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Home My WebLink About20113476.tiff O211345958 KERR-MCGEE OIL & GAS ONSHORE LP Owner Number: 374714 PO BOX 1330 HOUSTON, TX 77251- 1330 Check Date: 04/29/11 Check Number; 0211345958 Check Amount $7,274.77 Acting on behalf of itself and/or its affiliates. - - - : { r ADJUSTMENT CODE PRODUCT CODE C... COMPRESSION, 100 .- OIL D... DEHYDRATION 300. 40F ... CONDENSATE G... GATHERING 200 - 206... GAS - • ,. —) R ' — ' s - F .. FUEL 400 . . LIQUID PRODUCTS ' Iliiiilliiiilliiiiiiiililliiilliiill iii IIIniIlil` ilI ;LA IIth " M ... SERVICE FEE 40D ... SULPHUR P... PROCESSING 209... HELIUM R.. TREATING 40C.. PLANT CONDENSATE liMmmm_o 0030? CKA 001 003 11811 - 0211345958 NNNNNNNNNNNN S... SEVERANCE T4\X ' 409... GASOLINE ��r WELD COUNTY BOARD OF COMMISSIONER T. TRANSPORTATION V AD VALOREM TAX INTEREST TYPE ,,0 9155 1 0TH STREET I .. STATE WITHHOLDING WI-. WORKING INTEREST �a GREELEY CO 80632 X.. OTHER DEDUCTS PP.. PRODUCTION PAYMENT j 1. SETTLEMENT OR.. OVERRIDING ROYALTY MMMIMImmeo _n GAIN/LOSS RI. . ROYALTY INTEREST .....N CR. . SURFACE OWNER ammmimmmin al ' MAY INCLUDE OTHER MI-. MINERAL INTEREST UNLEASED � • TAXES RU.. NON PARTICIPATING ROYALTY IIMINIOM --`- BL... BLANCHARD f gas 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 I PROPERTY OWNER OWNER OWNER ADJ OWNER DATE ,CODE (TYPE QUANTITY PRICE BTU GROSS ADJUSTMENTS/ NET DECIMAL GROSS ADJUSTMENTS CODE I NET VALUE I TAXES VALUE INTEREST VALUE /TAXES I I VALUE PROPERTY: 0029379500005 HSR AMELIA & ELIZABETH FED 4-5 CO NTY: WELD STATE: CO ' 02/11 300 RI 34.62 87.004 3,012.09 0 00 2,863.53 0.00098923 2.98 0.00 S 2.83 ( 14 l.:i6) (0.15) T -ROPERTY: 0029386300001 HSR-CANNON 9-18A C•, Sj : WELD STATE: CO 02/11 300 RI 23.23 87.004 2,021 .11 0 00 1 ,921 .42 0.00494822 10.00 0.00 S 9.51 (9 ).(•9) (0.49) T - - • -E-TY: • '2'3: :1 " " " "1 HS--KUNZM . N FETE- s L 1 • C• gt : WELD STATE: CO 02/11 300 RI 21 .71 87.004 1 ,888.86 0 00 1 ,795.70 0.00070770 1 .34 0.00 S 1 .27 (9 ). 6) (0.07) T " • -E' TY: "2.3: ;2" " " "1 HS' -NOUYE 11-31 ' C• . : WELD STATE: CO 02/11 300 RI 115.33 87.004 10,034.21 0 00 9,539.30 0.00198979 19.97 0.00 S 18.99 (494.91) (0.98) T PROPERTY: 0029400100001 CANNON 15-18A COUNTY: WELD STATE: CO t 02/11 300 RI 49.33 87.004 4,291 .92 0 00 4,080.23 0.00494822 21 .24 0.00 S 20 19 (21 1 .69) (1 .05) T PROPERTY: 0029417300001 INOUYE 15-31A COUNTY: WELD STATE: CO 02/11 300 RI 36.89 87.004 3,209.59 0 00 3,051 .29 0.00198979 6.39 0.00 S 6 07 (158.30) (0.32) T PROPERTY: 0029422200001 CHAVERS 14-18A COUNTY: WELD STATE: 2011 -3476 00307 CKA 001! 