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HomeMy WebLinkAbout20002826 OIL AND GAS DIVISION ORDER DT Date: October 4 2000 • Lease No.: 114782012 Lease Name: Appel Heirs W 32-5Di (J) Effective Date: _ First Production To: SOCO 'Wattenberg Corporation c/o Patina Oil & Gas Corporation 1625 Broadway, Suite 2000 Denver, CO 80202 Each of the undersigned, individually, for themselves, their heirs, successors, and assigns, hereby represents, warrants, and guarantees to SOCO Wattenberg Corporation and Patina Oil & Gas Corporation (hereinafter collectively referred to as the "Company"), its successors and assigns, that the undersigned is the legal owner of the decimal interest, as set forth below opposite each undersigned's name. in the proceeds from all oil, condensates, and natural gas which may be produced from or allocated to the following-described area or well located in the County of Weld,. State of Colorado, and snore particularly described as follows: Township 2 North,Range 66 West, 6'^ P.M. Section 32: W/2, limited to the J Sand Formation Commencing on the effective date hereof, the Company is hereby granted and authorized to take and receive all oil, condensates, and natural gas which may be thereafter produced from the above-described area or well and, subject to the other terms and conditions hereof, to give credit therefor to the undersigned in accordance with the division of interest schedule as follows: Credit To Address Decimal Interest See Exhibit "A" attached Additionally, in consideration of the wells drilled or to be drilled on the above described lands and the payment to the undersigned of royalties on production from said wells, the undersigned agree, grant, and represent to and with the Company as follows: 1. Oil (including crude oil and condensate) shall become the property of the purchaser there'd upon its delivery to the purchaser or to the purchaser's agent or carrier, and payments hereunder shall be based upon the net price received therefor from the purchaser. Oil shall be graded and measured in accordance with applicable rules, regulations, or standards generally accepted in the industry. In the event that the Company is the purchaser of such oil, settlements therefor shall be based upon the Company's posted price for similar oil at the field where produced and in effect on the date of delivery, or it no posted price is then in effiNT, settlements shall be based upon the then prevailing market price on the date of delivery thereof in the held where produced. If the oil is purchased by the Company and resold to another purchaser accepting delivery thereof on the premises, settlements hereunder shall be based on the net price received therefor by the Company. The Company may deduct from any price received for the oil the reasonable costs of transporni ig and/or treating the same if incurred. 