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Home My WebLink About20113459.tiff 0211327732 KERR-MCGEE OIL & GAS ONSHORE LP Owner dumber: 374714 PO BOX 1330 Check Date: 01 /31 /11 HOUSTON, TX 7725 1 - 1 330 Check dumber: 0211327732 Check Amount: $11 ,857.56 s �-.. T ! 1_ Acting on behalf of itself and/or its affiliates. L_L �-' -- r �� 'V� -_ - _,_ A��14;kSirgI',IT₹lcQDE PRODUCT CODE 4 E' ' . C. COMPRESSION 100 OIL D DEHYDRATION 300, 40F ... CONDENSATE nil � , . �� G_. . GATHERING 200 - 206.. . GAS i i FO EL Li 1 Imo= t 440 . . LIQUID PRODUC I S Ilitlill � � � illi � � � lliiillliiill � � � lli � � lll � � iliiillilili � llill '` ; ` '- IiSUHUF�PROCESSING 209... HELIUM R . TREATING 40C_. PLANT CONDENSATE -- 00125 CKA 001 003 02811 - 0211327732 NNNNNNNNNNNN L- C. _ M. - SEVERANCE TAX • 409 . GASOLINE IS`^ WELD COUNTY BOARD OF COMMISSIONER .. _ Ts. -TRSP dRTATIONrt V AD VALOREM TAX INTEREST TYPE o 915 10TH STREET I .. STATE INCOME TAX WI... WORKING INTERESTam 0 GREELEY CO 80632 X OTHER PP PRODUCTION PAYMENT Z. SETTLEMENT OR.. OVERRIDING ROYALTY . GAIN/LOSS RI. ROYALTY INTEREST a� CR SURFACE OWNER mimisiu l na ' MAY INCLUDE OTHER MI MINERAL INTEREST �i N TAXES UNLEASED iQ RU. . UNSIGNED ROYALTY MiliminEIPMMINN BL ._ BLANCHARD mama 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 http://www.oildex.com DUPLICATES CANNOT BE FURNISHED 800-359-1692 PROD PROD I INT PROPERTY 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 PROPERTY: 0029379500005 HSR AMELIA & ELIZABETH FED 4-5 COUNTY: WELD STATE: CO 11/10 300 RI 30.64 81 .416 2,494.58 0.00 2,355.81 0.00098923 2.47 0.00 S 2.'13 (138.77) (0.14) T PROPERTY: 0029404100003 KLITZ 9-26A COUNTY: WELD STATE: CO ' 11/10 300 RI 39.53 81 .416 3,218.37 0.00 3,039.34 0.06068359 195.30 0.00 S 184,44 (179.03) (10.86) T PROPERTY: 0029422200001 CHAVERS 14-18A COUNTY: WELD - STATE: CO , 'ti_ 11/10 300 RI 29.28 81 .416 2,383.85 0.00 2,211 .24 0.00001875 0.04 0.00 S • 0.04 (36. 19) 0.00 G (132.61) 0.00 T (3.81 ) 0.00 X PROPERTY: 0029452700001 HUDCO 16-18 COUNTY: WELD STATE: CO 11/10 100 RI 145.31 81 .416 11 ,830.53 0.00 10,973.89 0.00878906 103.98 0.00 S 96.45 (179.61) (1 .58) G (658.10) (5.78) T (18.93) (0.17) X PROPERTY: 0029459800001 BUTCH 3-19 COUNTY: WELD STATE: CO 11110 100 RI 121 .27 81 .415 9,873.30 0.00 9, 158.38 0.00144602 14.28 0.00 S 13.25 (149.89) (0.22) G Z° W-Jec? uuJC5 1L.a UUJr UUi UC*SS - UCSSJCrfjC NNNNNNNNNNNN I 0211327732 KERR-MCGEE OIL & GAS ONSHORE LP Page: 2 Owner Number 374714 Check Date: 01/31/11 Check Number: 0211327732 