`JY A LEASE GROSS VALUE ' .::=:.. ._ ._ .... ° U'. ... 18, 041 . 50 249, 749 . 84 � ' ,• ` ! ' OPERATOR PAY . 00 . 00 LEASE SEVERANCE TAX + xo ">. a :'. ,r ' ::-> =... .. ::::::::: . .:.:: LEASE NET VALUE . 00 � ya. x_ y y .:. :. ..j.:.w:�.:;: ': fi.;f :.tiC.. % � � z✓ h S�vI. ixj� La(X'(a 18 041 . 50 249, 749 . 84 • rA� - ter"� ' .�' �,-'::.: d-......- 0.."4“"" AVG PRICE PER BBL/MCF 94 . 47 92 . 72 '.r�-:.::i: ,._' -..;:o - e x Nz. : , .`' .::sr'' x ids OWNER KIND OF INTEREST ROYALTY ROYALTY x ro , xw' wa OWNER DECIMAL . 01000000 . 00117290 � �. �. <fTA °�-�-'::'..:. '.. -�::;::�'::":�" :�.;:;• OWNER GROSS VALUE 180 . 41 292 . 93 ..... ' x OWNER SEVERANCE TAX . 00 . 00 �2 t- ; ^".-;-.-• ��:<� �c°��. �Y .� Ao,:w�t..-�°�:r-. OIL AND GAS ASSESSMENT . 00 . 00 �" � ' � ° '- '-' " � •a� COLORADO SEVERANCE TAX . 00 . 00 UTAH WITHHOLDING TAX . 00 �:. > ,6 t: :`::_ .s,..> .:... s 0 0 • O O 'fY:-..:'..: . 3. «:x6k6C'o.Cd�vxcyi6x > r�.;:.:tl%O>,:� .•r.�kL_x TAX RESERVE (SEE CODE ) . 00 . 00 °>:". . ' "aYg:.:{K�.c� .c:-X'..:.. ° a� a.dot.::af�''.I'.b�;:: oz' :�c°:.::i ?,'-- .. . .•�b.:.ca\K'r ..a'. pw�— w xiur°a°:aax✓°'+c; :�:>w:ci �.<v vxw x� OWNER NET 180 . 41 292 . 93 _ , .. .�. ..r.... . . .ra. ... ..oh°Y ... . ....,...c^.;.ro. .w. xa f.....:: a. .. ... :. .... .•w. .. . ro; ..ten .>. .r.....: ,,. -�:.. ' o ..x ,,, .. .. ° ...s.w'. , ....a-:,.••'. ,,,- ro oxo':'w7..-r; ..x ,„ r. .:x.-'--. ..r-.c, x . ...o».. xbo WT'':: "r.. ...y»ov�m-o �r....,..d"^'2'��'$r��'^�"r�L"w�ox:.:.:a� ..... .. -w w:°a:o-'^>.'ro. ...�`. ..- ..,...v. _ xa s::. :iv... -?�` . .xaxx�armm` .•.x...... w-- � +.,.. -,�. An°- ...,:°:wxw.w.oa,...,. .. > ...C...... . ,,, °n. .. . . Arma°xeo. - -. ' r .W9:: xw:w:' .°�:v r`c:r:....:...^ .. ' :v?porn. ..... .{ao.re.or. . .. .a »aocsw.v ' '+b�^..a„°x' k' ... .........°NFcaa+oc^\ron°ma Y LEASE NUMBER LEASE NAME LEASE 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 TAX RESERVE (SEE CODE ) OWNER NET CHECK GROSS SEVERANCE TAX f WINDFALL PROFIT TAX BACKUP WITHHOLDING NON-RESIDENT ALIEN TAX CHECK NET 473 . 34 . 00 . 00 . 00 . 00 473 . 34 WFB WELD COUNTX BOARD OF COMMISSIONERS 915 10TH STREET PAGE : 1 OF : 1 YTD GROSS I YTD SEVERANCE TAX YTD WINDFALL PROFIT TAX YTD BACKUP WITHHOLDING YTD NON-RESIDENT ALIEN TAX YTD CHECK NET 1 ,316 . 44 . 00 . 00 . 00 . 00 1 , 316 . 44 2011 -3558 41614 (09/04)
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