2. Natural gas, including casinghead gas if marketed with gas well gas, shall be delivered and sold to and become the property of the pipeline company to whom the gas is agreed tc be sold by tire Company. Settlements to the undersigned shall be based upon the terms, conditions and prices for said ga:r its agreed to with the pipeline company and/or gas purchaser less post production costs from the wellhead to the point of sale, including but not limited to gathering, compression, transportation, dehydration and transmission. 3. Oil and natural gas produced and sold from the premises is or may become subject to orders of certain regulatory authorities who could vary the terms of any agreement for the production or sale thereof. To the extent that such orders do modify or change current sales or production arrangements, the provis(yrs thereof, as well as the provisions hereof, shall be so modified accordingly. 4. Settlements hereunder for oil and gas shall be made monthly by the Cornpany roailing or delivering their check to the undersigned at the address indicated in an amount, less taxes required In be withheld, calculated in accordance with the schedule of interest as herein contained. Settlements shall rte mailed no later than the 25th day of each month for oil anti/or gas taken or sold during the second preceding calendar month. If at any settlement date the amount payable to any of the undersigned shall be less I hart Twenty-five Dollars ($25), the Company may defer such payment and make payment when such settlement amount has accumulated to Twenty-five Dollars ($25) but, in any event, not less than annual intervals. 5. The undersigned individually warrant that they are the owner of their respective interest as herein set forth and that in the event of an adverse claim made thereto or in the event ownership of the undersigned's interest is not substantiated by record examination, the Company may retain any and all settlements due therefor, without interest, until such claim or ownership of the interest is settled, fully adjudicated or otherwise determined, or until the Company is adequately indemnified therefor by the parties claiming such interest. The Company may, at any time, require the undersigned to furnish proof of in title to its interest, including abstracts of title or oilier pertinent records or documents. :2000-2826 6. The undersigned shall notify the Company of any change in the ownership of their interest, and the Company shall not be liable for, nor shall it be required to recognize, any change in ownership unless and until the Company shall actually receive a certified copy of the instrument changing such interest ant the transferee thereof executes and returns to the Company such transfer order or amended division order as the Company may reasonably require. In no event shall the Company be required to give effect to any chance of interest of the undersigned prior to the first day of the calendar month next following the month in which the Company is notified of such change, regardless of the effective date of the instrument transferring the same. 7. The undersigned hereby represent, grant to, and agree with the Company that the interest of the undersigned and of the Company in and to the oil and gas which has or which may be