003 11811 - 0211345958 NNNNNNNNNNNN 0211345958 KERR-MCGEE OIL & GAS ONSHORE LP I Page: 2 i Owner Number: 374714 , Check Date: 04/29/11 Check Number: 0211345958 Check Amount: $7,274.77 • WELD COUNTY BOARD OF COMMISSIONER .......N .mammonO M iminmaca 0 N 0 -O 0 e �O -N monsN - N to . I O1 • ri ri sus I ammo. PROD PROD INT PROPERTYt I 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 I 02/11 300 RI 30.95 87.004 2,692.78 0.00 2,515.18 0.00001875 0.05 0.00 S 0.05 (40.42) 0.00 G - (132.81) 0.00 T (4.37) 0.00 X PROPERTY: 0029452700001 HUDCO 16-18 COUNTY: WELD STATE: CO 02/11 100 RI 72.61 87.004 6,317.38 0.00 5,900.70 0.00878906 55.52 0.00 S 51 .86 (94.83) (0.83) G (311.59) (2.74) T (10.26) (0.09) X • PROPERTY: 0029459800001 BUTCH 3-19 COUNTY: WELD STATE: CO 02/11 100 RI 142.86 87.004 12,429.44 0.00 11 ,609.64 0.00144602 17.97 0.00 S 16.78 (186.57) (0.27) G (613.05) (0.89) T (20.18) (0.03) X PROPERTY: 0029462400001 GRAZNAK 5-2 NB-CD COUNTY: WELD STATE: CO 02/11 300 RI 104.97 87.004 9,132.84 0.00 8,530.47 0.06250000 570.80 0.00 S 533.15 (137.09) (8.57) G (450.45) (28.15) T (14.83) (0.93) X PROPERTY: 0029462500001 GRAZNAK 5-2 JSND COUNTY: WELD STATE: CO 02/11 300 RI 23.81 87.004 2,071 .57 0.00 1 ,969.40 0.03125000 64.74 0.00 S 61 .55 ' (102.17) (3.19) T PROPERTY: 0029473300001 MILLER FEDERAL 10-6 COUNTY: WELD STATE: CO • 02/11 300 RI 108.87 87.004 9,472.16 0.00 8,847.41 0.00142190 13.47 0.00 S 12.59 (142.18) (0.20) G (467.19) (0.66) T (15.38) (0.02) X PROPERTY: . 0029476600001 HUDCO 9-18 CN COUNTY: WELD STATE CO 02/11 300 RI 418.29 87.004 36,393.04 0.00 33,992.68 0.00878906 319.86 0.00 S 298.76 (546.28) (4.80) G (1 ,794.99) (15.78) T • (59.09) (0.52) X t PROPERTY: 0029498800003 CENTRAL WATER 16-13 COUNTY: WELD STATE: CO 02/11 300 RI 120.92 87.004 10,520.56 0.00 10,001 .66 0.00005469 0.58 0.00 S 0.55 (518.90) (0.03) T PROPERTY: 0029516700003 HOPPER 24-15 COUNTY: WELD STATE: CO 02/11 300 RI 55.70 87.004 4,846.14 0.00 4,607.12 0.00001133 0.05 0.00 S 0.05 (239.02) 0.00 T PROPERTY: 0029521000001 CLC GU 1 COUNTY: WELD STATE: CO I 02/11 300 RI 5.10 87.004 443.72 0.00 421 .83 0.00494822 2.20 0.00 S 2.09 (21 .89) (0.11) T PROPERTY: 0029521000002 CLC GU 1 COUNTY: WELD STATE: CO 02/11 300 RI 19.19 87.004 1 ,669.61 0.00 1 ,559.49 0.00142746 2.38 0.00 S 2.22 (25.06) (0.04) G (82.35) (0.12) T (2.71) 0.00 X PROPERTY: 0029521300001 CLC GU 2 COUNTY: WELD STATE: CO 02/11 300 RI 67.18 87.004 5,844.95 0.00 5,556.66 0.00494822 28.92 0.00 S 27.49 (288.29) (1 .43) T I PROPERTY: 0029555500001 BUCKLEN 11-31 COUNTY: WELD STATE: CO 02/11 100 RI 190.39 87.004 16,564.75 0.00 15,747.74 0.03329720 551 .56 0 00 S 524.36 (817.01) (27.20) T 20n1— fl& I00307 CKA 001 003 11811 - 0211345958� NNNNNNNNNNNN y k r Ilk / qq l.Page:.,,3 kJ 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 PROPERTY: 0029585500001 MUSE 2 COUNTY: WELD STATE: CO 02/11 300 RI 47.44 87.004 4,127.49 0.00 3,855.25 0.00878906 36.28 0.00 S 33.89 (61 .96) (0.54) G (203.58) (1 .79) T (6.70) (0.06) X PROPERTY: 0029585500002 MUSE 2 COUNTY: WELD • STATE: CO. 02/11 300 RI 0.97 87.000 84.39 0.00 78.82 0.00439453 0.37 0.00 S 0.34 (1 .27) (0.01) G (4.16) (0.02) T (0.14) 0.00 X PROPERTY: 0029648000001 MARTIN RAYMOND D GU 1 COUNTY: WELD STATE: