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Home My WebLink About20113562.tiff DETACH CHECK STUB AT PERFORATED LINE CHECK NUMBER CHECK DATE PLAINS MARKETING , L . P . OWNER NUMBER 09511562 06/20/2011 P . O . BOX 4648 • HOUSTON , TX 77210 -4648 0221176 LEASE NUMBER � ;. :;N o cr . ^ i]::: EC<Ov� ': wtl } :::;i. �' 4%4¢E�Vn '�' i' �.A nV. �"� ;"' 'v:��: O1- 041471 o>:a. ''`�' ?o..: i ao.'. <} 'ac≥7.iF:�'aV : r ': .e - LEASE NAME T="E:J::;≥:,,:rr»xyx:4xr?::?::i�€r:>:':N: >.<:� :;:r r:x: . ? >;::w: : :<:;:a:tl FARNIK R N I K #1 ≥ > , tt< r aJA'r.<JaJYYx;nU:<v:». <. \+ ,y......n.. ....,......J ar, rvry ny}l<vn'M'�C'C>]C'CIC::%:v r " ara:n... •Y v i:iEet.:<U.c4'A:.4%}]:wN:.94: •Axr ozst.aa.o...:. •]:4:. ':pxaxAO'w:} ��.L'`<0. M> ... .n:k.j.li>vCx cxC C 0::�i.:UC*CC.*> .o4ttP-'o:°(Y.<,:e, :.5% LEASE STATE/COUNTY CO/WELD :: s........... ?.....:. :::.3::.:>.::��:... ' Cx.:.f.4.wCb-.gY'� oa'::: M. .. . e Aro:;a:e-c��.x y"ox-:>:4>:m:c aeoiJ5]C:>'. b,4,.,.,'r'eV H . S:x .••. . .. . . OPERATOR NAME SMITH ENERGY C ' ': :`_ : - PRODUCTOIL >. tlJ: 4?.4 cw . 4:�,.]:?:. AC>ACC'.C.CC C<*:s..:\C*C,X �:,:#,?:4�o° %'., % :::.-..:.:. _ a rcd c5i:"'C�:e ° ..... 'W 4Z'h.'�R8°c�+rn aodo>w` cc :::-c w... • • r oo . PRODUCTION DATE ( MM/YY ) 05/2011 Sr>:<a x w\a _- y. ':5;xQ.'a;✓ <<xxx4..oxusr.�raamxosr • • .. o .no.c .0:., ... w.. • svi'4:a •;.•:t4'.vr�+Jirr w:. azcwax i° <;.::.� . . .. >: LEASE BARRELS OR MCF 185 . 12 ._.^`%4w'::`"..,.. ...` rs h �---..w...°I>;rY .:ir xo t> �� ;�..r:Jo'5:.u+''�^J\io .w .aaw'�o°3::>Jo'.:a:o>usra>:asw. ��; LEASE GROSS VALUE 16 , 962 . 36 r-, -� ..x`w ... ' 4- w.rorsl�^w�:�.a.srowx4..aoxo>x.,:r ' :. ....aJ: Y' . ":44W( / v'x: • '[;;�A \ . .. X.. A %^U. .,N: .4YAYAL OPERATOR PAY ;; ':... —'o':•:;w.::Cg. xw.4x4%....cw..nr.>. `}¢rsxan,.\v.wo>%4ava.'u.4xusoJ>»:c .;tls %r ,, .-. ^ox . 0 0 ct a3 'n°wri e::.vcao.4J.ws` . . ..... .. ' .:.L..� . -.. LEASE SEVERANCE TAX :-J xG>x .`—'9•;% x : . Mrri:=4xo:rr., 6:;::;:Jxxx�x:x-0<:?: <:i. >. .. mow:.' w:°;w........-: -k::-.44n.. .;4,...yx• ii:km rkw• :::,,- .:w..4..4.ux:o].r a>:..r.. :Cxrc4 co»o:...•EASE NET VALUE ' :%V.M�S ar*""xcc,<w°.°�°:w�.au�w.°. :1Aa :a..�.;4 • 16, 9 b 2 . 3 b a<rWORNx; m AVG PRICE PER BBL/MCF 91 . 63 � u.r^. xo <q>:4]x�.irr:.ycoQ2�:°'1.iiv..�<::'��c'>c�??»ppy:-�x�?u�y,{Ew!�:S?F:i4::a�'.?.„� 'bwor'W y..:'. ".0..'a'E,,�� ^. ..n?!gl'!/r n:i?E:''^N.,..Ib!'JR��!'.≥4utt aar,. .,', ..'. :. N. ..c.- .7 a:.... na'°n"'°Sa4'm'�''°a'�o'r'i]t.'.' '. OWNER KIND OF INTEREST ROYALTY WORKNG o.- x . . .�.ww..rsax4 ]. :4l>%x.