produced Iron, the premises is in full force and effect and that all payments required to be made and all acts required tc be done by the Company with respect thereto have been performed. The undersigned hereby releases the Company from any and all claims and damages arising from the purchase and handling of oil or gas from the premises and for making any payments for settlements so long as tfe same are made in accordance with the 1 erns of the division of interest schedule set forth on Exhibit "A". 8. In the event that the area or well described above, or any part thereof, is included in one or more pooled or unitized units now or hereafter formed by order of any appropriate governmental authority by agreement or otherwise, the undersigned and the Company recognize and agree that settlement for oil anc gas shall be made in accordance with the production allocated to the premises above described without the necessity for the execution of additional or supplemental division orders. To the extent that the premises as described above constitute a previously pooled or unitized area, the same is hereby ratified. The undersigned hereby expressly ratify and confirm the oil, gas and mineral lease or leases, pursuant to which oil and gas torn the property is being produced and sold, any amendments and supplements to such lease cr leases inch d any designations, declarations or agreements creating the snit including the above described properly if ;uch be the case. 9. The provisions hereof shall be binding upon and inure to the benefit of the Company and the undersigned, their respective heirs, successors, administrators, and assigns. No change in the ownersh p of any interest herein described shall have the effect of changing the binding nature hereof. This instrument nay be executed in counterparts with each counterpart considered to be a binding agreement of the signatories thereto; and all counterparts, as executed, shall be considered to be one instrument. 10. Should it be determined from time to time by the courts, any governmental agency having jurisdiction, or the Company and the purchaser of production, that the prices or allowances, if any, being paid to the Company and the amounts being disbursed to the undersigned are in excess of lawf,al prices or prices agreed to with the oil or gas purchaser, and a refund is then required, you agree to promptly refund such excess amounts so paid to you, including interest thereon, if required. Additionally, the Company shall have the right to recover such excess amounts out of future settlements hereunder to which you are entitled. 11. This division order may be executed in counterparts and shall be binding on and shall inure to the benefit of each signer hereto, his/her heirs, successors and assigns, whether or not it is executed by all parties named herein. WHEREFORE, the undersigned have executed this Division Order in acknowledgment and consent to the foregoing terms, warranties, and agreements. Witness t� I Sign Below: \5`���-•'f,f ` Owner Sign Below: SS No. or Tax ID Nu. !