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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 -
Clerk to the Board
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20093665.tiff
MERIT ENERGY COMPANY 13727 Noel Road, Suite 500 Dallas, Texas 75240 972.628.1590 - Royalty Line www.meritenergy.com Page 1 of 2 PAYEE NAME PAYEE NO. DATE CHECK NUMBER AMOUNT WELD COUNTY COLORADO 10078725 08/20/09 0003099874 $162.53 PC/Product Codes 1XX-Oil (BBLs) 2XX-Gas (MCF) 3XX-Condensate (BBLs) 4XX-Plant Products (GALS/BBLS) 7XX-Sulfur (TONS) Interest Types WI -Working Interest RI -Royalty Interest BL -Blanchard OR -Overriding Royalty 01 -Non -Resident Alien Tax 02 -Ad Valorem Recovery 04 -Utah State Tax 05 -Colorado State Tax 06 -Interest Paid ADJ Codes 09 -Oklahoma Non -Resident Alien Tax 10 -Backup Withholding Tax 12 -Non -Resident Income Tax (NM&OK) 17 -Other Settlement Differences Deductions may include compression, processing, gathering, transportation or other marketing fees where applicable. Colorado and Wyoming Ad Valorem taxes will no longer be withheld monthly. The deduction will occur in the period Merit Energy Company pays the taxes to the proper tax authority. For a copy of Merit's Privacy Policy, go to meritenergy.com or contact the "Legal Department" at the address or phone number above. Property # DOI N Property Name Sale TYP Date PC LNT PRICE State County GROSS GROSS GROSS QUANTITY VALUE TAX 00100240 00002 BLEHM 301, 44 30- GAS CO WELD 062009 204 RI 2.5900 480.00 1,241.79 062009 204 RI 062009 400 RI 0.3000 1,452.00 431.98 062009 400 RI 00' 00852 00008 GATEWOOD 11 1 - GAS CO WELD 062009 204 RI 2.5900 606.00 1,567.58 062009 204 RI 062009 400 RI 0.3400 2,370.00 811.54 062009 400 RI 00100937 00001 HALL 42-12 J CO WELD 062009 300 RI 62.2000 87.22 5,424.69 062009 300 RI 00100937 00002 HALL 41-12 J CO WELD 062009 204 RI 2.5900 940.00 2,432.66 062009 204 RI 062009 300 RI 62.2000 82.21 5,113.09 062009 300 RI 062009 400 RI 0.3600 1,729.00 631.12 00101145 00003 IRVING #5 CO WELD 062009 204 RI 2.5900 892.00 2,308.18 062009 204 RI 062009 400 RI 0.3400 3,152.00 1,072.09 062009 400 RI 001-01351 00002 LEE 1 , 2 (SEC 5) - GAS CO WELD 062009 204 RI 2.5900 4,622.00 11,956.70 062009 204 RI GROSS TRANSP. Legal Decimal GROSS DEDUCTS PAIDINT 0.00375000 0.00375000 0.00000000 0.00375000 0.00000000 0.00117580 0.00117580 0.00000000 0.00117580 0.00000000 0.00054297 0_00054297 0.00000000 0.00054297 0.00054297 0.00000000 0.00054297 0.00000000 0.00054297 0.00084130 0.00084130 0.00000000 0.00084130 0.00000000 0.00147860 0.00147860 0.00000000 OWNER OWNER OWNER ADJ. VALUE TAX DEDUCTS CODE 4.66 1.62 1.84 0.95 2.95 1.32 2.78 0.34 1.94 0.90 17.68 0.05 0.02 0.02 0.01 0.03 0.01 0.03 0.02 0.01 0.18 05 05 05 05 05 05 05 05 05 05 NET SHARE 4.66 -0.05 1.62 -0.02 1.84 -0.02 0.95 -0.01 2.95 -0.03 1.32 -0.01 2.78 -0.03 0.34 1.94 -0.02 0.90 -0.01 17.68 -0.18 PLEASE DETACH BEFORE PRESENTING FOR PAYMENT 2009-3665 Page 2 of 2 MERIT ENERGY COMPANY 13727 Noel Road, Suite 500 Dallas, Texas 75240 972.628.1590 - Royalty Line www.meritenergy.com PAYEE NAME PAYEE NO. DATE CHECK NUMBER AMOUNT WELD COUNTY COLORADO 