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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
Clerk to the Board
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871153.tiff
RESOLUTION RE: APPROVE OIL AND GAS DIVISION ORDER FROM AMOCO PRODUCTION COMPANY, P.O. BOX 591 , TULSA, OKLAHOMA 74102 , AND AUTHORIZE CHAIRMAN TO SIGN 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 Shepler & Thomas , Inc. , and WHEREAS, said lease covers land more particularly described as follows : Township 4 North, Range 67 West, 6th P.M. Section 10 , SE} SE} Weld County, Colorado WHEREAS, Amoco Production Company has submitted an Oil and Gas 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 on the parcel of land described herein. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Oil and Gas Division Order as submitted by Amoco Production Company, P.O. Box 591 , Tulsa, Oklahoma 74102 , on the hereinabove described parcel of land be , and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is , authorized to sign said Division Order. C 117011 / 871153 Ce ncrT, - Anal Page 2 RE: DIVISION ORDER - AMOCO PRODUCTION COMPANY The above and foregoing Resolution was., on motion duly made and seconded, adopted by the following vote on the 31st day of August, A.D. , 1987 . /� BOARD OF COUNTY COMMISSIONERS ATTEST: (,{k v� C� WELD COUNTY, C LORADO Weld County C rk and Recorder and Clerk to the Board Gorcfof a airman BY: ±rTem De✓��y Coun y�k APPROVED AS TO FORM: Gene R. Brantner c-7z) Icgue 'ne Jon on County Attorney EXCUSED Frank Yamaguchi 871153 AR2112786 "' Amoco Production Company - Ig I Oil and Gas Division Order Page g V 0O2 03-07-87 Effective At7A.M. FIRST PRODUCTION Property Name OSTER UNIT /ORI/ Royalty/Product OIL LPN 669270--1 Operator SHEPLER AND THOMAS INC Field WATTENBERG Property No. 128704 OD 4 state CO County/Parish WELD {FLAG} 00 01 000 Description of Property Special Notes E/2 SE/4 SEC. 10-T44-R67W• 1'0-I WELL COVERS THIS DIVISION ORDER THE SE/4 SE/4 AND THE 10-2 WELL COVERS THE COVERS THE OWNERSHIP OF NE/4 SE/4 THE 10-1 WELL. Business Associate Number Name Inge Dt. ecimal 765255 00 5 WELD COUNTY COLORADO C/O SOARD OF COUNTY COMMISSIONERS .909/90 X 1/8 RI 04 .0014203 1.0000000 pim r N H aI-1 01 CO • C) K O • N zl zPri J tT CO N I-3 1/40 l�\ H ►Z F-+ C) CO t-+ to • t1 R, .. • W t=] f7 0 6 tm M P) O � • O t7 O N y(A.1)o,,‘.,N.Ott 811.153 Type Interest Legend: Form 899 Jan-85 01 =Working Interest 02 =Overriding Royalty 03 = Production Payment 04 = Royalty Interest aToco �1 Oil and Gas Division Order To: Amoco Production Company P.O. Box 591, Tulsa, Oklahoma 74102 Each of the undersigned OWNERS guarantees and warrants he is the owner of the interest set out opposite his name on the reverse side hereof in oil and gas or the proceeds from the sale of oil and gas from the property described on the reverse side hereof,and until further written notice either from you or from us,the undersigned owner and all other parties executing this instrument hereby authorize you,your successors or assigns to receive and measure such sales in accordance with applicable governmental rules and regulations and to give credit as set forth on the reverse side hereof. The following covenants are parts of this instrument and shall be binding on the undersigned,their successors, legal representatives,and W assigns: Oil: Oil sold hereunder shall be delivered f.o.b. to the carrier designated to gather and receive such oil,and shall become your property a F-' upon receipt thereof by the carrier designated by you or by any other purchaser to whom you may resell such oil. The term "oil"as J 01 used in this division order shall include all marketable liquid hydrocarbons. In O Should the oil produced from the herein described land be commingled with oil produced from one or more other separately owned h7 tracts of land prior to delivery to the designated carrier,the commingled oil sold hereunder shall be deemed to be the interest of the pi undersigned in that portion of the total commingled oil delivered which is allocated to the herein described land on the basis of lease 'b n meter readings or any other method generally accepted in the industry as an equitable basis for determining the quantity and quality a of oil sold from each separately owned tract.Such formula shall be uniformly applied to all owners of an interest in the tracts of land ,b N involved. Should the interest of the undersigned in the oil produced from the herein described land be unitized with oil produced from one or z' rt more other tracts of land, this instrument shall thereafter be deemed to be modified to the extent necessary to conform with the applicable unitization agreement or plan of unitization,and all revisions or amendments thereto,but otherwise to remain in force and til CO effect as to all other provisions. In such event,the portion of the unitized oil sold hereunder shall be the interest of the undersigned C o' in that portion of the total unitized oil delivered which is allocated to the herein