� lt° alr> - • '� a(J J�,_,� c' Chabarra J. Ki me rerr g[-6 G00-ti13 L e 124(eDeput w k t r N it `1\,, the Board Date: November 6.,--2000 IMPORTANT: TO AVOID DELAY IN PAYMENT, YOUR CURRENT ADDRESS AND SOCIAL SECLRITY NUMBER OR TAX ACCOUNT NUMBER MUST BE SHOWN I<IIIHII 'A' 114782012 - APPEL HEIRS W 32-5Di (J) OII. AND/OR GAS DIVISION ORDER DECIMAL INTEREST PAY Tame & Address . OWNER NO . INTEREST.- . TYPE .. CODE SOCO WATTENBERG CORPORATION 19 11.00017500 RI X (SWAT) 0.00017500 1625 BROADWAY, STE. 2000 DENVER, CO 80202 SOCO WATTENBERG CORPORATION 19 0.39070103 WI X (SWAT) 0.39070103 1625 BROADWAY, STE. 2000 DENVER, CO 80202 . PATINA OIL & GAS CORPORATION 20 1.00446462 WI X 1625 BROADWAY, SUITE 2000 11.004464(2 DENVER, CO 80202 PATINA OIL & GAS CORPORATION 20 ❑.05118300 OR X 1625 BROADWAY, SUITE 2000 0.05118300 DENVER, CO 80202 Unknown Owner 9998 0.00172953 RI SX 777 MAIN STREET, STE. 2500 0.00172953 FORT WORTH, TX 76102 UNION PACIFIC RESOURCES CO. 97901 0.00381037 OR M P 0 BOX. 843169 0.00381037 DALLAS, TX 75284-3169 UNION PACIFIC. RESOURCES CO. 97901 0.00064085 RI M P O BOX 843169 0.00064085 DALLAS, TX 75284-3169 DELETED INTEREST OWNER 99999 0.00000000 WI X 0.02155391 PUBLIC SERVICE CO. OF COLORADO 204441 0.00257113 RI M REAL ESTATE DEPT. 0.00257113 TECHNICAL SERV BLDG. STE 1000 550 15TH STREET DENVER, CO 80202-4256 WELD COUNTY COLORADO 212062 0.00070185 RI M c/o BOARD OF COUNTY 0.00000000 COMMISSIONERS WELD COUNTY CENTENNIAL CENTER 915 10th STREET GREELEY, CO 806:52 MARCUS A. DEGENAART 217007 0.00247076 OR M P.O. BOX 536 . 0.00247076 BRIGHTON, CO 80601 BELLE LIEBERMAN 264006 0.00546289 RI M P.O. BOX 518 0.00546289 SCOTTSBLUFF, NE 69361 SYLVIA ROBIN 264014 0.00546288 RI M 6901 ENVIRON BLVD. APT. 5-F 0.00546280 LAUDERHALL, FL 33319 RUTH STRATHMAN 264022 0.00546289 RI M 5404 EAST CUSTER PLACE 0.00546289 DENVER, CO 80222 JIM SNYDER 264807 0.00480734 OR M DBA JIM SNYDER DRILLING CO 0.00480734 P.O. BOX 216 NICKERSON, KS 67561-0216 WRIGHT INVESTMENT GROUP, INC. 284980 0.00121067 RI M PO BOX 73 0.00121067 I XI110I1 'A' 114702012 - APPEL HEIRS W 32-5Di CJ) OIL AND/OR GAS DIVISION ORDER DECIMAL INTEREST PAY Jsme & Address . OWNER NO . INTEREST.. . TYPE .. CODE FT LUPTON, CO 80621 R.H. PIERCE MANUFACTURING CO. 284998 0.00617690 RI M P.O. BOX 989 0.00617690 EUGENE, OR 97440 JEFF GIACOMINO & 285000 0.00012547 RI SA BRUCE VICTOR & MICHARI ATENCIO 0.00012547 6071 WEST 76TH AVENUE WESTMINSTER, CO 80003 ALBERT H. OHLE & 285018 0.00013705 RI M BARBARA J. OHLE 0.00013705 P.O. BOX 129 DUPONT, CO 80024 EVANGELINA V. TACORANTE & 285026 0.00097286 RI SD JANE TACORANTE 0.00097286 1772 DENVER AVENUE FORT LUPTON, CO 80521 HELEN MOODY 285051 0.00031232 RI M 332 3rd STREET 0.00031232 FORT LUPTON, CO 80651 JOHN LAWRENCE BEAUPREZ & 285069 11.00077211 RI M JUDITH ANN BEAUPREZ, JT. 0.00077211 437 POPPY DRIVE BRIGHTON, CO 80601 JULIA NAKAMOTO & 285077 0.00287612 RI M NORMAN NAKAMOTO 0.00287612 3871 MOULTON DRIVE SAN BRUNO, CA 94056 NICK PACIIECO & 286627 0.00038606 RI SD CASEY FACIIECO 0.00038606 11715 SPRING DRIVE NORTIIGL.ENN, CO 80233 EMILIA MUNOZ, TRUSTEE 286635 0.00008107 RI M 84 JESSUP 