The URL can be used to link to this page

Browse Search

Home My WebLink About20032838.tiff OIL AND GAS DIVISION ORDER OPERATOR: KERR-MCGEE ROCKY MOUNTAIN CORPORATION Date: September 19,2003 1999 BROADWAY,SUITE 3600 Effective Date: Date of First Production DENVER,CO 80202 Well Number: 930031 (303)296-3600 Well Name: HSR-Diefenbach#10-34 Description: T4N-R66W, Section 34: El/4r Formation: J Sand r n��J/ w County and State: Weld County,Colorado _I Owner: Address: Decimal Interest: WEL210 915 10th Street 0.00071016 RI WELD COUNTY BOARD OF Greeley,CO 80632 COMMISSIONERS The undersigned certifies the ownership of the decimal interest in production or proceeds as described above payable by Kerr-McGee Rocky Mountain Corporation. Kerr-McGee Rocky Mountain Corporation shall be held harmless in the event of, and is hereby released from any and all damage or loss which might arise out of any overpayment or underpayment. The Owner executing this Division Order, in consideration of payments by Kerr-McGee Rocky Mountain Corporation, agrees to pay any overriding royalty or royalty owners and/or all other persons who may have right, title or interest in the interest in production set out above and further agrees to protect, indemnify and hold Kerr-McGee Rocky Mountain Corporation harmless from and against any and all loss,cost or expense which it may suffer or sustain by reason of such payment regardless of how any such claim or demand may arise,including all costs or expenses incurred by Kerr-McGee Rocky Mountain Corporation in defending its position in any such claim,suit or action. The undersigned agrees to notify Kerr-McGee Rocky Mountain Corporation, 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. Kerr-McGee Rocky Mountain Corporation.is authorized to withhold payment pending resolution of a title dispute or adverse claim asserted regarding the interest in production claimed herein by the undersigned. The undersigned agrees to indemnify and reimburse Kerr-McGee Rocky Mountain Corporation any amount attributable to an interest to which the undersigned is not entitled. Kerr-McGee Rocky Mountain Corporation may accrue proceeds until the total amount equals twenty-five dollars($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 undersigned and Kerr-McGee Rocky Mountain Corporation may have certain statutory rights under the laws of the state in which the property is located. The undersigned authorizes Kerr-McGee Rocky Mountain Corporation to withhold from the proceeds of any and all production referred to herein the amount of any tax placed thereon by any governmental authority and to pay the same on our behalf. Wit e s//tte_t: r Owner(s)Signature(s): DAV E. LONG, CHAIR 1 6 2003 C IGl■e, c o " B NTY C MMI NERS � !' �� _a i -#tef T•D i�`:Srt��r�HE BOABki... Owner(s)S.S.or Tax I.D.# 84-6000-813 Owner Daytime Telephone# (9 7 0) 156-4000fi `,® y Owner Fax Telephone# (970) 352-0242 i� g� �, Federal Law requires you to furnish your Social Security or Taxpayer Identification Number. Failure to comply will result in 31% tax withholding and will not be refundable by Payor. 