Check Amount: $11 ,$57.55 WELD COUNTY BOARD OF COMMISSIONER 0 �In asseq *-1 as 4 an �O • 0 �a -0 -r- ilm.an ry im....m.wIn on Imm====.N a SEMIS III minit llimilSmit IMIIMIN IS PROD PROD I INT PROPERTY PROPERTY PROPERTY PROPERTY OWNER OWNER OWNER ADJ OWNER DATE CODE `TYPE QUANTITY PRICE STU GROSS ADJUSTINENTSI NET DECIMAL GROSS ADJUSTMENTS CODE NET VALUE TAXES VALUE INTEREST VALUE /TAXES VALUE (549.23) (0.79) T (15.80) (0.02) X PROPERTY: 0029462400001 GRAZNAK 5-2 NB-CD COUNTY: WELD STATE: CO 11/10 300 RI 90.03 81 .416 7,329.87 0.00 6,799.12 0.06250000 458. 12 0.00 S 424.95 (111 .28) (6.96) G (407.74) (25.48) T (11 .73) (0.73) X 0029462500001 GRAZNAK 5-2 JSND COUNTY: WELD STATE: CO 11 /10 300 RI 22.49 81 .416 1 ,831 .04 0.00 1 ,729.18 0.03125000 57.22 0.00 S 54.04 . (101 .86) (3.18) T PROPERTY: 0029466700001 SHUTT 24-34 COUNTY: WELD STATE: CO 11/10 300 RI 177.32 81 .416 14,436.65 0.00 13,633.58 0.00071016 10.25 0.00 S 9.68 (803.07) (0.57) T _ PROPERTY: 0029476600001 HUDCO 9-18 CN COUNTY: WELD STATE: CO 11/10 300 RI 548.98 81 .416 44,695.65 0.00 41 ,459.27 0.00878906 392.83 0.00 S 364.39 (678.56) (5.96) G (2,486.31) (21 .85) T (71 .51 ) (0.63) X PROPERTY: 0029498800003 CENTRAL WATER 16-13 COUNTY: WELD STATE: CO 11/10 300 RI 114.81 81 .416 9,347.35 0.00 8,827.38 0.00005469 0.51 0.00 S 0.48 (519.97) (0.03) T ! PROPERTY: 0029521000001 CLC GU 1 COUNTY: WELD STATE: CO 11/10 300 RI 12.31 81 .416 1 ,002.23 0.00 946.48 0.00494822 4.96 0.00 S 4.68 (55.75) (0.28) T PROPERTY: 0029521000002 CLC GU 1 COUNTY: WELD STATE: CO 11/10 300 RI 46.33 81 .416 3,771 .99 0.00 a 3,496.85 0.00142746 5.38 0.00 S 4.99 (57.27) (0.08) G (209.83) (0.30) T __ - __ (6.04) (0.01) X PROPERTY : 0029545900001 WILLIAMS 41-34 1 COUNTY: WELD STATE: CO 11/10 100 RI 183,56 81 .416 14,944.69 0.00 13,862.55 0.00284063 42.45 0.00 S 39.38 (226-89) (0.64) G (831 .34) (2 .36) T (23.91) (0.07) X PROPERTY: 0029546000001 WILLIAMS 42-34 COUNTY: WELD STATE: CO 11/10 100 RI 2.55 81 .416 207.61 0.00 192.58 0.00284063 0.59 0.00 S 0.55 (3. 15) (0.01) G (11 .55) (0.03) T (0.33) 0.00 X PROPERTY: . 0029585400001 MUSE 1 COUNTY: WELD STATE: CO 111/10 300 RI 2.02 81 .416 164.46 0.00 152.55 0.00439453 0.72 0.00 S 0.67 i'r (2.50) (0.01) G (9.15) (0.04) T (0.26) 0.00 X PROPERTY: 0029585500001 MUSE 2 COUNTY: WELD STATE: CO 11 /10 300 RI 42.33 81 .416 3,446.33 0.00 3,196.79 0.00878906 30.29 0.00 S 28.10 (52.32) (0.46) G (191 .71) (1 .68) T (5.51) (0.05) X PROPERTY: 0029585500002 MUSE 2 COUNTY: WELD STATE: CO 11/10 300 RI 0.86 81 .419 70.02 0.00 64.96 0.00439453 