HomeMy WebLinkAbout850010.tiff RESOLUTION
RE: APPROVAL OF OIL DIVISION ORDER REGARDING ASAMERA OIL (U.S. )
INC. , P.O. BOX 118 , DENVER, COLORADO 80201
WHEREAS, the Board of County Commissioners of Weld County,
Colorado, pursuant to Colorado statute and the Weld County Home
Rule Charter, is vested with the authority of administering the
affairs of Weld County, Colorado, and
WHEREAS, Weld County, Colorado, is the holder of a certain
lease with St. Michael Exploration Company. Said lease covers
land more particularly described as follows, to-wit
Township 6 North, Range 65 West, 6th P.M.
Section 22 : NE/4
Weld County, Colorado
WHEREAS, Asamera Oil (U.S. ) Inc. has submitted an Oil
Division Order on the subject property, and
WHEREAS, Weld County is entitled to a one-eighth royalty
interest on production, and
WHEREAS, in order to receive said royalty interest, Weld
County must execute said Division Order, a copy of which is
attached hereto and incorporated herein by reference, and
WHEREAS , said Division Order has been reviewed by the Weld
County Attorney, Thomas O. David, and found to be in order, and
WHEREAS, the Board deems it advisable to approve said
Division Order and authorize the Chairman to sign same.
NOW, THEREFORE, BE IT RESOLVED by the Board of County
Commissioners of Weld County, Colorado, that the Oil Division
Order submitted by Asamera Oil (U. S. ) Inc. be, and hereby is,
approved.
/ 40 /.:< "` -; , 850010
Page 2
RE: OIL DIVISION ORDER - ASAMERA OIL (U.S. ) INC.
The above and foregoing Resolution was , on motion duly made
and seconded, adopted by the following vote on the 15th day of
May, A.D. , 1985 .
ATTEST: i � `etw WELD DCOUNT OF Y,�COLO COTY LORADO
Weld County Clerk and Recorder 0,, ,.,n._ \NA/2csY�
and Clerk to the Board J.,cjyue,� ' ,,,nne Johnsen Chairman
Icy, U7 � 12xc YcJ Gene R. Brantner, Pro-Tem
D puty County C erk 1
/1-e*
APPROVED AS TO FORM: C.W. irby
C——----'2 ,77L: C...),C;Vre.-54 e,eQ EXCUSED
Gordon E. Lacy
County Attorney / ,__
Fran gu i d �'
AR2:109766 - OIL DIVISION ORDER
ASAMERA OIL (U. S.) INC. Division Order No. 67591
III'A Date: 05/03/65
f POST OFFICE B0% IIB DENV ER.G0I0RAD080201
Each of the undersigned, severally and not jointly,certifies and warrants to Asamera that he is the owner of the
interest shown opposite his name in the below described property or of mineral rights therein or is entitled to receive
the value or proceeds from the sale of oil (which shall mean crude petroleum and all other liquid hydrocarbons,in-
cluding condensate, which shall be accounted for in the same manner as oil hereunder) produced
from the MEL 8ICKLING #31-22
lease or property, operated by ST. MICHAEL EXPLORATION
situated in
field or area,in WELD County, C`QL'rJRA'J-:J
and more fully described as follows to-wit:
TCWNSHIP 6 NUR TH. RANGE 65 W,_ST. 6TH P.M.
SECTION 22: NE/4
WELD COUNTY. COLORADO
From and after theF I F25Tday of APRIL , 19 '-''' >at 7:00 a.m.,and until further written notice
to Asamera,and subject to the following provisions,Asamera is authorized:
(a) to purchase and receive oil produced from the above described property, or
(b) where Asamera owns a working interest in said property or has a right to market all or a portion of
the production therefrom, to sell and/or deliver oil produced from such property to any purchaser Asamera
may designate, and Asamera shall give credit for said oil pursuant to the directives contained herein.
Credit to: Division of Interest Address
v,ELil COUNTY .00119530 RI BOARD OF COUNTY COMMISSIONERS
92769 WELD COUNTY Cf'-NTaNNI AL CENTER
915 10TH STREET
GREEL.EY CO 80631
B 1069 REC 02009766 05/15/85 13: 35 $0. 00 1/002
F 0981 MARY ANN FEUERSTEIN CLERK & RECORDER WELD CO, CO
/.//'C o?/e .3
FIRST: Only merchantable pipeline oil shall be tendered to you hereunder, and title shall pass to you
upon delivery to ally transportation facility designated by you. You shall compute quantities and make corrections
for temperature and deductions for impurities in accordance with your rules, regulations, and customs in effect at
that time and place of delivery. Each of the undersigned working interest owners, if any, agree that all oil run
hereunder will be produced and delivered in compliance with all applicable federal, state, and local laws, orders,
rules, and regulations.