0.00008107 BRIGHTON, CO 80601 RAYMUNDO MARTINET: & 286660 0.00004632 RI SD GUADALUPE MARTINEZ 0.00004632 715 9th STREET FORT LUPTON, CO 80621 DANIEL A. GLOVER & 286678 0.00038991 RI SA WOODY GLOVER 0.00038991 912 DENVER, AVENUE FORT LUPTON, CO 80621 CHARLES BUSIIA 286686 0.00127012 RI 5118 WCR 35 0.00127012 FORT LUPTON, CO 80621 HOUSING CORP. OF FORT LUPTON 286694 0.00089951 RI M 400 2nd STREET 0.00089951 FORT !._LIPTON, CO 80621 JIMMY DOMINGUEZ 286731 0.00019302 RI M P.O. BOX 684 0.00019302 1006 DENVER AVENUE FORT LUPTON, CO 80621 JAMES D. ZIMBELMAN 286740 0.00088792 RI M 885 RAMS HORN ROAD 0.00088792 ESTES PARK, CO 80517 IXIIIOI I 'A' 114702012 - APPEL HEIRS W32-501 (J) OIL AND/OR GAS DIVISION ORDER DECIMAL INTEREST PAY Name & Address OWNER NO . INTEREST.. . TYPE .. . CODE BRENT H. SCHROEDER & 286758 0.00035131 RI M MARY A. SCHROEDER 0.00035131 c/o CROWN METAL PRODUCTS 1100 DENVER AVENUE FORT LUPTON, CO 80621 CITY OF FORT LUPTON 286766 8.00077903 RI M ATTN: MS. ROSE BOWLES 0.00077983 P.O. BOX 148 FORT LUPTON, CO 80621 PLAN de SALUD del VALLE, INC. 286774 0.00029340 RI SD 1115 2nd STREET 0.00029340 FORT LUPTON, CO 80621 SAMMIE P. GALLEGOSS & 286782 0.00016986 RI M LILLIAN S. GALLEGOS, JTS. 0.00016986 737 DAHLIA STREET DENVER, CO 80220 JAMES S. WRIGHT 286791 0.00006563 RI M 9270 QUITMAN STREET 0.00006563 WESTMINSTER, CO 80030 DONALD D. PATTON I. 286803 0.00010037 RI M LUANN 0. PATTON, JTS 0.00010037 4502 COUNTY ROAD 31 FORT LUPTON, CO 80621-8214 ERICH HELM 286811 0.00007335 RI SA 315 DENVER AVENUE 0.00007335 FORT LORTON, CO 80621 ELNA 0 HODGES 286820 0.00015056 RI 5A 12302 WEST LOUISIANA AVE 0.00015056 LAKEWOOD, CO 80228 JESS V. RAMIREZ 286838 0.00023549 RI M 329 PARK AVENUE 0.00023549 FORT LUPTON, CO 80621 RUPERT RODELLO, JR. 286846 0.00026679 RI SO 1242 MAIN STREET 0.00026679 FORT LUPTON, CO 30621 ANNIE VIGIL 286854 0.00005405 RI SD 1272 NORTH MAIN 0.00005405 FORT LUPTON, CO 80621 RALPH J. SOUTHER 286862 0.00008493 RI SD 820 SOUTH DENVER AVENUE 0.00008493 FORT LUPTON, CO 80621 MARGUERITE BATEMAN 286871 0.00007335 RI 5A 256 4th STREET 0.00007335 FORT LUPTON, CO 80621 JESS V. RAMIREZ & 286889 0.00023163 RI M IRENE D. RAMIREZ 0.00023163 329 PARK AVENUE FORT LUPTON, CO 80621 PATRICIA L. TERRY & 286918 0.00030112 RI M MILBY G. GERRY 0.00030112 1312 DENVER AVENUE FORT LUPTON, CO 80621 LUTHER D. ARD 8 286926 0.00003346 RI SD LISA MARIE ARD & 0.00003346 EXHIBIT 'A' 114782012 - APPEL HEIRS W 32-5Di (J) OI1. AND/OR GAS DIVISION ORDER DECIMAL INTEREST PAY Nome & Address OWNER NO . INTEREST.. . TYPE .. . CODE DORMUS R. VAUGHN, JTS 1342 NORTH DENVER FORT LUPTON,, CO 80621 JULIA NAKAMOTO 286934 0.00020954 RI M 3871 MOULTON DRIVE 0.00028954 SAN BRUNO, CA 94066 J.E. BLEA 286951 0.00018530 RI SA ADDRESS NOT AVAILABLE 0.00018530 ELENA HERNANDEZ 287013 0.00084932 RI SD P.O. BOX 64 0.00084932 FORT LUPTON, CO 80621 AGNES RICHMOND 287021 0.00010037 RI M 400 2ND STREET, APT. 37 0.00010037 FORT LUPION, CO 80621-1942 PAUL MARTINEZ & 287582 0.00033587 RI EP LUPE MARTINEZ 0.00033587 PETRA CHAVEZ 287591 0.00016600 RI EP ADDRESS NOT AVAILABLE 0.00016600 LUCIA