2003-2838 LEc7,A,32ei �K KERR-MCGEE3ROCKY MOUNTAIN CORPORATION 1999 BROADWAY•SUITE 600•DENVER.COLORADO 80202 PHONE.303/29636001 September 19, 2003 F" 13600 September RE: HSR-Diefenbach #10-34 Township 4 North, Range 66 West, Section 34: E'': Weld County, Colorado Dear Interest Owner: The subject well was recently deepened to the J Sand formation, which is spaced on an 320-acre unit. The enclosed Division Order reflects your interest in the new formation; your interest in the existing formation(s) will not change. Please read the following instructions carefully before signing the enclosed division order: 1. Be sure that your interest is correct. 2. Sign your name in the space provided exactly as it is shown BEFORE TWO WITNESSES. 3. Your SOCIAL SECURITY NUMBER or TAX IDENTIFICATION NUMBER must be shown in the space provided. Failure to provide the number may result in withholding of your production proceeds, as required by law, and you may also be subject to a penalty imposed by the Internal Revenue Service. 4. Verify the address to which checks should be mailed. 5. If the interest is owned by a CORPORATION,the division order must be signed by a duly authorized officer and attested. The corporate seal must be affixed and the title of the signing officer shown. 6. If the interest is owned by a PARTNERSHIP, the division order must be signed by the general partner or managing partner and evidence of such authority to sign must be furnished. 7. If the division order is signed by anyone other than the named owner such as an AGENT, ATTORNEY-IN-FACT, or GUARDIAN,evidence of authority must be provided. After you have completed and signed the division order, please return the original to me. The copy is for your records. Should you have any questions or concerns, feel free to contact me. Sincerely, Erin J. Langdon Division Order Analyst enclosure 1.—E° c1c7 EXHIBIT "A" HSR-DIEFENBACH #10-34 --"J" SAND FORMATION Well No. 930031 TOWNSHIP 4 NORTH -RANGE 66 WEST, Section 34: E1/2 320.00 ACRES, MORE OR LESS WELD COUNTY, COLORADO Owner Decimal interest Number Owner Name Mailing Address Interest Calculation Interest " Type 4650 N. Flintwood Road 78.182/320 ac x 0.009375% BAA553 LYNNE M. BAALMAN & MARK E. BAALMAN, JT Parker, CO 80134 MI x 12.5% RI 0.00000286 RI Department 161 78.182/320 ac x 9.81864% BEN860 BENSON MINERAL GROUP, INC. Denver, CO 80271 MI x 12.5% RI 0.00299860 RI 6850 W. Highway 34#12 153.1/320 ac x 1/4 MI x BOS772 DONNA B. HOFER Loveland, CO 80537 12.5% RI 0.01495118 RI 144 E. 84th Street, #4F 153.1/320 ac x 1/8 MI x BOS773 CATHERINE A. BOSTRON New York, NY 10028 12.5% RI 0.00747559 RI 1164 Day Road 153.1/320 ac x 1/8 MI x BOS775 MICHAEL H. BOSTRON Sykesville, MD 21784 12.5% RI 0.00747559 RI 410 17th Street, #1151 78.182/320 ac x 0.47712% BRE490 KENNETH A. BREITENBACH Denver, CO 80202 MI x 12.5% RI 0.00014571 RI 475 17th Street, Suite 980 78.182/320 ac x 0.47712% BRO960 JAMES D. BROWNLIE Denver, CO 80202 MI x 12.5% RI 0.00014571 RI 1505 PB Lane, Suite A 78.182/320 ac x 0.109375% CLA905 GEORGE W. CLAY, IV& DANA D. CLAY, TBTE Wichita Falls, TX 76302 MI x 12.5% RI 0.00003340 RI 32 