0.31 0,00 a 0.29 ( 1 .06) 0.00 G en4 4 0AMf _ O21.i 3,27732 , Paoi: -;3 _ L - PROD PROD INT PROPERTY PROPERTY PROPERTY PROPERTY OWNER OWNER OWNER ADJ OWNER DATE CODE TYPE QUANTITY r PRICE BTU GROSS ADJUSTMENTS! NET DECIMAL GROSS ADJUSTMENTS CODE NET VALUE TAXES VALUE INTEREST VALUE /TAXES VALUE (a89) - - (0.02) T (0.11) 0.00 X PROPERTY: 0029648000001 MARTIN RAYMOND D GU 1 COUNTY: WELD STATE: CO 11/10 300 RI 13.20 81 .416 1 ,074.69 0.00 1 ,014.91 0.00071016 0.76 0.00 S 0.72 (59.78) (0.04) T _ PROPERTY: 0029707000001 VYNCKIER DONALD GU B 1 COUNTY: WELD STATE: CO 11/10 300 RI 0. 12 81 .417 9.77 0.00 9.23 0.00198979 0.02 0.00 S 0.02 (0.54) 0.00 T PROPEL Y: 0029709900001 WELD COUNTY POOLING UT 1 COUNTY: WELD STATE: CO 11/10 :v10 RI 5.60 81 .416 455.93 0.04 430.57 0.06068359 27.67 0.00 S 26.13 (25.36) (1 .54) T P - ." r!'• , Y: 0029709900002 WELD COUNTY POOLING UT 1 - COUNTY: WELD STATE: CO 11/10 300 RI 2.63 81 .414 214.12 0.00 202.21 0.06068359 12.99 0.00 S 12.27 (11 .91 ) (0.72) T pROPERTY: 0029710200001 WELD COUNTY POOLING UT 2 COUNTY: WELD STATE: CO 11/10 300 RI 31 .12 81 .416 2,533.66 0.00 2,392.72 0.06068359 153.75 0.00 S 145.20 (140.94) (8.55) T :PROPERTY: 0029710200002 WELD COUNTY POOLING UT 2 COUNTY: WELD STATE: CO 11/10 300 RI 93.38 81 .416 7,602.61 0.00 7,179.70 0.06068359 461 .35 0.00 S 435.69 (422.91) (25.66) T PROPERTY: 0029771100001 HSR-BERNSTEIN 6-20 COUNTY: WELD STATE: CO 11/10 100 RI 73.08 81 .416 5,949.87 0.00 5,519.04 0.06250000 371 .87 0.00 S 344.94 (90.33) (5.65) G (330.98) (20.69) T (9.52) (0.59) X PROPERTY: 0029771100002 HSR-BERNSTEIN 6-20 COUNTY: WELD STATE: CO 11110 100 RI 37.65 81 .416 3,065.31 0.00 2,894.79 0.03125000 95.79 0.00 S 90.46 (170.52) (5.33) T PROPERTY: 0029771600001 HSR-ATHERTON 5-20A COUNTY: WELD STATE: CO 11/10 300 RI 30.91 81 .416 2,516.56 0.00 2,334.33 0.06250000 157.28 0.00 S 145.89 (38.21) (2.39) G (139.99) (8.75) T (4.03) (0.25) X PROPERTY: 0029771600002 HSR-ATHERTON 5-20A COUNTY: WELD STATE: CO 11/10 300 RI 44.49 81 .416 3,622. 19 0.00 3,420.70 0.03125000 113. 19 0 00 S 106.89 (201 .49) (6.30) T PROPERTY: 0029771900001 HSR-FITZPATRICK 4-20A COUNTY: WELD STATE: CO 11/10 300 Ri 5.06 81 .415 411 .96 0.00 382.13 0.06250000 25.75 0.00 S 23.89 (6.25) (0.39) G (22.92) (1 .43) T (0.66) (0.04) X PROPERTY: 0029771900002 HSR-FITZPATRICK 4-20A COUNTY: WELD STATE: CO 11/10 300 RI 67.26 81 .416 5,476.03 0.00 5,171 .41 0.03125000 171 . 13 0.00 S 161 .61 (304 62) (9.52) T PROPERTY: 0029776100001 HSR-FROMHOLZ 4-2 COUNTY: WELD STATE: CO 11/10 300 RI 16.23 81 .416 1 ,321 .38 0.00 1 ,225.71 0.06250000 82.59 0.00 S 75.62 (20.06) (1 .25) G (73.50) (4.59) T (2.11 ) (0. 