PACHECO, DELFINO PACHECO 287603 0.00047099 RI EP DELFINO PACHECO & CASEY PACHE 0.00047099 RAYMOND YSLAS 287611 0.00008107 RI SA ADDRESS NOT AVAILABLE 0.00008107 HERBERT MCCARTNEY & 287620 0.00038219 RI SA SHIRLEY MCCARTN 0.00038219 RUBEN M. OLIVAS 287638 0.00008107 RI M PERFFIE M. OLIVAS 0.00008107 BOX 96 FT. LUPTON, CO 80621 MAX B. SEPULVEDA & 287646 0.00015442 RI SD ANNABELLE SEPULVEDA, JT. 0.00015442 P.O. BOX 28 FORT LUPTON, CO 80621 LOWELL A. GROVES 287654 0.00016600 RI ST 413 SE 10TH ST. 0.00016600 NEWTON, KS 67114-4409 LUCAS SEPULREDA & 287662 0.00034745 RI SD AGRIPINA HERNANDEZ 0.00034745 SEPULVEDA, JTS 1408 14TH STREET FORT LUPTON, CO 80621 FORT LUPTON CANNING CO. 304645 0.00042157 RI EP ADDRESS NOT AVAILABLE 0.00042157 BILLY R. BROOKS & 304661 0.00005404 RI M MAXINE L. BROOKS 0.00005404 908 TRAPPER FORT LUPTON, CO 80621 ROBERTA J. REED 304670 0.00006177 RI SD 1015 LANCASTER AVENUE 0.00006177 FORT LUPTON, CO 80621 BILLY R. GCMEZ & 304688 0.00008879 RI SD ADELE V. GOMEZ 0.00008879 1004 SHORTLINE DRIVE FORT LUPTON, CO 80621 EXHIHII 'A' 114782012 APPEL HEIRS W 32-5Di (J) OIL AND/OR GAS DIVISION ORDER DECIMAL INTEREST PAY Name 6 Address . OWNER NO . INTEREST.. . TYPE .. . CODE ALFONSO P. LUNA 8 304696 0.00005404 RI SD MARIA G. LUNA 0.00005404 1002 SHORTLINE DRIVE FORT LUPTON, CO 80621 MARK C. THIESEN S 304709 0.00006177 RI M RONDA K. THIESEN 0.00006177 1000 SHORTLINE DRIVE FORT LUPTON, CO 80621 MANUEL CARDOZA 8 304725 0.00005404 RI SA AURORA CARDOZA 0.00005404 102 LANCASTER AVENUE FORT LUPTON, CO 80621 DEBRA A. GARCIA 304733 0.00006177 RI M 915 LANCASTER AVENUE 0.00006177 FORT LUPTON, CO 80621 ROBERT N. KRUMTUM 8 304741 0.00005404 RI M LORIE D. KRUMTUN 0.00005404 912 LANCASTER AVENUE FORT LUPTON, CO 80621 MARIA L SANDERS 304750 0.00005404 RI M 910 LANCASTER AVENUE 0.00005404 FT LUPTON, CO 80621 PETE KOEHN R 304768 0.00005404 RI H RUBY KOEHN 0.00005404 906 LANCASTER ANVEUE FORT LUPTON, CO 80621 CRISOGONO CHEVE2-SAENZ 8 304792 0.00005404 RI M MARIA TERESA CHPVEZ-SAENZ 0.00005404 904 LANCASTER AVENUE FORT LUPTON, CO 80621 ALFREDO ORTIZ 6 304805 0.00005404 RI M DELFINA ORTIZ 0.00005404 1107 VILLAGE DRIVE FORT LUPTON, CO 80621 RICHARD A. WAGNER 8 304813 0.00005404 RI M JULIE K. WAGNER 0.00005404 1105 VILLAGE DRIVE FORT LUPTON, CO 80621 CHARLES M. B PEONY J. RANKIN 304821 0.00005790 RI SA PENNY J. RANKIN 0,00005790 1009 VILLAGE DRIVE FORT LUPTON, CO 80621 JOSE A. RAMIREZ 304830 0.00006177 RI SD 1016 PACIFIC CT, 0.00006177 FORT LUPTON, CO 80621 DELBERT L. FAST 8 304848 0.00016986 RI EP MARY JANE FAST 0.00016986 C/O JOE HEFFLEY C/O LONE PINE CORP. 7824 SOUTH MAGNOLIA WAY ENGLEWOOD, CO 80112 ELMA U. SANCHEZ 304856 0.00005404 RI SD 1305 PACIFIC CI. 0.00005404 FORT LUPTON, CO 80621 MARK E. GRAJEDA B 304864 0.00005404 RI SD f xIIIBI I 'A' 114782012 - APPEL HEIRS W 32-501 (J) OIL AND/OR GAS DIVISION ORDER DECIMAL INTEREST PAY Name & Address . OWNER Ni) . INTEREST.. . TYPE . . . CODE ESTHER E. GRAJEDA 0.00005404 1211 PACIFIC CT. FORT LUPTON, CD 80621 BETTY HOOVER 304873 0.00005404 RI SD 1338 RUE SE TRUST 0.00005404 ERIE, CO 80516 JESUS C. RODRIOUEZ 