Morningside Drive 80/320 ac x 1/6 MI x 12.5% COL250 CORA W. SOLEM Wheatridge, CO 80215 RI 0.00520833 RI 475 17th Street, Suite 980 78.182/320 ac x 2.625% MI ESP270 THE ESPERANZA CORPORATION Denver, CO 80202 x 12.5% RI 0.00080167 RI 7101 W. Yale Ave., #602 153.079/320 ac x 1/8 MI x FRA352 DIXIE L. FRAHM Denver, CO 80227 12.5% RI 0.00747456 RI 4220 Saddle Rock Road 153.079/320 ac x 1/8 MI x FRA354 LEE A. FRAHM Colorado Springs, CO 80918 12.5% RI 0.00747456 RI 472 East 11125 South 153.1/320 ac x 1/16 MI x HAN733 LINDA HANSEN Sandy, UT 84070 12.5% RI 0.00373779 RI 1700 Wickingham Cove 80/320 ac x 1/6 MI x 12.5% JAM280 BILLIE W. JAMES Birmingham, AL 35243 RI 0.00520833 RI P.O. Box 307 153.1/320 ac x 1/16 MI x KNO550 TAMMY KNOLL Bovina, TX 79009 12.5% RI 0.00373779 RI RALPH O. LORENZ &ALTHEA LORENZ, TRUSTEES UNDER ALTHEA D. LORENZ HC 59, P.O. Box 75 78.151/320 ac x 3/8 MI x LOR LIVING TRUST Iron Mountain, WY 82009 12.5% RI 0.01144790 RI Page 1 of 2 9/19/2003 EXHIBIT "A" HSR-DIEFENBACH #10-34 --"J" SAND FORMATION Well No. 930031 TOWNSHIP 4 NORTH -RANGE 66 WEST, Section 34: E'% 320.00 ACRES, MORE OR LESS WELD COUNTY, COLORADO 'owner Decimal Interest Number Owner Name Mailing Address interest Calculation Interest Type 1001 43rd Avenue, #6 80/320 ac x 1/2 MI x 12.5% MAR940 FRANCES S. MARTIN-SCHIPPER Greeley, CO 80634 RI 0.01562500 RI P.O. Box 2437 78.182/320 ac x 0.078125% OLD823 OLD WEST TOURS Gillette, WY 82717 MI x 12.5% RI 0.00002386 RI OSWALD FAMILY TRUST P.O. Box 36157 78.182/320 ac x 0.096875% OSW157 LOUIS OSWALD, III, TRUSTEE Denver, CO 80236 MI x 12.5% RI 0.00002959 RI (0.031/320 ac x 3/4 MI x PUBLIC SERVICE COMPANY OF COLORADO 550 15th Street, #1000 12.5% RI) + (0.021/320 ac x PUB440 REAL ESTATE DEPARTMENT Denver, CO 80202 1/4 MI x 12.5% RI) 0.00001113 RI JONATHAN S. RODERICK& CAROL P.O. Box 7961 78.182/320 ac x 0.01875% ROD274 RODERICK, JT Boulder, CO 80306 MI x 12.5% RI 0.00000573 RI 5033 County Road 335, #283 153.1/320 ac x 1/16 MI x SIS761 RUSSELL SISSOM New Castle, CO 81647 12.5% RI 0.00373779 RI 613 Cowdin 153.1/320 ac x 1/16 MI x SIS762 JOSEPH SISSOM Glenwood Springs, CO 81601 12.5% RI 0.00373779 RI 660 Belmonte Drive 80/320 ac x 1/6 MI x 12.5% WAL390 DONALD F. WALKER Auburn, AL 36830 RI 0.00520833 RI 4153 Country Club Drive 78.182/320 ac x 0.125% MI WAL404 JOHN C. WALLACE Long Beach, CA 90807 x 12.5% RI 0.00003818 RI 5930 South Ogden Court 78.182/320 ac x 0.47712% WAL405 JOHN R. WALLACE Littleton, CO 80121 MI x 12.5% RI 0.00014571 RI 5680 S. Holly Street 78.182/320 ac x 0.125% MI WAL407 THOMAS C. WALLACE Greenwood Village, CO 80111 x 12.5% RI 0.00003818 RI 915 10th Street WEL210 WELD COUNTY BOARD OF COMMISSIONERS Greeley, CO 80632 1.818/320 ac x 12.5% RI 0.00071016 RI 15892 Weld County Rd. 40 78.151/320 ac x 3/8 MI x WIL443 JAMES R. WILLIAMS &VELMA J. WILLIAMS, JT Platteville, CO 80651 12.5% RI 0.01144790 RI 1999 Broadway, Suite 3600 0.00646015 RI HSR001 KERR-McGEE ROCKY MOUNTAIN CORP. Denver, CO 80202 0.87446093 WI TOTAL: 1.00000000 Page 2 of 2 9/19/2003 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 royalties, if applicable. BY: Coun ttorney DATE: Hello