SECOND: Settlement for the aforesaid interests shall be made on the basis of the current field price adopted
or posted by you for oil of like grade and gravity at the time and place of delivery.
THIRD: Payments arc to be made monthly by your checks delivered or mailed to the parties thereto
entitled at the address above given. If at any settlement date the amount payable to any party hereunder shall be
less than fifteen dollars ($15.00), you may defer such payment and make payment when the amount has accumu-
lated to fifteen dollars ($15.00), but in any event at not less than annual intervals. Deductions for any severance,
gross production, occupation, windfall profit or other tax imposed on the production, sale or purchase of such oil
may be made therefrom by Asamera.
FOURTH: In case of any adverse claim of title as to any interest or interests covered hereby, or if, in the
opinion of Asamera, any of the undersigned parties may not have good title to the interest claimed, each of the
undersigned affected authorizes you to defer payment, without obligation to pay interest on the amount so de-
ferred, until such adverse claim or dispute is finally determined or title is resolved to your satisfaction.
FIFTH: No transfer of an interest of any nature or change in the right to receive payments, however
accomplished, shall be effective as to you until 7:00 a.m. the first day of the calendar month after which you arc
furnished proper division or transfer order and proof satisfactory to you of such transfer or change, and you hereby
arc released from any and all liability for payments made prior thereto pursuant to this instrument. Each of the
undersigned, severally, agree to hold you harmless from any payment made without such proper notification.
SIXTH: If all or any part of the above described property is included in a pooled unit hereafter, then as
to each undersigned party who has agreed to, or is bound by such unit, this division order shall cover and be appli-
cable to the unitized minerals which, in accordance with the terms of the instruments pursuant to which such unit
has been established, are allocated to the above described property, and payment hereunder to such undersigned
party shall be computed on such allocated minerals in accordance with the interest credited to such party herein.
SEVENTH: This division order shall become valid and binding on each and every owner above named as
soon as signed by such owner regardless of whether or not all of the above named owners have so signed.
ALL SIGNATURES MUST BE WITNESSED
(Each Married Person Should Be Joined By Their Spouse)
ATTEST X11 S `' • Board of County Commissioners
/ 2fift iv• Weld Count , Col a
Weld County • Itseoler
and Clerk tb
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R4-5000819
Taxpayer ID Number
Please sign your name exactly as it appears herein and also insert your Social Security or taxpaper identifica-
tion number.
B 1069 REC 02009766 05/15/85 13 : 35 $0 . 00 2/002
F 0982 MARY ANN FEUERSTEIN CLERK & RECORDER WELD CO, CO
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TELEPHONE(303) 863-7300
TELEX 45-4483
MN,`..,, ASAME13A OIL (U. S.) INC.
�F, POST OFFICE BOX 118 DENVER,COLORADO 80201
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May 7 , 1985 ;�'�"�L ,a ,,7r?, �
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�Y131985�`K.i1
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Re : Mel Bickling 31-22
Weld County, Colorado
Dear Interest Owner:
Effective April 1985 , Asamera Oil (U. S . ) Inc . commenced purchasing
the crude production from the Mel Bickling 31-22 in Weld County,
Colorado.
To insure a timely , uninterrupted payment , please check your
Division Order for proper spelling of your name, correct interest
and correct mailing address . Should your name be incorrectly
spelled, or your address changed, please make the necessary
corrections on the face of the Division Order . However, if your
decimal interest is incorrect, please advise this office
immediately. If your Division Order is accurate , please properly
execute one copy by signing in the space provided on the back .
Also, please have your signature witnessed. Please include your
Social Security or tax account number in the space provided on the
Division Order. The second copy of the Division Order should be
retained for your records.
After we have received your Division Order properly executed, we
will place your interest in line for payment.
Note that with regard to the executing of the Division Order , the
following points should be reviewed and complied with:
1) When signing on behalf of a corporation , the signature
should be attested, the corporate seal affixed, and the
title of the signatory party should be shown.