CO 02/11 300 RI 7.46 87.004 649.05 0.00 617.04 0.00071016 0.46 0.00 S 0.44 (32.01) (0.02) T PROPERTY: 0029678500009 TWOMBLEY MARGARET UT C 1 SUSX COUNTY: WELD STATE: CO 02/11 300 RI 185.92 87.004 16,175.85 0.00 15,378.02 0.00098923 16.00 0.00 S 15.21 (797.83) (0.79) T PROPERTY: 0029707100001 VYNCKIER DONALD GU B 2 COUNTY: WELD STATE: CO 02/11 300 RI 47.18 87.004 4,104.86 0.00 3,902.40 0.00198979 8.17 0.00 S 7.77 (202.46) (0.40) T PROPERTY: ..0029709900001 WELD COUNTY POOLING UT 1 . : COUNTY: WELD STATE: CO 02/11 300 RI 8.12 87.005 706.48 0.00 671.63 0.06068359 42.87 0.00 S 40.76 (34.85) (2.11) T PROPERTY: 0029709900002 WELD COUNTY POOLING UT 1 COUNTY: WELD STATE: CO 02/11 300 RI 3.82 87.005 332.36 0.00 315.97 0.06068359 20.17 0.00 S 19.18 (16.39) (0.99) T PROPERTY: 0029710200001 WELD COUNTY POOLING UT 2 COUNTY: WELD STATE: CO 02/11 300 RI 2.73 87.004 237.52 0.00 225.80 0.06068359 14.41 0.00 S 13.70 (11.72) (0.71) T PROPERTY: 0029710200002 WELD COUNTY POOLING UT 2 COUNTY: WELD STATE: CO 02/11 300 RI 8.19 87.005 712.57 0.00 677.42 0.06068359 43.24 0.00 S 41.11 (35.15) (2.13) T PROPERTY: 0029776100001 HSR-FROMHOLZ 4-2 COUNTY: WELD STATE: CO 02/11 300 RI 11 .76 87.004 1,023.17 0.00 955.68 0.06250000 63.95 0.00 S 59.74 (15.36) (0.96) G (50.47) (3.15) T (1 .66) (0.10) X PROPERTY: 0029776100002 HSR-FROMHOLZ 4-2 . COUNTY: WELD STATE: CO 02/11 300 RI 12.24 87.004 1 ,064.93 0.00 994.68 0.03125000 33.28 0.00 S 31 .09 (15.99) (0.50) G (52.53) (1 .64) T (1.73) (0.05) X PROPERTY: 0029776700001 HSR-FREELAND 3-2 COUNTY: WELD STATE: CO 02/11 300 RI 21.35 87.004 1 ,857.54 0.00 1,735.02 0.06250000 116.10 0.00 S 108.44 (27.88) (1.74) G (91.62) (5.73) T (3.02) (0.19) X PROPERTY: 0029776700002 HSR-FREELAND 3-2 COUNTY: WELD STATE: CO 02/11 300 RI 13.65 87.004 1 ,187.61 0.00 1 ,109.27 0.03125000 37.11 0.00 S 34.66 (17.83) (0.56) G (58.58) (1 .83) T (1.93) (0.06) X PROPERTY: 0029780500001 HSR-GRIFFITH 5-2 COUNTY: WELD STATE: CO 02/11 100 RI 5.49 87.004 477.65 0.00 446.14 0.03125000 14.93 0.00 S 13.95 (7.17) (0.22) G (23.56) (0.74) T (0.78) (0.02) X PROPERTY: 0029780500002 HSR-GRIFFITH 5-2 COUNTY: WELD STATE: CO 02/11 100 RI 28.81 87.004 2,506.59 0.00 2,341 .26 0.06250000 156.66 0.00 S 146.33 (37.63) (2.35) G (123.63) (7.73) T (4.07) (0.25) X PROPERTY: 0029810100001 HSR-HAMMER 6-2 . COUNTY:• WELD STATE: CO 02/11 300 RI 35.89 87.005 3,122.59 0.00 2,916.64 0 06250000 195.16 0.00 S 182.28 (46.87) (2.93) G (154.01) (9.63) T (5.07) (0.32) X PROPERTY: 0029810100002 HSR-HAMMER 6-2 • COUNTY: WELD STATE: CO 02/11 300 RI 0.37 87.000 32.19 0.00 30.07 0.03125000 1.01 0.00 S 0.94 (0.48) (0.02) G (1.59) (0.05) T (0.05) 0.00 X PROPERTY: 0029833800001 HSR-B/R B 14-21 COUNTY: WELD STATE: CO 02/11 100 RI 10.08 87.004 877.00 0.00 819.16 0.00062500 0.55 0.00 S 0.51 (13.16) (0.01) G (43.26) (0.03) T (1 .42) 0.00 X x ,40//--3/476 0030? CKA 001, 003 11811 - 0211345958 NNNNNNNNNNNN i 0211345958 KERR-MCGEE