HomeMy WebLinkAbout20040640.tiff Pill` Duke
r'Energy®
Field Services
DIVISION ORDER
Lease Number: 564732B&584732C
See Attached Lease Name: Rudolph 2-33&2-34
County/State: Weld County, Colorado
Operator: Petroleum Development Corp
Effective Date: 07/01/03
Owner Number: See Exhibit A
Owner Tax ID:
Interest Type: See Exhibit A
Decimal Interest: See Exhibit A
Taxes:
Property Description: Rudolph 2-33-Township 5 North,Range 67 West Section 2:S2SW Codell/Niobrara Formations&
Rudolph 2-34-Township 5 North,Range 67 West Section 2: S2NW Codell/Niobrara
Documentation:
The undersigned certifies the ownership of the decimal interest in production or proceeds as described above payable by Duke Energy Field
Services,LP("DEFS").
DEFS 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.
DEFS is authorized to withhold payment pending resolution of a title dispute or adverse claim asserted regarding interest in production
claimed herein by the undersigned. The undersigned agrees to indemnify and reimburse DEFS any amount attributable to an interest the
undersigned does not own.
DEFS may accrue proceeds until the total amount equals $25.00 or pay annually, 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 undersign =yTlply may have certain statutory rights under the laws of
the state in which the property is located. C4 llca
\th915 10th Street
Owner(s)Signature s) Witness Clerk Address if different from above
Robert D. Masden, Chair ' - y Y
Greeley, CO 80631
Witness Deputy $ City,State,Zip Code
(970)356-4000 X4200 Board pnI i� 84-6000-813
Owner Home Phone# Tax ID if different from above
Owner Work Phone#
E-mail Address
Federal Law requires you to furnish your Social Security or Taxpayer Identification Number.
Failure to comply will result in 28%tax withholding and will not be refundable by Duke Energy Field Services,LP.
Return to: Duke Energy Field Services, LP Date Prepared: 1/9/04
PO Box 5493 Prepared by: Cynthia Miera
Denver, CO 80217-5493 Direct: 303-605-1811
303-595-3331 Fax: 303-605-2230
COPY LE
2004-0640
•
Exhibit A
584732B RUDOLPH 2-33
Decimal Inflated
Owner no . Credit to Type Interest Interest
195245 SHUR VIEW LP RI 0 . 07635031
195246 DEBRA L BROADHEAD & RI 0 . 03202500
THERESA D KOHLS
195251 WILLIAM F RUDOLPH & RI 0 . 01331050
BETTY J RUDOLPH T/C
195250 JAMES L RUDOLPH RI 0 . 01331050
195249 DANIEL J RUDOLPH RI 0 . 01331050
195248 TERRY A DATZ RI 0 . 01331050
195247 STEPHEN R DATZ RI 0 . 01331050
22031 1 WELD COUNTY BOARD OF COMMISS RI 0 . 00615625
195263 CONNIE W HATTON RI 0 . 00088281
14322 PRIMA OIL & GAS CO OI 0 . 02516735
173668 PETROLEUM DEVELOPMENT CORP WI 0 . 79286578
PAGE : 1
Exhibit A
584732C RUDOLPH 2-34
Decimal Inflated
Owner no. Credit to Type Interest Interest
195245 SHUR VIEW LP RI 0 . 07635031
195246 DEBRA L BROADHEAD & RI 0 . 03202500
THERESA D KOHLS
195251 WILLIAM F RUDOLPH & RI 0 . 01331050
BETTY J RUDOLPH T/C
195250 JAMES L RUDOLPH RI 0 . 01331050
195249 DANIEL J RUDOLPH RI 0 . 01331050
195248 TERRY A DATZ RI 0 . 01331050
195247 STEPHEN R DATZ RI 0 . 01331050
22031 1 WELD COUNTY BOARD OF COMMISS RI 0 . 00615625
195263 CONNIE W HATTON RI 0 . 00088281
14322 PRIMA OIL & GAS CO OI 0 . 02516735
173668 PETROLEUM DEVELOPMENT CORP WI 0 . 79286578
PAGE : 1
•
INSTRUCTIONS TO ALL INTEREST OWNERS
DUKE ENERGY FIELD SERVICES, INC. HAS ENCLOSED A GAS DIVISION ORDER OR TRANSFER ORDER
FOR YOUR EXECUTION. IF YOU ARE RECEIVING A DIVISION ORDER FROM DUKE ENERGY FOR THE
FIRST TIME, PLEASE BE ADVISED THAT WE ARE THE NEW GAS PURCHASER. IF A TRANSFER ORDER IS
ENCLOSED WE ARE EVIDENCING CHANGES OF OWNERSHIP IN AN EXISTING WELL.
THE ATTACHED DOCUMENT SHOULD NOT BE ALTERED IN ANY WAY EXCEPT TO CORRECT
SPELLING ERRORS, UNLESS ACCOMPANIED BY DOCUMENTARY EVIDENCE TO SUPPORT THE
CHANGE.
If your name and interest are correctly shown:
1. Sign your name as shown on the Gas Division Order or Gas Transfer Order.
2. Have your signature witnessed by two competent witnesses.
3. If your name has changed due to marriage or divorce, execute the Gas Division Order or Gas Transfer Order
using your present name and furnish a copy of the marriage certificate or divorce decree.
4. If signing for a corporation, signature must be attested, corporate seal fixed and title of signatory party reflected.
5. If signed by agent, attorney-in-fact, guardian or any party other than the named interest owner, a certified copy of
the power of attorney or other evidence of such party's right to sign must be furnished.
6. Gas Division Orders or Gas Transfer Orders for partnerships must be executed by all partners or by an authorized
partner. A certified copy of the Instrument giving said partners authority to sign must be fumished.
7. Should you fail to provide your correct Social Security Number or Tax Identification Number, the law provides that
we withhold 31% of all production proceeds due you. You may also be subject to a further penalty levied by the
Internal Revenue Service.
8. Your correct mailing address should be noted in the space provided to insure prompt receipt of production
proceeds.
9. The top copy or the"Original"of the Gas Division Order or Gas Transfer Order should be returned to:
DUKE ENERGY FIELD SERVICES, INC.
P. O. BOX 5493
DENVER COLORADO 80217
DIVISION ORDER DEPARTMENT
10. Should you have any further questions regarding the enclosed Gas Division Order or Gas Transfer Order, please
contact your Operator or Duke Energy Field Services, Inc. at(303) 595-3331.
11. Please DO NOT DETACH the exhibit from the Gas Division Order or Gas Transfer Order if one is included.
COUNTY ATTORNEY STAFF APPROVAL
This is to affirm the attached Division Order and Authorization to
Receive Payment for an Oil and Gas Well has been reviewed by
the County Attorney's staff as to form, legal description, and
percentage of ro ties, if applicable
BY:
County orney
DATE:
DST, / (IAIF
AgO/ 7
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