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FRONTIER CRUDE OIL DIVISION ORDER
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TO: Frontier Oil and Refining Company Date: April 13,2001
5340 S.Quebec,Suite 200N Lease No: CO-1068
Englewood,Colorado 80111-1911 Contract No: 9709-009P
Telephone(303)714-0100 Operator: Southwestern Prod.Corp.
Fax(303)714-0163 Prepared By: Shelley Border
The undersigned,and each of them,guarantee and warrant that they are the legal owners in the proportions set
out below of all the oil,condensate and/or other hydrocarbons produced from the BLEHM#30-1 described as:
Township 6 North,Range 64 West,6th P.M.
Section 30: SW/4 SE/4
in WELD County,State of COLORADO,and commencing at 7 a.m.on the FIRST day of APRIL,2001,and until
further written notice either from you or us,you are authorized to receive oil therefrom,giving credit as directed below:
OWNER NO. CREDIT TO DIVISION/KIND OF INTEREST
FOR DIVISION OF INTEREST
SEE EXHIBIT"A"
ATTACHED HERETO AND MADE A PART HEREOF
THE COVENANTS APPEARING ON THE REVERSE SIDE HEREOF ARE ALSO PART OF THIS DIVISION ORDER AND SHALL BE BINDING ON THE
UNDERSIGNED,THEIR SUCCESSORS,LEGAL REPRESENTATIVES,AND ASSIGNS:
NOTICE: The U.S.Internal Revenue Service requires that owners furnish their Social Security or Employer Identification Number.Please insert this number in the space below
the signature line.Read the terms on the back before signing below.If executing on behalf of a corporation,indicateyouroffiicial capacity,Impressthe corporate
seal,and have your signature attested by the secretary of the corporation.
Signature of One Signature of Mail Check To The
Witness or Attest Owner Following Address
(Please Print or Type)
915 10th Street
Clerk to the Boa X1O`1" C) •F 1 . J. Geile (04/23/2001)
`�t '
Chair, Weld County Greeley, CO 80631
/ / i v►
Board of Commissioners
Deputy Clerk to the �('�'w�$$al- 4-6000-813 (970)356-4000 X4200
ACJ 15`octal Security/Employer ID Number
By:
Title:
Social Security/Employer ID Number
LFo/ D
2001-1127
FIRST: The oil received and purchased hereunder shall become your property as soon as the same is
received into your custody or that of any carrier designated by you.
SECOND: The oil received and purchased hereunder shall be delivered F.O.B.to any carrier designated by you
which gathers and receives said oil, and you agree to pay for such oil to the respective owners according to the division of
interest above specified at the price posted for oil of the same grade and gravity in the same producing field on the date said
oil is received by you. If the oil should be sold by you to another purchaser accepting delivery thereof at the lease tanks,
settlement therefor shall be based upon the price received by you for such oil and upon the volume computation made by such
purchaser.
THIRD: Quality and quantity shall be determined in accordance with the conditions specified in the price
posting. You may refuse to receive any oil not considered merchantable by you.
FOURTH: Settlements and payments shall be made monthly for oil received and purchased during the preceding I
month, by check mailed to the respective parties at the address above given, for the amount of such purchase price due said 'i
parties respectively, less any taxes required by law to be deducted and paid by you as purchaser. If at any settlement date I
the amount payable to any party hereunder shall be less than twenty-five dollars($25.00)per month, settlement may be made
annually, without interest.
FIFTH: Satisfactory abstracts or other evidence of title will be furnished you at any time on demand. In the !
event of failure to furnish such evidence of title, or in the event of any dispute or question at any time concerning the title to
said land and/or the oil produced therefrom, you are authorized to withhold the proceeds of all oil received and run, without
interest, until such dispute,defect or question of title is corrected or removed to your satisfaction,or until indemnity satisfactory
to you has been furnished;and in the event any action or suit is filed in any court affecting the title to the land above described 1
or the oil produced therefrom, to which any of the undersigned is a party, written notice of the filing of such suit or action shall
be immediately furnished you by the undersigned,stating the court in which the same is filed and the title of such suit or action. i
You will not be responsible for any change of ownership in the absence of actual notice and satisfactory proof thereof. You •
are hereby relieved of responsibility for determining if and when any of the interests hereinabove set forth shall revert to or be
owned by others as a result of the completion or discharge of any payment or the termination of any estate or disability. 1
SIXTH: This Division Order shall become valid and binding on each and every owner above named as soon
as signed by him or her regardless of whether or not any of the other above named owners have so signed; and in
consideration of the purchase of oil hereunder, consent is hereby given to you and/or any pipeline company which you may 1
cause to connect with the wells and/or tanks on said land, to disconnect and remove such pipelines, in case of termination by
either you or us of purchase under this Division Order. Any change in interest or ownership shall be effective as to Purchaser I
on the first day of a calendar month, following date of receipt.