OIL & GAS ONSHORE LP Page: 4 Owner Number: 374714 Check Date: 04/29/11 Check Number: 0211345958 ' Check Amount: $7,274.77 • WELD COUNTY BOARD OF COMMISSIONER a ctrl t � C O • 0 a0 1 0 ri -r' �h 1 N mmimmmm.a' 01 a ri r-1 SIIIIIIMI , 1101111 PROD PROD INT PROPERTY PROPERTY PROPERTY PROPERTY OWNER OWNER OWNER I ADJ - OWNER DATE CODE TYPE QUANTITY PRICE BTU GROSS ADJUSTMENTS/ NET DECIMAL GROSS ADJUSTMENTS'CODE NET VALUE TAXES VALUE INTEREST I VALUE /TAXES VALUE PROPERTY: 0029834500001 HSR-B/R B 13-21 COUNTY: WELD STATE: CO 02/11 300 RI 4.82 87.006 419.37 0.00 391 .72 0.00062500 0.26 0.00 S 0.25 (6.30) 0.00 G i (20.67) (0.01) T j (0.68) 0.00 X PROPERTY: 0029842200001 HSR-SELBY 8-32 COUNTY: WELD STATE: CO 02/11 100 RI 187.10 87.004 16,278.51 0 00 15,475.62 0.00117343 19.10 0.00 S 18.16 (802.39) (0.94) T PROPERTY: 0029846600001 HSR-SEKICH 4-19 COUNTY: WELD STATE: CO t 02/11 100 RI 25.60 87.004 2,227.31 0 00 2,080.40 0.00144602 3.22 0.00 S 3.00 (33. 13) (0.05) G ( 103. 36) (0.16) T (3.62) (0.01) X . PROPERTY: 0029880200001 HSR-SEKICH 6-19 COUNTY: WELD STATE: CO 02/11 100 RI 5.79 87.005 503.76 0 00 470.53 0.00144602 0.73 0.00 S 0.68 (7.56) (0.01) G (24.85) (0.04) T (0.82) 0.00 X , PROPERTY: 0029881200001 HSR-SEKICH 5-19 COUNTY: WELD STATE: CO 02/11 100 RI 150.54 87.004 13,097.63 0.00 12,233.76 0.00144602 18.94 0.00 S 17.70 • (196.60) (0.28) G (646.01) (0.93) T (21 .26) (0.03) X PROPERTY: 0029884300001 HSR-SELBY 2-32 COUNTY: WELD STATE: CO 02/11 100 RI 94.70 87 004 8,239.31 0 00 7,832.93 0.00284062 23.40 0.00 S 22.25 I (406.38) (1.15) T PROPERTY: -- ' --0029886400001"HSR4SEL=Y%32- --". ,. CCrfJI1 V: WELD STATE: CO 02/11 100 RI 85.15 87.004 7,408.42 0.00 7,043.02 0.00284062 21 .04 0.00 S 20.00 (365.40) (1 .04) T PROPERTY: 0029886700001 HSR-SEKICH 3-19A COUNTY: WELD STATE: CO 02/11 300 RI 4.08 87.005 354 98 0.00 331 .56 0.00144602 0.51 0.00 S 0.47 (5.33) (0.01) G (17.51) (0.03) T • (0.58) 0.00 X PROPERTY: 0029886700002 HSR-SEKICH 3-19A COUNTY: WELD STATE: CO 02/11 300 RI 25.03 87.004 2,177/2 0.00 2,034.08 0.00072107 1 .57 0.00 S 1 .47 (32.69) (0.02) G (107.41) (0.08) T 3.54) 0.00 X PROPERTY: 0029896700001 HSR-WATADA 11-18A Cc : TY: WELD STATE: CO 02/11 300 RI 40.53 87.004 3,526.29 0 00 3,293.71 0.00001875 0.07 0.00 S 0.07 (52.93) 0.00 G ( 173.92) 0.00 T ,5. 73) 0.00 X PROPERTY: 0029903800002 HSR-MILLER FEDERAL 15-6A COUNTY: WELD STATE: CO • 02/11 300 RI 60.80 87.004 5,289.86 0 00 4,940.96 0.00142190 7-52 0.00 S 7.03 (79.40) (0.11) G (260.91) (0.37) T • (8.59) (0.01) X PROPERTY: 0029904300001 HSR-GRANDVIEW ESTATES 11-19A COUNTY: WELD STATE: CO 02/11 300 RI 10.33 87.004 898.75 0 00 839.47 0.00072107 0.65 0.00 S 0.61 (13.49) (0.01) G n c 003U ? CKA (MI 003 11811 =-02113-451S8 NNNNNNNNNNNN 'D Q?11.345g58;r I r r't,, Pact*. OOx1) ,5 PROD PROD INT I 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 -- - ---- -- -- ------ - -(44.33) (0.03) T (1.46) 0.00 X PROPERTY: 