304881 0.00005404 RI SD 1203 PACIFIC CT. 0.00005404 FORT LUPTON, CO 80621 JAMES E. BUSTAMONTE & 304899 (1-00005404 RI M 1201 PACIFIC COURT 0.1)0005404 FORT LUPTON, CO 80621 KEVIN 0 WEEDEN AND 304901 0.00015056 RI ST KATHRYN P WEEDEN 0.00015056 206 MAID STONE. RD IRMO, SC 29063-2209 EFRAIN GUERRERO & 304910 0.00005404 RI SD DELFINA D. GUERRERO 0.000054114 1029 PACIFIC COURT FORT LUPTON, CO 80621 DENNIS DEUTSCH & 304928 0.00005404 RI M GENEVIEVE bEUISCH 0.00005404 1017 PACIFIC COURT FORT LUPTON, CO 80621 WELD COUNTY BOARD OF 305618 0.00140138 RI M COMMISSIONERS 0.00000000 915 10th STREET GREELEY, CO 80631 DANIEL J. OVIEDO & 306843 0.00006562 RI SD SANDRA J. OVIEDO 0.00006562 904 PACIFIC PLACE FORT LUPTON, CO 80621 LEONARD J. MCNTOYA & 306851 0.00006177 RI SD DANA M. MONTC/A 0.00006177 250 NORTH 59 AVENUE BRIGHTON, CO 80601-1713 DENNIS E. JONES & 306860 0.00008879 RI M JEANETTE J. JONES 0.00008879 1004 VILLAGE DRIVE FORT LUPTON, CO 80621 WILLIAM D. PENFOLD & 306878 0.00006562 RI M LARNE E PENFOLD 0.00006562 393 SOUTH 22nd AVENUE CT. BRIGHTON, CO 80601 JOHN S. BRUMLEY 306886 0.00008107 RI SA 16730 STEELE STREET 0.00008107 BRIGHTON, CO 80601 DENIGNO VASQUEZ & 306894 0.00013126 RI SD JOSEPHINE VASOUEZ 0.00013126 912 VILLAGE DRIVE FORT LUPTON, CO 80621 L. CRAIG KNUCKEY & 306907 0.00006177 RI M DEBORAH J. KNUCKEY 0.00006177 4372 WELD COUNTY ROAD 27 FORT LUPTON, CO 80621 EXHIBIT 'A, 114702012 - APPEL HEIRS W 32-5Di (J) OIL AND/OR GAS DIVISION ORDER DECIMAL INTEREST PAY Name & Address . OWNER NO . INTEREST.. . TYPE .. . CODE BRUCE A. SANFORD & 306915 0.00006177 RI SD NAOMI SANFORD 0.00006177 • P.O. BOX 403 FORT LUPTON, CO 80621 ERNEST HEINZE 306966 0.01544224 RI EP ADDRESS NOT AVAILABLE 0.01544224 HS RESOURCES, INC. 311840 0.00154422 RI SD 1999 BROADWAY STE 3600 0.00154422 DENVER, CO 80202 HS RESOURCES, INC. 311840 0.00617690 OR SD 1999 BROADWAY SEE 3600 0.00617690 DENVER, CO 80202 PAUL HOOVLER 323408 0.00123538 OR M C/0 HOOVLER VENTURES, LLC 0.00123538 1019 8TH STREET, SUITE 105 GOLDEN, CO 80401 MINERAL RESOURCES, J.V. 335919 0.01)349625 OR M ATTN, ERIC G. POLITTE 0.00349625 1600(1 STUEBNER AIRLINE, #520 SPRING, TX 77379 JIM L. ELLS 410270 0.00009265 RI M 2435-71ST AVENUE 0.00009265 GREELEY, CO 80634 II L WILLETT 701050 0.38988883 WI M 518 17TH ST 0.38988883 SUITE 250 DENVER, CO 80202-4102 H L WILLETT 701050 0.00077211 RI M 518 17TH ST 0.00077211 SUITE 250 DENVER, CO 80272-4102 MINERALS MANAGEMENT SERVICE 704328 0.01927734 RI SG ROYALTY MANAGEMENT SERVICE 0.00000000 P 0 BOX 5810 T A DENVER, CO 80217-5810 COLO DEPT OF TRANSPORTATION 705595 0.00017334 RI M C/0 RECEIPTS B DEPOSTIS 0.00000000 WEST ANNEX 4201 E ARKANSAS DENVER, CO 80222 BOB HILL 709449 0.00247076 OR M P 0 BOX 3037 0.00247076 ENGLEWOOD, CO 80158 VICKIE S. HEFFLEY 713219 0.01883919 RI SC 6524 5 SYCAMORE ST 0.01883919 LITTLETON, CO 80120 DANIEL R. AND ANNETTE J. PONCE 713352 0.00005404 RI M 12006 MONACO DRIVE 0.00005404 BRIGHTON, CO 80601 ACX TECHNOLOGIES, INC. 713513 0.01544222 RI M C/(1 JED J. BURNHAM, TREASURER 0.01544222 16000 TABLE MOUNTAIN PARKWAY GOLDEN, CO 80403 HOOVLER