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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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870363.tiff
RESOLUTION RE: APPROVE OIL DIVISION ORDER FROM ASAMERA OIL (U.S. ) INC. , P.O. BOX 118 , DENVER, COLORADO 80201 , 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 W.G. VanBebber, and WHEREAS , said lease covers land more particularly described as follows: Township 5 North, Range 66 West Section 25 : N/2 SE/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 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 Division Order as submitted by Asamera Oil (U.S. ) Inc. , P.O. Box 118 , Denver, Colorado 80201 , 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. 870363 ✓', Page 2 RE: DIVISION ORDER - ASAMERA The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 11th day of May, A.D. , 1987 . BOARD OF COUNTY COMMISSIONERS ATTEST WELD COUNTY, COLORADO Weld County Clerk and Recorder EXCUSED and Clerk to the Board Gordon E. Lacy, Chairman C2„Y: o C,, J C.W. Kir y, P -Tem puty County rk eve*, APPRO ED AS TO FORM: ene . Bran tne Ja;y�%r e �!�l Jo n •/ County Attorney Frank Yamaguchi 870363 ARdattf OIL DIVISION ORDER _ ASAMERA OIL (U. S.) INC. Division Order No, 7�U4 Date: ,.,a/ 2+d/n7 POST OFFICE BOX Ile DENVER,COLORADO 60201 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 aAC45 it 3 -x lease or property, operated by `:Lis tF xP'LORAT I ON situated in field or area, in 4i=LIT County, C`JLCIPADC and more fully described as follows to-wit: T OtisN,t-i I U 5 NURTt+. 'rl ANfa s5b .4E ".,T SECTION 25: N12 ...T /A wFLD COUNTY. COLORADO From and after the _clay of F I =ST .k LUIS , 19 87 ,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 w: LL) COUNTY .007no44O .41 eioAPO OF COUNTY CO'4MISS1 ON:=R5 92769 w!`LO COUNTY CENTENNIAL CENTER 91 -3 10TH STREET fil dr'L.EY CC 806.11 N O CD 0 0 \-1 0 Cl a 0W 0 oa vow 0 C4 0 0 W C4 tn .. w en r4 x w r- 34 DD V r4 n r-I H 41 ut Et otn a 111 in N W NW o Z o O2 N F.C 0 >1 U wZ P4 £ Lo so rIo` r-+ r r1 0 W Cs4 570363 c FIRST: Only merchantable pipeline oil shall be tendered to you hereunder, and title shall pass to you upon delivery to any 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 are 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 are furnished proper division or transfer order and proof satisfactory to you of such transfer or change, and you hereby are 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. i ALL SIGNATURES MUST BE WITNESSED \yy� h �Iarn et-son Should Be Joined By Their Spouse) ATTEST: in g nj WEDIUM86: ' ,/: 5- OWNERS SIGN BELOW: BOARD OF COUNTY COMMISSIONERS �¢Y r71�i2c� o.." "l' (1t,4 p,r , c'.) WELD COUNTY, COLORADO puty County Clerlr By: Chair an Pr Ten P.O. Box 758 Greeley, CO 80632 Social Security or Taxpayer ID No. 84-6000-813 Please sign your name exactly as it appears herein and also insert your Social Security or taxpaper identifica- tion number. b 1156 REC 02099275 05/11/87 13: 54 $0. 00 2/002 F 0797 MARY ANN FEUERSTEIN CLERK & RECORDER WELD CO, CO 870363 'Attn ASAMEBA OIL (U. S.) INC. } 1 c r POST OFFICE BOX 118 • DENVER,COLORADO 80201 ["'\ - S r ,..i - APR 3 ow t', �(A I H. IQH7 li GREELEY, COLO. WFLU COUNTY JiO:.}:'', Ca CnUNTY (r1MM rS'irriNFRS WELD ZjUNTY CFNTFNNTAI CFNT=R (415 1DT'i STRF=T oRF- i - Y rn x(1611 Re: wrss „3.. I N r1 I) C.91 R A DO Dear Interest Owner: Asamera Oil (U.S.) Inc. has commenced purchasing the crude production from the WA<, , n3 x in„, p County, ('1, p j_ . We have obtained the title opinion with a list of the interest owners from r1 lc =x2LORAT I UAL and have prepared our Division Order based upon this information. 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�ssignator)y party should be shown. der jp,-- g ✓, /,C, ©0/7 670363 -2-- 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. 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. Barbara W. Thurlow Division Order Department jh Enclosures 870363 TELEPHONE 1303) 355-7351 TELEX 45-4483 ASAMERA OIL (U. S.) INC. POST OFFICE BOX 118 DENV ER,COLORADO 80201 J J /f7 Weld County Board of County Commissioners 915 10th STREET Greeley, Colorado 80631 Re: Windfall Profit Tax Certification Qualified Governmental Interest Property Name: (,)s-ca-ad 3- X Property Number: 064643 Dear Revenue Interest Owner: According to our records your share of production from the above property is exempt from windfall profit tax withholding because you are a qualified governmental interest. The Wind- fall Profit Tax Act requires the first purchaser to have on file a statement from each qualified governmental interest certifying this status . We are the first purchaser of the above property, and upon review of our records , we find we do not have a proper certification from you. In order to maintain your tax free status , please mail a certification to us at your earliest convenience. Enclosed is IRS form 6458 (Certification and Election Form) that you can use to satisfy this requirement. Your cooperation in this matter is appreciated. Yours truly, ASAMERA OIL (U.S . ) INC. 870363
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