0031770700001 KUNZMAN FEDERAL 9-6A NB-CD COUNTY: WELD STATE: CO 02/11 300 RI 336.34 87.004 29,263.04 0.00 27,332.96 0.00142812 41 .79 0.00 S 39.03 (439.25) (0.63) G (1,443.32) (2.06) T (47.51) (0.07) X PROPERTY: 0031826100001 VINCENT 1-26A NB-CD COUNTY: WELD STATE: CO 02/11 300 RI 386.77 87.004 33,650.67 0.00 31 ,990.94 0.12136719 4,084.09 0.00 S 3,882.65 (1 ,659.73) (201 .44) T PROPERTY: 0032008100001 COYLE 13-18A CODL COUNTY: WELD STATE: CO 02/11 300 RI 160.94 87.004 14,002.48 0.00 13,311 .84 0.01798594 251 .85 0.00 S 239.43 (690.64) (12.42) T PROPERTY: 0032098400001 WATADA 11-18A SUSX COUNTY: WELD STATE: CO 02/11 300 RI 33.60 87.005 2,923.35 0.00 2,730.53 0.00007812 0.23 0.00 S 0.22 (43.88) 0.00 G (144.19) (0.01) T (4.75) 0.00 X PROPERTY: 0032143900003 HSR AMELIA & ELIZABETH FED 4-5 COUNTY: WELD STATE: CO 02/11 300 RI 147.59 87.004 12,840.97 0.00 12,207.62 0.00098923 12.70 0.00 S 12.07 (633.35) (0.63) T PROPERTY: 0032182000001 CAMENISCH DAVID GU 1 NB-CD COUNTY: WELD STATE: CO 02/11 300 RI 207.95 87.004 18,092.55 0.00 17,200.18 0.00144125 26.08 0.00 S 24.79 (892.37) (1 .29) T PROPERTY: 0032208800001 CHAVERS 14-18A NB-CD COUNTY: WELD STATE: CO 02/11 300 RI 98.01 87.004 8,527.29 0.00 7,964.86 0.00007812 0.67 0.00 S 0.63 (128.00) (0.01) G (420.59) (0.03) T (13.84) 0.00 X PROPERTY: 0046155700001 SANDLIN-WELD COUNTY 1 & 2 JSND COUNTY: WELD STATE: CO 02/11 204 RI 379.00 4.638 1 .098 1 ,757.61 0.00 1 ,598.26 0.22222222 390.58 0.00 S 355.17 (159.35) (35.41) X PROPERTY: 0046173700001 BARCLAY-CRISMAN 2-4-20 JSND COUNTY: WELD STATE: CO 02/11 204 RI 1,606.02 5.233 1.238 8,403.52 0.00 7,641 .60 0.03125000 262.61 0.00 S 238.80 (761.92) (23.81) X PROPERTY: 0048349800002 BARCLAY-CRISMAN 24-20 NB-CD COUNTY: WELD STATE: CO 02/11 204 RI 334.02 5.224 1.237 1 ,744.96 0.00 1,586.88 0.03125000 54.53 0.00 S 49.59 (158.08) (4.94) X TOTALS 7,712.88 7,274.77 0211345958 HOW TO READ YOUR CHECK DETAIL 15. Owner Number: 8 9 5 2 6 6 0 8 To help you understand the essential information which accompanies your check, we are 16. Check Date: providing a sample check stub with definitions/explanations of the various columns and lines on it. 16. Check Number: 17. Check Amount: ADJUSTMENT CODE PRODUCT CODE Property quantity may be rounded to the nearest whole number for purposes of display on this check stub. When C... COMPRESSION 100 ... OIL the property quantity is less than 10 mcf, such rounding may materially affect the price shown on this check for D... DEHYDRATION 300, 40F ... CONDENSATE display purposes only, but does not affect the precision of the underlying calculation of value. In such situations, G... GATHERING 200 - 206... GAS F ... FUEL, 400 ... LIQUID PRODUCTS more precise information about property quantities and prices can be obtained by calling the number provided on M ... SERVICE FEE 40D ... SULPHUR this check stub. P... PROCESSING R.. TREATING 209... HEUUM S . SEVERANCE