described land and shall be deemed for all purposes [s] to have been actually produced from said land. You agree to pay for the oil sold hereunder at the price posted by you for oil of the same grade and gravity in the same producing A '.0 field or area on the date said oilis received by you or the designated carrier. If you do not currently post such a price, then until PI such time as you do so,you agree to pay the price established by you.You are authorized to reduce the price by those truck, barge, tankcar, or pipe line transportation charge as determined by H O Should the oil sold hereunder be resold by you. .z t.., you to another purchaser accepting delivery thereof at the same point at which you take n CO title, you agree to pay for such oil based upon the volume computation made by such purchaser and at the price received by you for trrl J such oil, reduced by any transportation charges deducted by such purchaser. 'U Quality and quantity shall be determined in accordance with the conditions specified in the price posting.You may refuse to receive rhi l..-, any oil not considered merchantable by you. Gas: Settlements for gas shall be based on the net proceeds realized from the sale thereof,after deduction a fair and reasonable charge a'' 1•- for compressing and making it merchantable and for transporting if the gas is sold off the property. Where gas is sold subject to regulation by the Federal Power Commission or other governmental authority,theit, pi such authority shall be used to determine the net proceeds realized from the sale.price applicable to such sale approved by order of W Settlements: Settlements shall be made monthly by check mailed to the respective parties according to the division of interest herein 0 n specified at the latest address known by to owner you, less any taxes required by law to be deducted and paid by you applicable 's �t interest. fJ Evidence of Title:The oil and gas lease or leases,and any amendents,ratifications,or corrections thereof, under which said gas and/or oil tzi p is produced are hereby adopted, ratified, and confirmed as herein and heretofore amended. In the event any dispute or question • arises concerning the title to the interest of the undersigned in said land and/or the oil or gas produced therefrom or the proceeds tr7 00 thereof, you will be furnished satisfactory abstracts or other evidence of title upon demand. Until such evidence of title has been ty furnished and/or such dispute,defect,or question of title is corrected or removed to your satisfaction,or until indemnity satisfactory ty to you has been furnished, you are authorized to withhold the proceeds of such oil or gas received and run,without interest. In the event any action or suit is filed in any court affecting the title to the interest of the undersigned in the herein described land or the 8 oil or gas produced therefrom or the proceeds thereof to which the undersigned is a party,written notice of the filling of such suit or N action shall be immediately furnished you by the undersigned,stating the court in which the same is filed and the title of such suitor 0 action. You will not be responsible for any change of ownership in the absence of actual notice and satisfactory O Contingent Interests:Whether or not any contingency is expressly stated in this instrument,you are hereby relieved of any responsibility for O rJ determining when any of the interests herein shall increase,diminish,terminate,be extinguished or revert to other parties as a result of the completion or discharge of money or other payments from said interest, or as a result of the expiration of any time or term limitation (either definite or indefinite),and,unless you are also the operator of the property,as a result of an increase or decrease in production,or as a result of a change in the depth,the methods or the means of production,or as a result of a change in the allocation of production affecting the herein described land or any portion thereof under any agreement or by order of Governmental authority, and until you receive notice in writing to the contrary,you are hereby authorized to continue to remit without liability pursuant to the division of interest shown herein. Warranties:Working Interest Owners and/or Operators, and each of them, by signature to this instrument,certify,guarantee and warrant, for your benefit and that of any pipe line or other carrier designated to run or transport said oil or gas,that all oil or gas tendered here- under has been and shall be produced from or lawfully allocated to the herein described land in accordance with all applicable Federal, state and local laws, orders, rules and regulations. This instrument may be executed by one or more,but all covenants herein shall be binding upon any party executing same and upon his heirs, devisees, successors, and assigns irrespective of whether other parties have executed this instrument. ATTEST: WELD COUNTY BOARD OF COMMISSIONERS N ci ;Liz • w�Vesl8 � 2.. . der Name o Street porOBox