>..4.an4x.:.c.: D as^r "aroa' . %. t :a mar k`$ OOK :.s• °: • %4 -• —..: : oSxroxw -. < '^ro n::::: 4r.:4.;:::c. r.°r:r.. m' sasc as: ♦ 125 0 0 0 0 0 � 0:4>:o^tls\4 x ^\< .:,:V ri•c: ;.-., .a . OWNER DECIMAL 2 12 0 . 2 9 x4.4.µ..�rte.�.n� : �` �,.��, �r'.>x= . w. � w OWNER GROSS VALUE ' .. s,S:,:"aw � " ryx' OWNER SEVERANCE TAX . 00 t. : nn.:._ _nµ� ��`:n „..n. 4........JpN?^}yx�.x,��y,.�, s-��:;^.V.•r:::o::,a"�3::✓. Eo:•..n,... 0 0 , ..:.iz.:...' OIL AND GAS ASSESSMENT r„w . 4.n' X: =I1� : .: .. -5 . E -ti o : : . ... . �":,,x'��,.4•. „�. ,c E"°��.°t.... . ........:...::. �}2.+.r, �y�}�.yy�,� y�. a:;x<;}�;J'n:raos�'.. . .. . or< xaJ.J ... r'.',4 Stitir<.c7elf.f3Y!i >.'n''...:'�9°.'..J'.5.' �'^^5:.......°..:,,.:c 0 0 4:.: .::2;2+,�.,3,..�r,.''�MoxO . ..'.:.. ......•FF•Y.:ti::^fl:r,.<{:to: i:<C$J:o:c:J:f6u';;w5:?nc:>.:..... . ... mm.r. . . , COLORADO SEVERANCE TAX . `.}�.�}�T� �y�� walcO �'.O]:ON� -�w :Axv.x:4JlAnJgv.<i? ,'FJO'.v.:v-:vn%:wnYr`<'1wig...3., ° UTAH WITHHOLDING TAX V.r °≥ 5. . 0 0xsi ::titat . : w ": 1 ° TAX RESERVE ( SEE CODE ) ,(��pp��.yyy[�. �,v��p :: x xomy ��{ etr ✓!..'fM�A. U]A .., R]':1�:!!IVt` I :C.V 2 120 . 29 .Aro`:::?..JY..-:ii-vOny..fz. .x` O%O:COiri.4w1J>WiIT.Y:Wx...„..., OWNER NET :;.;a0).0.8:• 4 r x 4a w vsmrorr — — aax n -...... sc n:' g �;�s • .. . . . L4....c. . ...... ox . . . ,°. . 3s<xax• "'e'� ....yy,%x""'�;,. . .^. •. . . ..J.... .. ..xoxoxaoxa%xa.o].a:a cAcu:u.:..4kJYiuozoivi.`'. :licd'hhnw ..- _:.��.r..ooRFs6gRr xroxo o.wo- :n wnn'4- "• .r. \ ..ar. M... \ sx. . ..'].w'rm:oa' xoZR°°x .. .. .c:�o. .fir. wu4. .: .;:°'':%x ' \\roxn .'< . ernk'or.4.wrr... \'...� .>arr,.. zvaJw. .. ::;en„vnCrrr. ✓nv:4nw. Y 'ln•O:Y ' CY<4>`tt4Y:YOJ' 'rMi.4. •• x :W%aJx'w\Yai. ••p�Y�O]M: .U:CY.C%.�� ',. -.. ..xoxacoxox4%a%ox ::.��` ,,,�..,G,G'' :4>.��,��..JJ.�, ...c. .oJA:4 a :: .moo *xSSM< "'v%4:.�n�tlxO:Cxaa:W � .vf?M 'W:. . Y •• ••.Y]%O%Mxw`.. J. 4: %M...x2' ' `;� .tl%M:MfrlM.:O%Yi:4J AJ•%•Y. .M .. %O'<f' xCC%r :.ro::..:a:i;.:,.n.,n<.......w.. . . .../.. h...xec . . . x;roxom... . 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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 WINDFALL PROFIT TAX BACKUP WITHHOLDING NON-RESIDENT ALIEN TAX CHECK NET 2, 120 . 29 . 00 . 00 . 00 . 00 2 , 120 . 29 WFB WELD COUNT COLORADO c/0 BOARD OF COUNTY COMMISSIONERS PAGE : 1 OF ; 1 YTD GROSS YTD SEVERANCE TAX YTD WINDFALL PROFIT TAX YTD BACKUP WITHHOLDING YTD NON-RESIDENT ALIEN TAX YTD CHECK NET 4, 301 . 43 . 00 . 00 . 00 . 00 4 , 301 . 43 2011 -3562 41614 (09/04) Hello