13) X PROPERTY: 0029776100002 HSR-FROMHOLZ 4-2 COUNTY: WELD STATE: CO 11)10 300 RI 16.88 81 .416 1 ,374.30 0.00 1274.79 0.03125000 42.95 0.00 S 39 84 (20.8-6) (0.C5) v3 (76.45) (2.39) T (2.20) (0.07) X PROPERTY: 0029776700001 HSR-FREELAND 3-2 COUNTY: WELD STATE: CO 11/10 300 RI 37.53 81 .416 3,05554 0.00 2,834.29 0.06250000 190.97 0.00 S 177.14 (46.39) (2.90) G (169.97) (10.62) T (4.89) (0.31) X PROPERTY: 0029776700002 HSR-FREELAND 3-2 COUNTY: WELD STATE: CO 11/10 300 RI 23.99 81 .416 1 ,953.17 0.00 1 ,811 .74 0:03125000 61 .04 0.00 S 56.61 (29.65) (0.93) G (108.65) (3.40) T (3. 13) (0. 10) X PROPERTY: 0029780500001 HSR-GRIFFITH 5-2 COUNTY: WELD STATE: CO 11/10 100 RI 8.91 81 .415 725.41 0.00 672.89 0.03125000 22.67 0.00 S 21 .G3 (11 .01 ) (0.34) G (40.35) (1 .26) T (1 .16) (0.04) X _ PROPERTY: 0029780500002 HSR-GRIFFITH 5-2 COUNTY: WELD STATE; CO 11110 100 RI 46.75 81 .416 3,806.19 0.00 3,530.59 0.06250000 237.59 0.00 S 220.67 (57.78) (3.61) G (211 .73) (13.23) T (6.09) (0.38) X PROPERTY: 0029792100002 HSR-DIEFENBACH 10-34 COUNTY: WELD STATE: CO 11110 300 RI 12 .03 81 .416 979.43 0.00 924.95 0.00071016 0.70 0.00 S 0.66 II 4610-7/fit-A 0211327732 KERR-MCGEE OIL & GAS ONSHORE LP Page: 4 Owner Number: 374714 Check Date: 01/31/11 Check Number: 0211327732 Check Amount: $11 ,857.56 WELD COUNTY BOARD OF COMMISSIONER o —Ui _�N c-9 �d - a ��N �E.Q v �S CO "!II O If... WI=MI N S U) QI S N 0 S t S I SI S PROD PROD INT PROPERTY PROPERTY PROPERTY PROPERTY OWNER OWNER OWNER ADJ OWNER DATE CODE TYPE QUANTITY PRICE BTU GROSS ADJUSTMENTS/ NET DECIMAL -GROSS ADJUSTMENTS CODE NET VALUE I TAXES VALUE _ INTEREST VALUE !TAXES VALUE (54,48) (0.04) T PROPERTY: _ 0029810100001 HSR-HAMMER 6-2 COUNTY: WELD STATE: CO 11/10 300 RI 47.99 81 .416 3,907.14 0.00 3,624.23 0.06250000 244.20 0.00 S 226.52 (59.32) (3.71) G (217.34) (13.58) T i (6.25) (0.39) X PROPERTY: 0029810100002 HSR-HAMMER 6-2 COUNTY: WELD STATE: CO ai 11/10 300 RI 0.48 81 .417 39.08 0.00 36.26 0.03125000 1 .22 0.00 S 1 .13 (0.59) (0.02) G (2.17) (0.07) T - (0.06) 0.00 X PROPERTY: 0029►834.500001. HSR-B/R B 13-21 COUNTY : WELD STATE: CO 11/10 300 RI 13.56 81 .416 1 ,104.00 0.00 1 ,024.07 0.00062500 0.69 0.00 S 0.64 (16.76) (0.01) G (61 .41) (0.04) T (1 .76) 0.00 X PROPERLY: 0029842200001 HSR-SELBY 8-32 COUNTY: WELD STATE: CO 11 /10 100 RI 200.73 81 .416 16,342.60 0.00 15,433.50 0.00117343 19.18 0.00 S 18.11 (909.10) (1 .07) T PROPERTY: 0029846600001 