No.tACI 758 ./. Lac , rman 84-6000813 Greeley, CO 80632 ` .ocial Security for Tax ID)Number City.State,Zip BY: Deputy :. i ii , k Witne . of Signature _..1 t, Name Street or Box No, Social Security(or Tax ID)Number City,State,Zip Witness of Signature Name Street or Box No. Social Security or Tax ID)Number City,State,Zip 871153 f;:l /Uu 1 21W � I GREEL. N. COLD. Instructions To All Interest Owners Read Carefully Before Signing The Instrument This instrument should not be altered in any way unless accompanied by documentary evidence to support the change. If your name and interest are correctly shown: Signature: Sign name as shown on the instrument. Have your signature witnessed. If signing for a corporation, signature must be attested, corporate seal affixed, and title of signatory party shown. Signature by Second If the instrument is signed by agent, attorney-in-fact, guardian or any party other than Party: the named interest owner,we must have evidence of the rights vested in the signatory party. Taxpayers Identification Effective January 1 , 1984, the Internal Revenue Code requires a payer to withhold Number or Social from payments a tax equal to 20% of such payments where a correct taxpayer Security Number: identification number has not been furnished. Please insert your number in the space provided below your name on the instrument in accordance with the instructions reproduced on the reverse side hereof. Also to ensure accurate income information reporting of payments for your account, please complete the enclosed"Payer's Request For Taxpayer Identification Number" and return with your signed Division Order. Mailing Address: Insert the address to which checks are to be mailed. Print or type. Do not abbreviate. If you are already receiving checks from this company, be sure to use the same address to which we are now mailing checks. Property Number: In the upper right corner of the instrument you will find the number assigned to this property.The six digit number will be identified as the Property number or FLAC.This number will appear on the statement attached to your check and should always be used when corresponding with this company. Settlement for your Upon receipt of the properly executed instrument and evidence of clear title, the Interest: interest credited to you will be authorized for payment. Instruments must be received in our office by the 20th of the month for checks to be issued the following month. Checks will be mailed monthly when accruals to your interest equal $25.00 or more. In May and November of each year payment will be made for all accumulated sums of more than $1 .00. Change of Address: You should notify us promptly of any change in your mailing address. This notice must be over your own signature, or the signature of your appointed agent. Always include your business associate number and your old address, then state your new address with zip code. Return the executed instrument without delay to the address below. Keep one copy for your records. Amoco Production Company (Attention: Division Order Section) P.O. Box 591 Tulsa, Oklahoma 74102 Any questions about your payments or other matters involving your interest should be directed to the above address, Attention: Royalty/Interest Owner Relations — Phone (918) 581-4800. 871153 Form 1104 Nov-84 R. I . (See reverse side for additional information) Instructions for furnisi. j Taxpayer Identification Number of icial Security Number: If this account is in the name of: An individual, furnish the individual's own social security number. A widow 62 or over who received social security benefits before January 1 , 1963, and who has no number of her own may use the benefit number for tax purposes. All other persons must have their own number. Two or more persons (for example, "A and B as joint owners" or "A, B, and C as tenants in common") only one number need be furnished. Ordinarily, the number of any one of the persons will be sufficient, except that if the choice is between husband and wife, furnish the social security number of the husband—or if between adult and minor, furnish the social security number of the adult. Underline the name of the person whose number is furnished. A designated guardian, custodian, committee, etc., and one or more wards, minors, incompetents, or other individuals, furnish the social security number of the ward, minor, incompetent, etc., and underline the name of the individual whose number is furnished (for example, "A as custodian for B under the Uniform Gifts to Minors Act," furnish B's social security number and underline B's name). A so-called trust, which is not a legal or valid trust, furnish the social security number of the person named as trustee and underline his name (for example, a savings account, not formalized by a trust instrument, in the name of "A in trust for B," furnish the social security number of A and underline A's name). A trust, estate, pension trust, corporation, partnership, broker, registered nominee, etc., furnish the