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HomeMy WebLinkAbout20070321.tiff DIVISION ORDER To: Petro-Canada Resources (USA) Inc. Date: December 7, 2006 y 1099 18th Street, Suite 400 Effective Date: First Production —{ Denver, CO 80202-1904 API 05- 123 - 23 3 Property Number: 12112 Well Name: HETTINGER 24-13 Operator: Petro-Canada Resources (USA) Inc. County and State: Weld County, COLORADO Property Description: T6N, R67W, 6th P.M., Section 24: W/2NE (SWNE) Production: Oil X Gas X Other Owner Name and Address: Owner Number: SEE EXHIBIT "A" SEE EXHIBIT "A" ATTACHED HERETO Type of Interest: SEE EXHIBIT "A" Decimal Interest: SEE EXHIBIT "A" The undersigned certifies the ownership of their decimal interest in production or proceeds as described on Exhibit "A" payable by Petro-Canada Resources (USA) Inc. (Payor). Payor shall be notified, in writing, of any change in ownership, decimal interest, or payment address. All such changes shall be effective the first day of the month following receipt of such notice. Payor is authorized to withhold payment pending resolution of a title dispute or adverse claim regarding the interest in production claimed herein by the undersigned. The undersigned agrees to indemnify and hold Payor harmless from and against any and all liability, loss, costs, damage and expenses (including, but not limited to, attorneys' fees, court costs and interest at the statutory prejudgment rate on funds improperly paid to the undersigned), relating to or in any way arising from from payments made under this Division Order, including payments mistakenly made to the undersigned, or otherwise attributable to the interest in production claimed by the undersigned. In the event of any mistake in such payments made to the undersigned, the undersigned shall immediately refund such payments to Payor. Payor may accrue proceeds until the total amount equals $25.00, or pay once a year whichever occurs first, or as required by applicable state statute. This Division Order does not amend any lease or operating agreement between the undersigned and the lessee or operator or any other contracts for the purchase of oil or gas. In addition to the terms and conditions of this Division Order, the undersigned and Payor may have certain statutory rights under the laws of the state in which the property is located. Special Clauses: None 1 Owner(s) Signature: _ iyr�j David E . Long , C air , r r- . dhL```,, 3 02 / 05 /2007 Owner(s) Tax ID Number(s) 84- 6000-813 Clerk to the Boat'8' ° + l.,..,1 j . f � �� "" 1 a , • Daytime Telephone No. ( 970 ) 356-4000 X4200 BY : t�� jc24ei i ' ? +./\� FAX Telephone No. ( 970) 352-0242 Dapury Cl ark to rho Rnarrt•.'`� Federal Law requires you to furnish your Social Security or Taxpayer Identification Number. I 49VS-�f /76 Failure to comply will result in 31% tax withholding and will not be refundable by Payor. Lt VI, 4--; -- aA , i° 77W ( i cli �.7 -.9/vin z %4- PETRO-CANADA RESOURCES INC Attached to and made a part hereof that Certain Division Order ESIUt2t Effective on Date Shown Herein: Well/Unit No: 12112 Issue Date: 12/07/06 Well/Unit Name: HETTINGER 24-13 Effective Date: First Production County: WELD Last Change Date: 11/01/06 State: COLORADO D/O Master Ref: 13191 Operator: PETRO-CANADA RESOURCES (USA) I Product: ANY PRODUCT Original D/O Date: From Well Master Tract#: 3198 Well/Unit Description: 80 ACRE STAND UP SPACING UNIT Owner Owner Name and Address Type Decimal Pay Number Taxpayer ID Interest Interest Code 102098 WELD COUNTY BOARD OF COUNTY RI 0.00144150 M COMMISSIONERS WELD COUNTY CENTENNIAL CENTER 915 10TH ST GREELEY, COLORADO 80632 PAGE 1 Hello