HSR-SEKICH 4-19 COUNTY: WELD STATE: CO 11/10 100 RI 6.87 81 .416 559.33 0.00 518.84 0.00144602 0.81 0.00 S 0.76 (8.49) (0.01) G (31 .11) (0.04) T (0.89) 0.00 X PROPERTY: 0029880200001 HSR-SEKICH 6-19 COUNTY: WELD STATE: CO 11110 100 RI 20.32 81 .416 1 ;654.37 0.00 1 ,534.57 0.00144602 2.39 0.00 S 2.22 (25.12) (0.04) G (92.03) (0.13) T I (2 65) 0.00 X f PROPERTY: 0029881200001 HSR-SEKICH 5-19 COUNTY: WELD`- STATE: CO 11/10 100 RI 170.09 81 .416 13,848.02 0.00 12,845.29 0.00144602 20.02 0.00 S 18.58 (210.24) (0.30) G (770.33) (1 .11) T (22.16) (0.03) X PROPERTY. 0029884300001 HSR-SELBY 2-32 COUNTY: WELD STATE: CO 11/10 100 RI 92. 16 81 .416 7,503.28 0.00 7,085.89 0.00284062 21 .31 0.00 S 20.12 (417.39) (1 .19) T PROPERTY: 0029886400001 HSR-SELBY 7-32 COUNTY: WELD STATE: CO 11/10 100 RI 88.79 81 .416 7,228.91 0.00 6,826.78 0.00284062 20.53 0.00 S 19.39 (402. 13) (1 . 14) T PROPERTY: 0.029886700001 HSR-SEKICH 3-19A COUNTY: WELD STATE: CO • 11/10 300 RI 7.34 81 .416 597.59 0.00 554.32 0.00144602 0.86 0.00 S 0.80 (9.07) (0.01 ) G (33.24) (0.05) T (0.96) 0.00 X PROPERTY: 0029886700002 HSR-SEKICH 3-19A COUNTY: WELD STATE: CO 3 11/10 300 RI 45.12 81 .416 3,673.48 0.00 3,407.48 0.00072107 2.65 0.00 S 2.46 (55.77) (0-04) G (204.35) (0.15) T (5.88) 0.00 X PROPERTY: 0029896700001 HSR-WATADA 11 -18A COUNTY: WELD STATE: CO 11 (10 300 RI 18.22 81 .416 1 ,483.40 0.00 1 ,375.99 0.00001875 0.03 0.00 S 0.03 zoif-3 ic45.47 02113277:3 11 St015 b 6 4 „a PROD PROD INT PROPERTY 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 (22.52) 0.00 +G (82.52) 0.00 T (2.37) 0.00 X PROPERTY: 0029904300001 HSR-GRANDV1E'W ESTATES 11-19A COUNTY: WELD STATE: CO 11/10 300 RI 11 .39 81 .416 927.33 0.00 860.19 0.00072107 0.67 0.00 S 0.62 (14.08) (0.01) G (51 -58) (0..04) T (1 .48) 0.00 X PROPERTY: 0031826100001 VINCENT 1-26A NB-CD COUNTY: WELD STATE: CO 11/10 300 RI 759.08 81 .416 61 ,801 . 11 0.00 58,363.27 0. 12136719 7,500.63 0.00 S 7,083.39 (3,437.84) (417 .24) T PROPE -f : 0032008100001 COYLE 13-18A CODL COUNTY: WELD STATE: CO 11/10 300 RI 308.78 81 .416 25,139 57 0.00 23,741 . 12 0.01798594 452. 16 0.00 S 427.01 (1 ,398.45) (25, 15) T PROPERTY: 0032098400001 WATADA 11-18A SUSX COUNTY: WELD STATE: CO 11/10 300 RI 18.22 81 .416 1 ,483.40 0.00 1 ,375.99 0.00007812 0. 12 0.00 S 0. 11 (22.52) 0,00 G (82.52) (0.01 ) T (2.37) 0.00 X PROPERTY: 0032143900003 HSR AMELIA & ELIZABETH FED 4-5 COUNTY: WELD STATE: CO 11/10 300 RI 160.83 81 .416 13,094. 10 0.00 12 ,365.71 0.00098923 12 .95 0.00 S 12.23 (728.39) (0.72) T PROPERTY:-- ._.._.