TAX ' 40C... PLANT CONDENSATE T... TRANSPORTATION 409. . GASOLINE V... AD VALOREM TAX INTEREST TYPE I. STATE WITHHOLDING WI .. WORKING INTEREST X... OTHER DEDUCTS PP... PRODUCTION PAYMENT ACCESS YOUR CHECKSTUB ONUNE Z. SETTLEMENT GAIN/LOSS OR... OVERRIDING ROYALTY RETAIN THIS STATEMENT ANY QUESTIONS PLEASE CALL RI... ROYALTY INTEREST WITH OUR SECURE WEBSITE AT FOR TAX PURPOSES OUR OWNER RELATIONS HOTUNE AT • MAY INCLUDE OTHER TAXES CR .. SURFACE OWNER http tewww.oildex.com DUPLICATES CANNOT BE FURNISHED 800-359-1692 MI . MINERAL INTEREST UNLEASED RU.. NON PARTICIPATING ROYALTY BL... BLANCHARD 1 2 3 4 5 6 7 8 9 10 11 12 13 14 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 18.PROPERTY: 0010000000001 SMITH #1 COUNTY: RUSK STATE: TEXAS 02/04 203 WI 10,000.00 5.000 1 .333 50,000.00 (100.00) 49,900.00 0.01000000 500.00 (1.00) S 499.00 02/04 204 WI 1 ,000.00 5.000 1 .333 5,000.00 50.00 4,950.00 0.01000000 50.00 (.50) S 49.50 PROPERTY: 0010001210002 DAVIS UNIT 4 N STATE: LOUISIANA 03/04 100 RI 1 ,000.00 27.000 Sal(( 6,800.00 0.01000000 270.00 (2.00) S 268.00 03/04 400 RI 2,000.00 25.000 50,000.00 (500.000) 48,500.00 0.01000000 500.00 (5.00) S 485.00 (1,000.000) (10.00) T TOTALS 1,320.00 1,301.50 1. PRODUCTION DATE- Month and year that product was sold. 11. OWNER GROSS VALUE - Your share of property gross value. 2. PRODUCT CODE - Code used to identify product sold. See PRODUCT CODE legend 12. OWNER ADJUSTMENTS/TAXES - Your share of property taxes and/or adjustments. in upper right-hand corner of settlement statement. 13. ADJUSTMENT CODE- Code used to identify type of adjustment made. See 3. INTEREST TYPE - Type of interest owned. See INTEREST TYPE legend in upper ADJUSTMENT CODE legend in upper right-hand corner of settlement statement. right-hand corner of settlement statement. 14. OWNER NET VALUE - Your share of property net value. 4. PROPERTY QUANTITY - Total volume of product sold from property shown in barrels 15. OWNER NUMBER - Your owner number. This number is uniquely assigned to you and (oil, condensate). MCF (gas, helium), gallons (liquid products), or tons (sulphur). should be included on all correspondence with Anadarko. 5. PRICE - Price per unit. 16. CHECK DATE & CHECK NUMBER 6. BTU (BRITISH THERMAL UNIT) - Heating value of gas. 17. CHECK AMOUNT - The total amount payable to you for this check. 7. PROPERTY GROSS VALUE- Total value of product sold horn property. 18. PROPERTY - Property number, property name, and county and state where property is 8. PROPERTY ADJUSTMENTS/TAXES - Total amount of taxes and/or adjustments for located. property. 9. PROPERTY NET VALUE - Total value of property after deduction of taxes and/or adjustments. 10. OWNER DECIMAL INTEREST - Percentage of product sold attributable to your ownership interest (as shown on Division Order). If others are marketing their product separately, decimal shown may be inflated. Hello