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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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20093668.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 NO. DATE CHECK NUMBER AMOUNT PAYEE NAME WELD COUNTY COLORADO 10078725 12/20/09 0003147183 $215.29 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 es 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, cessing 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 N DOI N Property Name Sale TYP Date PC INT PRICE 00100240 102009 102009 192009 00100240 102009 102009 00100852 102009 102009 102009 102009 00100937 102009 102009 102009 00101145 102009 102009 102009 102009 102009 102009 00101351 102009 102009 102009 00002 BLEHM 301, 44 30- GAS 204 RI 3.5300 204 RI 400 RI 0.4000 00003 BLEHM 30 1, 44 30 - 100% OIL 300 RI 68.3200 300 RI 00008 GATEWOOD 11 1 - GAS 204 RI 3.5300 616.00 204 RI 400 RI 0.4400 400 RI 00002 HALL 41-12 J GROSS QUANTITY State County 204 RI 204 RI 400 RI 00003 IRVING #5 204 RI 204 RI 300 RI 300 RI 400 RI 400 RI 00002 LEE 1 , 2 (SEC 5) - GAS 204 RI 3.5300 204 RI 400 RI GROSS VALUE WELD 292.75 116.31 WELD 14,786.59 GROSS TAX WELD 2,172.04 2,525.00 1,098.82 CO 3.5200 867.00 0.4600 3.5300 68.3200 0.4400 0.4500 CO 83.00 288.00 CO 216.42 CO 1,674.00 CO 854.00 141.73 3,832.00 CO 3,617.00 13,068.00 WELD 3,055.54 765.64 WELD 3,011.07 9,683.50 1,677.30 WELD 12,754.10 5,92316 GROSS TRANSP. GROSS DEDUCTS Legal Decimal PAID INT 0.00375000 0.00375000 0.00000000 0.00375000 0.00375000 0.00375000 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 0.00084130 0.00000000 0.00147860 0.00147860 0.00000000 0.00147860 OWNER OWNER OWNER ADJ. VALUE 1.10 0.44 55.45 2.55 1.29 1.66 0.42 2.53 8.15 1.41 18.86 8.76 TAX DEDUCTS CODE 0.01 0.55 0.03 0.01 0.02 0.03 0.08 0.01 0.19 05 05 05 05 05 05 05 05 05 NET SHARE 1.10 -0.01 0.44 55.45 -0.55 2.55 -0.03 1.29 -0.01 1.66 -0.02 0.42 2.53 -0.03 8.15 -0.08 1.41 -0.01 18.86 -0.19 8.76 2009-3668 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 12/20/09 0003147183 $215.29 Property N DOI # Property Name State oust} Sale TYP GROSS GROSS GROSS GROSS GROSS Date PC INT PRICE QUANTITY VALUE TAX TRANSP. DEDUCTS PAM 1 T 102009 400 RI 00101397 00001 LOHR 13 2 & 32 13 102009 100 RI 68.3200 59.39 4,057.74 102009 100 RI 102009 204 RI 3.5200 1,237.00 4,360.46 102009 204 RI 102009 300 RI 68.3200 59.39 4,057.74 102009 300 RI 102009 400 RI 0.4100 4,594.00 1,865.04 102009 400 RI 00101397 00002 LOHR 13 4 & 4113 CO WELD 102009 300 RI 68.3200 156.61 10, 700.16 102009 300 RI 00101397 00003 LOHR 13 4 & 41 13 - GAS CO 102009 204 RI 3.5300 1,649.00 102009 204 RI 102009 400 RI 0.4100 6,125.00 2,486.71 102009 400 RI 00101397 00004 LOHR 5 CO WELD 102009 204 RI 3.5200 1,237.00 4,360.47 102009 204 RI 102009 300 RI 68.3200 118.78 8,115.48 102009 300 RI 102009 400 RI 0.4100 4,594.00 1,865.03 102009 400 RI 00101816 00002 PAYNE 2 26 - GAS CO 102009 204 RI 3.5300 211.00 102009 204 RI 102009 400 RI 0.4400 923.00 403.09 102009 400 RI 00102038 00003 RUSTY 1 26 - 100% GAS CO 102009 204 RI 3.5300 301.00 102009 204 RI 102009 400 RI 0.4400 1,317.00 575.15 102009 400 RI 00102795 00002 VAUGHAN 12 30 - GAS CO 102009 204 RI 3.5300 483.00 102009 204 RI 102009 400 RI 0.4200 1,366.00 568.72 102009 400 RI CO WELD WELD 5,813.95 WELD 743.94 WELD 1,061.51 WELD 1,703.17 0.00000000 0.00140620 0.00140620 5.71 5.71 0.00000000 0.06 05 -0.06 0.00140620 6.13 6.13 0.00000000 0.06 05 -0.06 0.00140620 5.71 5.71 0.00000000 0.06 05 -0.06 0.00140620 2.62 2.62 0.00000000 0.03 05 -0.03 0.00140620 0.00140620 15.05 15.05 0.00000000 0.15 05 -0.15 0.00140620 0.00140620 8.18 8.18 0.00000000 0.08 05 -0.08 0.00140620 3.50 3.50 0.00000000 0.04 05 -0.04 0.00140620 0.00140620 6.13 6.13 0.00000000 0.06 05 -0.06 0.00140620 11.41 11.41 0.00000000 0.11 05 -0.11 0.00140620 2.62 2.62 0.00000000 0.03 05 -0.03 OWNER OWNER OWNER ADJ. NET VALUE TAX DEDUCTS CODE SHARE 0.00168260 0.00168260 1.25 0.00000000 0.00168260 0.68 0.00000000 0.00168260 0.00168260 1.79 0.00000000 0.00168260 0.97 0.00000000 0.01896810 0.01896810 32.31 0.00000000 0.01896810 10.79 0.00000000 0.09 05 -0.09 1.25 0.01 05 -0.01 0.68 0.01 05 -0.01 1.79 0.02 05 -0.02 0.97 0.01 05 -0.01 32.31 0.32 05 -0.32 10.79 0.11 05 -0.11 CURRENT CHECK YEAR TO DATE OWNER VALUE 217.47 5,100.01 OWNER OWNER TAXES DEDUCTS 2.18 51.04 0.56 NET SHARE 215.29 5,048.41 TOTAL CHECK AMOUNT: 215.29 J0Q?-366
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