10078725 08/20/09 0003099874 $162.53 i -_-1 T....:.....1 Property tl DOI M Property Name Sale Date PC INT TYP GROSS PRICE QUANTITY tate mint) GROSS GROSS GROSS GROSS VALUE TAX TRANSP. DEDUCTS PAID INT 062009 400 RI 0.3500 15,139.00 5,270.70 062009 400 RI 00101351 00006 LEE 1 , 2 (SEC 5) OIL 100% CO WELD 062009 300 RI 62.2000 193.41 12,029.23 062009 300 RI 00101397 00001 LOHR 13 2 &32 13 CO WELD 062009 100 RI 62.2000 48.45 3,013.37 062009 100 RI 062009 204 RI 2.5900 1,244.00 3,218.76 062009 204 RI 062009 300 RI 62.2000 52.54 3,267.75 062009 30C Ri 062009 400 RI 0.3100 4,391.00 1,376.44 062009 400 RI 00101397 00002 LOHR 13 4 & 41 13 CO WELD 062009 300 RI 62.2000 133.56 8,306.83 062009 300 RI 00101397 00003 LOHR 13 4 & 41 13 - GAS CO WELD 062009 204 RI 2.5900 1,667.00 4,313.58 062009 204 RI 062009 400 RI 0.3100 5,885.00 1,844.62 062009 400 RI 00101397 00004 LOHR 5 CO WELD 062009 204 RI 2.5900 1,244.00 3,218.77 062009 204 RI 062009 300 RI 62.2000 107.95 6,714.00 062009 300 RI 062009 400 RI 0.3100 4,391.00 1,376.44 062009 400 RI 00101625 00002 MONFORT 11 19 - GAS CO WELD 062009 204 RI 2.5900 52.00 134.60 062009 400 RI 0.3400 255.00 86.29 00101816 00002 PAYNE 2 26 - GAS CO WELD 062009 204 RI 2.5800 226.00 583.55 062009 204 RI 062009 400 RI 0.3400 928.00 317.68 062009 400 RI 00101816 00003 PAYNE 2 26100% OIL CO WELD 062009 100 RI 62.2000 42.11 2,619.05 062009 100 RI 00102038 00002 RUSTY 1 26100% OIL CO WELD 062009 300 RI 62.2000 134.97 8,394.53 062009 300 RI 00102038 00003 RUSTY 1 26 - 100% GAS CO WELD 062009 204 RI 2.5900 411.00 1,064.38 062009 204 RI 062309 400 RI 0.3400 1,692.00 579.44 062009 400 RI 00102795 00002 VAUGHAN 12 30 - GAS CO WELD 062009 204 RI 2.5900 388.00 1,003.78 062009 204 RI 062009 400 RI 0.3300 1,197.00 399.71 062009 400 RI OWNER VALUE OWNER OWNER ADJ. NET TAX DEDUCTS CODE SHARE 0.00147860 7.79 0.00000000 0.08 0.00147860 0.00147860 17.79 0.00000000 0.18 05 0.00140620 0.00140620 4.24 4.24 0.00000000 0.04 05 -0.04 0.00140620 4.53 4.53 0.00000000 0.05 05 -0.05 0.00140620 4.60 4.60 0.00000000 0.05 05 -0.05 0.00140620 1.94 1.94 0.00000000 0.02 05 -0.02 0.00140620 0.00140620 11.68 11.68 0.00000000 0.12 05 -0.12 0.00140620 0.00140620 6.07 6.07 0.00000000 0.06 05 -0.06 0.00140620 2.59 2.59 0.00000000 0.03 05 -0.03 0.00140620 0.00140620 4.53 4.53 0.00000000 0.05 05 -0.05 0.00140620 9.44 9.44 0.00000000 0.09 05 -0.09 0.00140620 1.94 1.94 0.00000000 0.02 05 -0.02 0 00296035 0.00296035 0.40 0.40 0.00296035 0.26 0.26 0.00168260 0.00168260 0.98 0.98 0.00000000 0.01 05 -0.01 0.00168260 0.53 0.53 0.00000000 0.01 05 -0.01 0.00168260 0.00168260 4.41 4.41 0.00000000 0.04 n5 -n 04 0.00168260 0.00168260 14.12 14.12 0.00000000 0.14 05 -0.14 0.00168260 0.00168260 1.79 1.79 0.00000000 0.02 05 -0.02 0.00168260 0.97 0.97 0.00000000 0.01 05 -0.01 0.01896810 0.01896810 19.04 19.04 0.00000000 0.19 05 -0.19 0.01896810 7.58 7.58 0.00000000 0.08 05 -0.08 0s 7.79 -0.08 17.79 -0.18 CURRENT CHECK YEAR TO DATE OWNER OWNER OWNER NET VALUE TAXES DEDUCTS SHARE 164.20 1.67 4,245.69 42.49 0.56 162.53 4,202.64 TOTAL CHECK AMOUNT: 162.53 X0(909 -- 36GS
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