2) Partnerships should have all partners sign, or furnish us
with a certified copy of the Resolution authorizing the
signature affixed to the Division Order when the Division
Order is returned to this office .
May 7 , 1985
Page Two
3) On a signature by a second party , i .e . agents , attorneys-
in-fact , guardians , or any party except the named interest
owner, evidence of the rights of the signatory party
should be furnished to this office.
4 ) Be advised that on small interest amounts , payment will
not be made until the sum due is $ 15 .00 or more , except
that in the month of December , payment will be made of any
sum then due.
Please advise this office promptly of any change of address or
ownership. All transfers of interest for payment record purposes
will be accepted effective only on the first day of the month .
We are most grateful for your cooperation in this matter and trust
that we will hear from you shortly .
Sincerely ,
ASAMERA OIL ( U. S . ) INC .
Division Order Department
cw
Enclosures
L i\/v l `.-I-I- ` .ter
6458 �,
(RevnJanuary 1981) Certification and Election Form i .).-7 cc- �/
Department of the Treasury ► See separate instructions
Internal Revenue Service
Name Taxpayer identifying number
Address (number and street) J '--' 1
i'cm,n on I. 55 ,.r,c(--v .S Lk—).(l'c(' in, ,, ` Cc: , t_. 1, , .-rtic. r'; (Yu i-t (_
City or town, State and ZIP code / 1 ''r
`f / `l / Ott tifX_jr C..r1S).R�S1--‘.F . c .<7 <O ](�! 1
Name of first purchaser (only completed by a first purchaser who is forwarding a qualified disburser election) I Taxpayer identifying number
oliarteltY.- Exemption Certificate CL:',C7 i ) Ilkf c. g :r6 k;„-,,, a -_-, , - -x_'r)
I certify that all my production from the property(ies)on the attached list is exempt from the windfall profit-tax.
I am entitled to this exemption because I qualify for the status indicated below(check applicable box):
Qualified governmental interest (section 4994(a))
y EXEMPT STRIPPER OIL (SECTION 4994 (g))
Qualified charitable interest (section 4994(b)) ❑ Exempt Indian oil (section 4994(d))
I understand that I must file Part III within 10 days after I no longer qualify for exemption from the windfall profit tax.
Under penalties of perjury,I declare that I have examined this certificate, including accompanying instructions, and to the best of my knowledge and
belief. it is true, correct, and complete.
Chairman, Board of County o ssion ers
Signature of exempt producer \ i \`\ `,--- Date ► 5/20/85
/b :-Partsllr Independent ro•ucer C- ificate
I certify that I qualify as an independent producer as defined in section 4992, and that all my taxable production from the prop-
erties listed on an attached sheet is entitled to the lower rate of windfall profit tax for tier one and tier two oil.
The total taxable production from these properties (plus production from other qualified property that I have certified) does not
exceed my share of the 1,000 barrel a day amount for independent producers.
I certify that (check applicable box):
❑ I am a member of a related group(as defined in section 4992(e)(2)). -
1p 1 am not a member of a related group (as defined in section 4992(e)(2)).
If I am a member of a related group, I am attaching a list showing the name and taxpayer identifying number of all other mem-
bers of my "related group."
I understand that I must file Part III within 10 days after I no longer qualify as an independent producer.
Under penalties of perjury, I declare that I have examined this certificate, including accompanying instructions,and to the best of my knowledge and
belief, it is true, correct, and complete.
Signature of independent producer ►
Date P.
-Padalll& Revocation of Previously Filed Certificate
I no longer qualify for exemption from, or reduced rates of, the windfall profit tax. The status that I previously claimed was:
• Qualified governmental interest ❑ Exempt Indian oil O Independent producer
O Qualified charitable interest D Exempt front-end oil
Date of certification Sr
,-dice Center where filed ►
Effective date of revocation ►
Signature of producer is. Date la-
j'Partlilk Qualified Disburser Election
I certify that I am a qualified disburser as defined in temporary regulations section 150.4995-5 and that I hereby elect to perform
all the duties normally imposed upon the purchaser in regard to the administration of the windfall profit tax. These duties include,
but are not limited to, filing quarterly windfall profit tax returns, withholding, making deposits, and filing annual information returns
with respect to this property.
I understand I must file Part VI within 10 days after this election is terminated.
Effective date of election
Property (include full lease name, location, and identifying number, if applicable)
Signature of qualified disburser Date Form 645
8 (1-81)
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