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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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20093662.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 06/20/09 0003042906 $200.34 PC/Product Codes 1XX-Oil (BBLs) 2XX-Gas (MCF) 3XX=Condensate (BBLs) 4XX-Plant Products (GALS/BBLS) 7XX -Sulfur (TONS) Deductions may include compression, processing, gathering, transportation or other marketing fees where applicable. riod For a r copy ofMeriYs'Pgvac y PValorem olicy, go totaxes meritenergycom or be l withheldmonthly. the hLegal Depadeduction rtment"will at the address or phone number above. it Energy Company pays the taxes to the proper tax authority. 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 (NM8LOK) 17 -Other Settlement Differences Property # Sale Date DOI N Property Name TYP PC INT PRICE 00100240 00002 BLEHM 301, 44 30- GAS 042009 204 RI 2.5100 461.00 042009 204 RI 042009 400 RI 0.2200 1,382.00 042009 400 RI 00100240 00003 BLEHM 301, 44 30 -100% OIL 042009 100 RI 42.4500 042009 100 RI 00100852 00008 GATEWOOD 11 1 - GAS 042009 204 RI 2.5100 042009 204 RI 012009 400 RI 0.2500 042009 400 RI 00100937 00002 HALL 41-12 J 042009 204 RI 2.5100 042009 204 RI 042009 400 RI 0.2700 00101145 00003 IRVING #5 042009 204 RI 2.5100 042009 204 RI 042009 400 RI 0.2500 042009 400 RI 00101351 00002 LEE 1 , 2 (SEC 5) - GAS 042009 204 RI 2.5100 042009 204 RI 042009 400 RI 0.2500 042009 400 RI GROSS QUANTITY State County Legal Decimal PAID INT CO GROSS GROSS VALUE TAX WELD 1,156.32 309.65 CO WELD 164.54 6,984.64 CO 594.00 2,287.00 CO 985.00 WELD 1,489.91 574.50 WELD 2,471.70 1,797.00 491.30 CO WELD 703.00 1,763.14 2,416.00 603.57 CO WELD 4,932.00 12,370.72 15,795.00 4,017.41 GROSS TRANSP. GROSS DEDUCTS 0.00375000 0.00375000 0.00000000 0.00375000 0.00000000 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 0.00147860 0.00147860 0.00000000 0.00147860 0.00000000 OWNER VALUE 4.34 1.16 26.19 1.75 0.68 1.34 0.27 1.48 0.51 18.29 5.94 OWNER OWNER ADJ. TAX DEDUCTS CODE 0.04 0.01 0.26 0.02 0.01 0.01 0.01 0.01 0.18 0.06 05 OS 05 05 05 05 05 05 05 05 NET SHARE 4.34 -0.04 1.16 -0.01 26.19 -0.26 1.75 -0.02 0.68 -0.01 1.34 -0.01 0.27 1.48 -0.01 0.51 -0.01 18.29 -0.18 5.94 -0.06 PLEASE DETACH BEFORE PRESENTING FOR PAYMENT 2009-3662 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 06/20/09 0003042906 $200.34 Property N DOI it Property Name Sale TYP Date PC IN T State County GROSS GROSS PRICE QUANTITY VALUE Legal Decimal GROSS GROSS GROSS TAX TRANSP. DEDUCTS PAIDINT 00101351 00006 LEE 1 , 2 (SEC 5) OIL 100% CO WELD 042009 300 RI 42.4500 191.72 8,138.42 042009 300 RI 00101397 00001 LOHR 13 2 & 3213 CO WELD 042009 100 RI 42.4500 36.57 1,552.38 042009 100 RI 042009 204 RI 2.5100 1,024.00 2,568.77 0420O9 204 RI 042009 300 RI 42.4500 64.71 2,746.91 042009 300 RI 042009 400 RI 0.2700 4,311.00 1,151.25 042009 400 Ri 00101397 00002 LOHR 13 4 & 41 13 CO WELD 042009 300 RI 42.4500 129.41 5,493.39 042009 300 RI 00101397 00003 LOHR 13 4 & 41 13 - GAS CO WELD 042009 204 RI 2.5100 1,304.00 3,269.70 042009 204 RI 042009 400 RI 0.2700 5,487.00 1,465.40 012009 400 RI 00101397 00004 LOHR 5 CO WELD 042009 204 RI 2.5100 1,528.00 3,833.38 042009 204 RI 042009 300 RI 42.4500 149.12 6,330.07 042009 300 RI 042009 400 RI 0.2700 6,433.00 1,718.02 042009 400 RI 00101625 00002 MONFORT 11 19 - GAS CO WELD 042009 204 RI 2.5100 84.00 210.75 042009 204 RI 042O09 400 RI 0.2500 408.00 102.94 00101816 00002 PAYNE 2 26 - GAS CO WELD 042009 204 RI 2.5100 231.00 580.08 042009 204 RI 042009 400 RI 0.2500 933.00 235.09 00102038 00003 RUSTY 1 26 -100% GAS CO WELD 042009 204 RI 2.5100 392.00 982.63 042009 204 RI 042009 400 RI 0.2500 1,580.00 398.22 042009 400 RI 00102795 00002 VAUGHAN 12 30 - GAS CO WELD 042009 204 RI 2.5100 370.00 928.15 042009 204 RI 042009 400 RI 0.2400 1,127.00 275.82 042009 400 RI 00102795 00004 VAUGHAN 1230100%OIL CO WELD 042009 300 RI 42.4500 72.75 3,088.20 042009 300 RI OWNER VALUE OWNER OWNER ADJ. TAX DEDUCTS CODE SHARE NET 0.00147860 0.00147860 12.03 12.03 0.00000000 0.12 05 -0.12 0.00140620 0.00140620 2.18 2.18 0.00000000 0.02 05 -0.02 0.00140620 3.61 3.61 0.00000000 0.04 05 -0.04 0.00140620 3.86 3.86 0.00000000 0.04 05 -0.04 0.00140620 1.62 1.62 0.00000000 0.02 05 -0.02 0.00140620 0.00140620 7.72 7.72 0.00000000 0.08 05 -0.08 0.00140620 0.00140620 4.60 4.60 0.00000000 0.05 05 -0.05 0.00140620 2.06 2.06 0 00000000 0.02 05 -0.02 0.00140620 0.00140620 5.39 5.39 0.00000000 0.05 05 -0.05 0.00140620 8.90 8.90 0.00000000 0.09 05 -0.09 0.00140620 242 2.42 0.00000000 0 02 05 -0.02 0.00296035 0.00296035 0.62 0.62 0.00000000 0.01 05 -0.01 0.00296035 0.30 0.30 0.00168260 0.00168260 0.98 0.98 0.00000000 0.01 05 -0.01 0.00168260 0.40 0.40 0.00168260 0.00168260 1.65 1.65 0.00000000 0.02 05 -0.02 0.00168260 0.67 0.67 0.00000000 0.01 05 -0.01 0.01896810 0.01896810 17.60 17.60 0.00000000 0.18 05 -0.18 0.01896810 5.23 5.23 0.00000000 0.05 05 -0.05 0.01896810 0.01896810 58.58 58.58 0.00000000 0.59 05 -0.59 CURRENT CHECK YEAR TO DATE OWNER VALUE 202.37 3,935.35 OWNER OWNER TAXES DEDUCTS 2.03 39.35 0.56 NET SHARE 200.34 3,895.44 TOTAL CHECK AMOUNT: 200.34 2,OO1.--•,66ct
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