employer identification number of the entity (for example, "A, trustee under the will of S for benefit of Y," furnish the employer identification number of the trust). If an employer identification number is needed, contact any Internal Revenue Service office. If you do not now have a Social Security Number: You may obtain the form upon which to make application for a number at your nearest Social Security or Internal Revenue Service Office. When you have obtained your number notify • this company of the same without delay at the Address appearing on the face hereof. How to read your check attachment 0 Property No.IFLAC No.) "" 1e 'n'om The number assigned to the Amoco Production Company Statement el Oil and Ge.Purchased or Sold ...Ay weenie'crest Arty a lease, unit, etc. The first P.O.Box 591.Tulsa,Oklahoma 70102 IFetleral and Slate Tee's have been deducted where reeu wuv eiredl serus,vorun.o six numbers identify the prop- 191ei 50t 4800 Detach and keep for tae purposes.Duplicates cannot be furnished. ® arty. The next two numbers © Check Date. 09-20-84 owner's Name' YOUR NAME 593181 00 1 are the sub property numbers Purchased/Sok, Q ® ® Q Q to enable different types Dam mm_ * Total Value Your Interest of sales to be recorded from Q Lc. Quantity Unit Price Total Value Total Tax After Tax Decimal I— Indicates Dedunionl the same property and may dif- Property No. Niel Yr Mo Ye %time Tee I Atter Tax fer from month to month.The 270005 02 8 84 01 (134 0 30.000000 1230:52 0 6PO8t94 1124/x4 6 035265 :60 4 I :138258_ last number is a"check digit" 270005 02 8 84 11 l 1 3359768 3359) 8- 0352651 1 Q to insure the accuracy of the 270005 61 4 84 02 6551 1 283208 9356 3 70177 8655 6 035265 33 0 1 3052 property number. 270005 70 5 84 02 198 1 949219 31966 1 24853 3317 8 035265 12 8 1170 270765 00 1 84 01 1;33 8 3•,000000 39197 0 1 1 6 381435 4 006476 2 9 2459 270765 00 1 84 11 I I 10 96 0 10296 0- p006476 657- ®Purchased or Sold 270765 51 4 84 02 63 949291 143 B 179 2 -' 1060 6 06476 4 ,p6p�18 270779 00 2 84 01 270765 89 4 84 02 218 42 2 A 713025,0000000 1 28 0 ;91 9 _92 42 1 33045 42141 I 40ra6 9 Month and year of sales or 1 pp�� kkkk purchases included in this 270779 00 2 4 11 i 1 92 6 1 92 6- 033045 I 6 6 payment. 270779 51 5 4 02 138 7949100 69 2 48 1 64 1 7033045 231 215 270779 89 5 4 02 65 3445190 880 6 66 5 814 1 )033045 291 i 269 278459 01 1 4 01 I 5 2'9800000 151 2 6 8 144 4 2002561 )4 I )4 0 Legend Code 278459 01 1 4 11 i22 6 22 6- )002561 )1- This code indentifies what I I p8229 jx2265 Q each line represents. Codes it IL I r new ebb I.4,.n elf l=cos t(larger 1e Pad.tar 5=Ole lenoere tai WllkleS 1=Comb.Ca=at pied, 1=pal.pet 11i Om 11. I=Ian I-Ale.lam WAWA most often used are pre- It=LW.Oil haw It.Daduttiont U=lam! II=Male Ilene WilMolllp In II=Imxtiu i.eIS=hind Iwr la Withheld II=pond Pilo It.Cada Oil Lust In Ali printed at the bottom of the 41=peeml cell W1lkkl aaplir 0..e Lenoir. II=prowl Pm Yr Iorakr e.,,,toroth. Cy Wooden Pie.,Salter 0011 I,n.pli.. II=Retrial Pie O!wigwam P,edan skin*,br.pliw form. Codes infrequently used are computer gene- 1j�a rated and printed only as such transactions occur. 0 Total Tax- Severance and other production taxes paid on Business Associate Number - The number assigned the oil or gas sold from the property.Federal income taxes are exclusively to you as en owner will be included in this space also deducted for non-resident aliens. end should be used as a reference when inquiries are made. 0QuantIty-Gross volume shown in barrels,tons,or MCF The number shown above is only an example. (Thousand Cubic Feet)sold from the lease.Quantity identified as MCF includes gas and carbon dioxide (CO2). Note'. For ©e Total Value After Tex- Net value of total sales from the Legend Code 07,quantity is shown as"Value per Adjusted property after all taxes are paid. �s Acre Foot"and the decimal point is five positions to the del[ - 'Deductions-A dash 1"-"1 following any amount means of that shown on this sample. a deduction. A deduction is normally indicative of a prior 0 Decimal - This is your decimal interest in each property month correction, withholding of Crude Oil Excise Tax, or as shown in our settlement system. Negative decimals may other applicable taxes. 871153 0 Unit Price-Calculated by divitling "Total Value" by appear when necessary to provide correct calculation of "Quantity"for each line. (Unit price may be omitted on cer- amounts on your check. tain adjustments.) €Totals — The total amount payable on this check. 0 Your Interest — "Before Tax" is your decimal interest Deductions are also shown in this column identified as legend applied to"Total Value.""After Tax"is your decimal applied code 15 for the 20%federal income tax withholding required ®Total Value—The total value of oil or gas sales for each to "Total Value After Tax." Both calculations result in your by law if we have not received your Taxpayer Identification Property. interest expressed in dollars and cents. Number.
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