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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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20093659.tiff
MERIT ENERGY COMPANY 4. 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 02/20/09 0002996542 $279.41 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 ADJ Codes 01 -Non -Resident Alien Tax 02 -Ad Valorem Recovery 04 -Utah State Tax OS -Colorado State Tax 06 -Interest Paid 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 # Sale Date 00100240 122008 122000 122008 122008 00100852 122008 122008 00100852 122008 122008 122008 122008 00100937 122008 122008 122008 00101145 122008 122008 122008 122008 00101351 122008 122008 122008 122008 DOI # Property Name TYP PC INT PRICE 00002 BLEHM 301, 44 30- GAS 204 RI 204 RI 400 RI 400 RI 00007 GATEWOOD 11 1 100 RI 34.5400 100 RI 00008 GATEWOOD W OO D 11 1 - GAS 204 RI 4.8400 204 RI 400 RI 400 RI 00002 HALL 41-12 J 204 RI 204 RI 400 RI 00003 IRVING #5 204 RI 204 RI 400 RI 400 RI 00002 LEE 1 , 2(SEC 5) -GAS 204 RI 4.8400 204 RI 400 RI 400 RI 4.8400 0.2400 0.2500 4.8400 0.2800 4.8400 0.2500 0.2500 State County GROSS GROSS QUANTITY VALUE CO 458.00 1,283.00 CO 188.23 CO 554.00 1,731.00 CO 1,120.00 1,931.00 CO 876.00 2,850.00 CO 8,864.00 27,138.00 WELD 2,216.69 309.21 GROSS TAX WELD 6,501.90 WELD 2,681.27 431.49 WELD 5,422.61 542.78 WELD 4,237.87 716.94 WELD 42,900.07 6,899.19 GROSS TRANSP. Legal Decimal GROSS DEDUCTS PAIDINT 0.00375000 0.00375000 n nnn^nnnr�n V.VVVVVVVV 0.00375000 0.00000000 0.00117580 0.00117580 0.00000000 0.00117580 0.00117580 0.00000000 0.00117580 0.00000000 0.00054297 0.00054297 0.00000000 0.00054297 0.00084130 0.00084130 0.00000000 0.00084130 0.00000000 0.00147860 0.00147860 0.00000000 0.00147860 0.00000000 OWNER OWNER OWNER ADJ. VALUE TAX DEDUCTS CODE 8.31 1.16 7.64 3.15 0.51 2.94 0.29 3.57 0.60 63.43 10.20 0.03 0.01 0.08 0.03 0.01 0.03 0.04 0.01 0.63 0.10 nr VJ 05 05 05 05 05 05 05 05 05 NET SHARE 8.31 -0.08 1.16 -0.01 7.64 -0.08 3.15 -0.03 0.51 -0.01 2.94 -0.03 0.29 3.57 -0.04 0.60 -0.01 63.43 -0.63 10.20 -0.10 PLEASE DETACH BEFORE PRESENTING FOR PAYMENT 2009-3659 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 02/20/09 0002996542 $279.41 f1- ----I Property # DOI # Property Name Sale TYP Date PC INT 00101351 122008 122008 00101397 122008 122008 122008 122008 122008 122008 122008 122008 00101397 122008 122008 00101397 122008 122008 122008 122008 00101625 122008 122008 122008 00101816 122008 122008 122008 00102038 122008 122008 122008 122008 00102795 122008 122008 122008 122008 00102795 122008 122008 00006 300 300 00001 100 100 204 204 300 300 400 400 GROSS PRICE QUANTITY LEE 1 , 2 (SEC 5) OIL 100% RI 34.5400 RI LOHR 13 2 & 32 13 RI RI RI RI RI RI RI RI 34.5400 4.8400 34.5400 0.2600 0O002 LOHR 13 4 & 41 13 300 RI 34.5400 300 RI 00003 LOHR 13 4 & 41 13 - GAS 204 RI 4.8400 204 RI State CO 607.64 GROSS VALUE 20,989.28 ounty GROSS TAX WELD CO WELD 54.62 1,886.70 1,325.00 54.62 5,329.00 CO 238.04 6,413.26 1,886.70 1,407.26 WELD 8,222.45 CO WELD 2,861.00 13,846.28 400 RI 0.2600 11,505.00 3,038.26 400 RI 00002 MONFORT 11 19 - GAS 204 RI 4.8400 204 RI 400 RI 0.2600 00002 PAYNE 2 26 - GAS 204 RI 4.8500 204 RI 400 RI 0.2600 00003 RUSTY 1 26 - 100% GAS 204 RI 4.8300 204 RI 400 RI 0.2600 1,655.00 424.84 400 RI 00002 VAUGHAN 12 30 - GAS 204 RI 4.8400 204 RI 400 RI 0.2500 1,212.00 301.35 400 RI 00004 VAUGHAN 12 30 100% OIL 300 RI 34.5400 300 RI CO 417.00 CO 121.00 546.00 CO 235.00 WELD 585.62 143.24 WELD 1,139.64 901.00 231.29 CO WELD 433.00 2,093.30 WELD 2,018.31 CO WELD 68.86 2,378.58 GROSS TRANSP. GROSS DEDUCTS PAIDINT 0.00147860 0.00147860 0.00000000 0.00140620 0.00140620 0.00000000 0.00140620 0.00000000 0.00140620 0.00000000 0.00140620 0.00000000 0.00140620 0.00140620 0.00000000 0.00140620 0.00140620 0.00000000 0.00140620 0.00000000 0.00296035 0.00296035 0.00000000 0.00296035 0.00168260 0.00168260 0.00000000 0.00168260 0.00168260 0.00168260 0.00000000 0.00168260 0.00000000 0.01896810 0.01896810 0.00000000 0.01896810 0.00000000 0.01896810 0.01396810 0.00000000 OWNER VALUE 31.03 2.65 9.02 2.65 1.98 11.56 19.47 4.27 1.73 0.42 1.92 0.39 3.52 0.71 38.28 5.72 45.12 OWNER OWNER ADJ. TAX DEDUCTS CODE 0.31 0.03 0.09 0.03 0.02 0.12 0.19 0.04 0.02 0.02 0.04 0.01 0.38 0.06 0.45 05 05 05 05 05 05 05 05 05 05 05 05 05 05 05 NET SHARE 31.03 -0.31 2.65 -0.03 9.02 -0.09 2.65 -0.03 1.98 -0.02 11.56 -0.12 19.47 -0.19 4.27 -0.04 1.73 -0.02 0.42 1.92 -0.02 0.39 3.52 -0.04 0.71 -0.01 38.28 -0.38 5.72 -0.06 45.12 -0.45 CURRENT CHECK YEAR TO DATE OWNER VALUE 282.24 509.75 OWNER TAXES 2.83 5.08 OWNER DEDUCTS NET SHARE 279.41 504.67 TOTAL CHECK AMOUNT: zoeci -frG 279.41
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