VENTURES, LLC 713569 0.00617690 OR M 1019 8TH STREET, SUITE 105 0.00617690 IxHIRI I 'A' 114782012 - APPEL HEIRS W 32-50i (J) OIL AND/OR GAS DIVISION ORDER DECIMAL INTEREST PAY Name B Address . OWNER NO . INTEREST.. . TYPE .. . CODE GOLDEN, CO 80401 STANLEY G SALIMAN 715113 0.00546289 RI M 3000 E OHIO WAY 0.00546289 DENVER, CO 80209 SMALL BUSINESS ADMINISTRATION 715512 0.00067560 RI SD 721 19TH STREET, SUITE 426 0.00067560 DENVER, CO 80202-2599 MARY L ANDERSON 715651 0.00006949 RI SD 1104 LANCASTER AVENUE 0.00006949 FT LUPTON, CO 80621 WESTERN OILFIELDS SUPPLY COMPA 715656 0.00062657 RI M NY 3404 STATE ROAD 0.00062657 PO BOX 2248 BAKERSFIELD, CA 93303-2248 CHARLES R BARR TRUSTEE 715895 0.00480734 OR M CHARLES R BARR REVOCABLE TRUST 0.00480734 411 WILLIAMS STREET DENVER, CO 80218 118 records listed 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 Attu ey's staff as to form, legal description, and percentage'-of r alties, if applie$ e> / G i �- ��" 1, BY: z " CodAttorney / DATE: _ PAT' NA OIL&GAS CORPORATION 1625 Broadway, Suite 2000 Denver, Cclorado 80202 (303) 389-3600 (303) 389-3680 Fax Dear Interest Owner: Please read carefully before signing the enclosed oil and gas division orders: 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 division orders changed without our approval. Do not detach Exhibit"A",if applicable. 2. Furnish in writing any change of address information and include your signature. For change in ownershir. furnish copies of properly filed and recorded legal documents affecting title of interest ownershp under which payment is made. Provide a letter describing effect of change. 3- Sign your name EXACTLY AS IT APPEARS ON THE INSTRUMENT. Please have your,ignaturc witnessed by two separate parties. 4. If signing for a corporation,signature must be attested. corporate seal affixed and title of signatory par, shown. 5 If signing ler a partnership. all partners must sign, unless signed by an authorized partner and we are furnished a certified copy of his/her authority. [f the instrument is signed hr an agent,attorney-in-fack 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. 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.Ibr the joint interest shown or he/she has been granted a power of attorney for the other partyfies), we must have evidence to this effect. 8. Insert your Tax Identification Number or Social Securitt Number,whichever is applicable. in the space provided. We may withhold payment until such number is received. 9. Confirm the address to which checks are to be mailed. If different,please provide the correct address. 'You should notify us promptly of any changes in your mailing address. I0. The number assigned to this property can be found in the upper right corner of the form. The number will be used to designate this property on your revenue check. Refer to the property number when corresponding. 1 I. Return the executed instrument without delay to the address below. KEEP ONE COPY FOR YOUR RECORDS. PATINA OIL&GAS CORPORATION ATTENTION: KAREN MURRAY 1625 BROADWAY,SUITE 2000 DENVER,CO 80202 Hello