-0032248800001 -tHAVERS 't4 8ANBaCD- >. -- - -- -_._----- ----- .z --_- - .COUN"fY: , WELD.. .-:.>., •_-. . ---...z-- ._ - . - - - STAT-E: :_.CC--• •- --- ---- - - 11/10 300 RI 92.71 81 .416 7,548.06 0.00 7,001 .51 0.00007812 0.59 0.00 S 0.55 (114.59) (0.01) G (419.88) (0.03) T ( 12.08) 0.00 X PROPERTY: 0046155700001 SANDLIN-WELD COUNTY 1 & 2 JSND COUNTY: WELD STATE: CO 08/10 204 RI 280.90 4.432 1 . 135 1 ,244.97 0 00 1 ,127.97 0.22222222 276.66 0.00 S 250.66 (117.00) (26.00) X 11 /10 204 RI 366.00 3.419 1 . 134 1 ,251 .23 0.00 1 .092.29 0.22222222 278.05 0.00 S 242.73 (158.94) (35.32) X PROPERTY: 0046173700001 BARCLAY-CRISMAN 2-4-20 JSND COUNTY: WELD STATE: CO _ 11/10 204 RI 1 ,746.02 3.728 1 .237 6,509.44 0.00 5.682.56 0.03125000 20142 0.00 S 177.58 (826.88) (25.84) X PROPERTY: 0048343800002 BARCLAY-CRISMAN 2-4-20 NB-CD COUNTY: WELD STATE: CO 11/10 204 RI 363.01 3.729 1 .237 1 ,353.60 0.00 1 ,181 -76 0 03125000 42.30 0 00 S 36.93 ( 171 .84) (5.37) X - - - - - - - -- - - - -- - - - - TOTALS - - - --- 12,651 .50 11 ,857.56 'Z0 / ( - 3 5 Uz I 1 OG,“ uc 15. Owner Number 6 8 3 9 R 9 1 HOW TO READ YOUR CHECK DETAIL 15. Check Dale: To help you understand the essential information which accompanies your check, we • 're 16. Check Number : providing a sample check stub with definitions/explanations of the various columns and lines on ii. 17. Check Amount: ADJUSTMENT CODE PRODUCT CODE C COMPRESSION 100 OIL quantity may be rounded to the nearest whole number for purposes of display on this check stub. When D. DEHYDRATION 300, 40F . CONDENSATE Property q tY this for G GATHERING X0 GAS er quantity is less than 10 mcf, such rounding may materially affect the pri of value. lr, such situations,ck F FUEL 000 . . LIQUID PRODUCTS the property q ' display purposes only, but does not affect the precision of the underlying calculation more precise information a property M : PROCESSING HELLUM I, 40D SULPHUR bout ro erty quantities and prices can be obtained by calling the number provided on SERVICE FEEs R . TREATING 40C.. PLANT CONDENSATE this check stub. S.- SEVERANCETAx • 409 GASOLINE T TRANSPORTATION V._ AD VALOREM TAX INTEREST TYPE I. STATE INCOME TAX WI. WORKING INTEREST X . OTHER PP.. PRODUCTION PAYMENT Z.. . SETTLEMENT GAIN/LOSS OR... OVERRIDING ROYALTY ANY QUESTIONS PLEASE CALL RI ROYALTY INTEREST AC; , H YOUR CHEC WEBS TEANE RETAIN THIS STATEMENT OUR OWNER RELATIONS HOTLINE AT • MAY INCLUDE OTHER TAXES MRI SURFACE RFACENO OWNER UNLEASED ,��"l t{ OUR SECURE +i'VEBSITE AT FOR TAX PURPOSES 