SEVENTH: Working Interest Owners and/or Operators who sign this Division Order,and each of them,guarantee
and warrant, for your benefit and that of any pipeline or other carrier designated by you to run or transport said oil, that all oil
tendered hereunder has been or will be produced in accordance with applicable laws and official rules and regulations. Royalty
Owners who sign this Division Order recognize as valid and subsisting in full force and effect all oil and gas leases of record
held by the within named Working Interest Owners, which cover or purport to cover Royalty Owner's interest in the above •
described lands as well as any unit and the same are hereby ratified, adopted and confirmed. Insofar as necessary to effect
the purposes of this provision, this instrument shall be construed as containing words of present grant.
l
FRONTIE
EXHIBIT"A"
ATTACHED TO AND MADE PART OF
FRONTIER OIL AND REFINING COMPANY
CRUDE OIL DIVISION ORDER
DATED APRIL 13, 2001
BLEHM#30-1
Lease No, CO-1068
Page 1 of 1
OWNER NO. CREDIT TO DIVISION/KIND OF INTEREST
5611 Theador Blehm, Debtor .03031250 RI
Ross J. Wabeke, Trustee in Bankruptcy
Case No. 82-3004904-M
ADDRESS UNKNOWN
5612 Janice Fisher .01515625 RI
3816 Mimosa Lane
Lexington, Kentucky 40517
5613 L. June Lehan .01515625 RI
2770 Katherine Street
El Cajon, California 92020
5614 Emma Uhrich Co. .03031250 RI
31386 Weld County Road 51
Greeley, Colorado 80631-9633
5615 Harold R. Uhrich Co. .03031250 RI
31386 Weld County Road 51
Greeley, Colorado 80631-9633
2313 Weld County Board of Commissioners .00375000 RI
P.O. Box 758
Greeley, Colorado 80632-0758 RI Sub-Total .12500000
2448 HS Resources, Inc. .07275000 ORI
Correspondence:
1999 Broadway, Suite 3600
Denver, Colorado 80202
Remittance:
Department 214-02
Denver, Colorado 80271-0214
5050 SW Production Company .80225000 NWI
1675 Larimer Street, Suite 820
Denver, Colorado 80202 TOTAL 1.00000000
RI =Royalty Interest
QRI=Overriding Royalty Interest
NWI =Net Working Interest(Net Revenue Interest)
G ,f 9P• :re OIL and REFINING COMPANY
'e Subsidiary of Frontier Refining&Marketing Inc.
FRONTIER 5340 S.QUEBEC STREET.R nn. I 11 r: t:5 ENGLEWOOD.COLORADO 80111-1911 E 200N
(303(714-0100
April 13, 2001
TO ALL INTEREST OWNERS
Re: BLEHM #30-1
Weld County, Colorado
Lease No. CO-1068
Ladies and Gentlemen:
Effective April 1, 2001, Frontier Oil and Refining Company began purchasing the crude oil
production from the above-referenced property and assumed responsibility for disbursing
proceeds to all interest owners. Plains Marketing previously purchased the oil from the
Blehm #30-1 and paid revenues to you.
Accordingly, enclosed are two copies of our Crude Oil Division Order. Please refer to the
attached instruction sheet and execute both copies. You may retain one copy for your
records, and please return the other executed copy to my attention at the above address.
As soon as we receive your properly executed Division Order, we should be able to place
your account in line for payment.
We do not have an address for Theador Blehm who holds a royalty interest in the
well. If any of you know of his address or current whereabouts, we would appreciate
your advising us.
Thank you for your cooperation in this matter, and please don't hesitate to contact us
should you have any questions.
Sincerely,
`1- '
0(41.0 /t
Shelley Border
Division Order Department
enclosures
FRONTIER OIL and REFINING COMPANY
INSTRUCTIONS TO ALL INTEREST OWNERS
Please read carefully before signing the instrument:
1. Your interest as shown on this instrument should not be altered in any way unless
accompanied by documentary evidence to support the change. We may reject any orders
changed without our approval.
2. Sign your name EXACTLY AS IT APPEARS ON THE INSTRUMENT. Have your
signature witnessed by one (I) disinterested party.
3. If signing for a corporation, signature must be attested, corporate seal affixed and title of
signatory party shown.
4. If signing for a partnership,all partners must sign,unless signed by an authorized partner and
we are furnished a certified cony of his/her authority.
5. If the instrument is signed by an agent, attorney-in-fact, guardian, estate representative,
trustee or any party other than the named interest owner,we must have evidence of the rights
vested in the signatory party.
6. If an interest is shown jointly for more than one person, each party must sign the division
order in the manner that his or her name is shown thereon. In the event one party has been
designated agent for the joint interest shown or he/she has been granted a power of attorney
for the other party(ies),we must have evidence to this effect.
7. Insert your Tax Identification Number or Social Security Number,whichever is applicable,
in the space provided. We may withhold partial payment until such number is received.
8. Insert the address to which checks are to be mailed in the space provided.
9. You should notify us promptly, in writing,of any changes in your mailing address. Always
include your owner number which appears on your check and your old address, and then
state your new address.
10. Return the executed instrument without delay to the address below. KEEP ONE COPY
FOR YOUR RECORDS.
FRONTIER OIL AND REFINING COMPANY
5340 S. QUEBEC STREET,SUITE 200N
ENGLEWOOD, COLORADO 80111-1911
ATTENTION: DIVISION ORDER DEPARTMENT
106
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 fo , legal description, and
percentage of roy ies, if appli e.
BY: 7�Z
Co ty Attorney DATE J ( y-> ( > 7
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