6b0_ 59-1,sg2 RU UNSIGNED ROYALTY hula..;.www o�ldex corn DUPLICATES CANNOT BE FURNISHED BL- BLANCHARD 10 11 12 13 14 4 5 6 7 OWNER OtiIVNER AD.1 1 2 3 PROPERTY OWNER PROPERTY PROPERTY DECIMAL GROSS ADJuSTMENTSICODE NET OWNER PROD !PROD INT PROPERTY A©JUSTMENTS! NET VALUE _ ITAXES VALUE PRICE BTU GROSS VALUE INTEREST DATE CODE TYPE QUANTITY — VALUE TA;s<ES - STATE: TEXAS COUNTY: RUSK 500.00 (1 .00) S 499.0 PE 203 : o0o00aaool SMITH #1 ,000.00 (100.00) 49,900.00 0.01000000 50 S 49. 02104 WI 10,040.'00 5.000 1 .333 4,950,00 0.01000000 50.00 (- ) 50 .00) 5.000 1 .333 5,000 04 STATE: LOUISIAN A 02,ro� 2Q4 W! 1 ,000.00 (2.00) S 268.0 6,BOa.aO 0.Dti000040 270.00 PROPERTY: 0010001210002 DAVIS .000 4 sso4 ( 0.00 .00) S 4 0 03/04 1 ao RI i ,004.00 7 48,500.00 0.01000000 500.00 { 2,000.00 25.000 50,000.0C� (500.000) (10.00) T 03!04 400 RI (1 ,000.040) 1 ,301 .50 TOTALS 1 ,320.00 11 . OWNER GROSS VALUE • Your share of property gross value: er taxes and/or adjustments. 1 . PRODUCTION C DATE - Month and year that product was sold. type of adjustment e made. See . identity product sold. See PRODUCT CODE legend 12. OWNER ADJOSTIIA'ENTSfTAX used to identity t prop 2. PRODUCT CODE - Code used to 13. ADJUSTMENT CODE Code in upper right-hand comer of settlement statement. TYPE legend in upper ADJUSTMENT CODE legend in upper right-hand coranureo# settlement statement. 3. INTEREST TYPE - Type at interest owned. See INTEREST 9 14. OWNER NET VALUE - Your share of property net right-hand corner of settlement statement - shown in barrels 15. OWNER NUMBER - Your owner number . This number is uniquely assigned to you and 4. PROPERTY QUANTITY � Total volume of product sold from property on all (liquid products). or tons (sulphur). should be included HECKcorrespondenceNUMBER with Anadarko. (oil, condensate) , MCI (gas, helium), gallons ( q 16. CHECK DATE 56. PRICE - Price per unit. 17. CHECK AMOUNT - The total amount payable and you county and state where property is r this check. 6. BTU (BRITISH THERMAL UNIT) tHvating value of gas. 18. PROPERTY - Property number . property 7. PROPERTY GROSS VALUE - Total value of product of l��S a��`��adjustments for located. 8. PROPERTY ADJUSTMENTS/TAXES - Total amount property. 9. PROPERTY NET VALUE - Total value of property atter deduction of taxes and/or adjustments . 10. OWNER DECIMAL INTEREST - Percentage of product sold are marketing their product attributable ownership interest (as shown on Division Order). It others separately, decimal shown may be inflated. -O fire Hello