HomeMy WebLinkAbout931667.tiff CUSTOMER COPY
AUTHORIZATION TO RECEIVE OIL AND DIRECTION FOR PAYMENT
'I'O: TEXACO TRADING AND TRANSPORTATION INC. Lease No. 050854
Title Department
Post Office Box 5568 T.A.
Denver, Colorado 8O217-5568
Attn: S.M. MCGUIRE at 3O3-86O-3639 Date: AUGUST 26, 1993
Effective at 7:00 A.M. AUGUST 1, 1993 and until the first day of the month following thirty (30) days advance written notice of
change of ownership or termination, you are authorized to receive the production of the undersigned from the following described
lease in accordance with your agreement with the lease operator:
DIVERSIFIED OPERATING CORP -- RIM 6-SA LEASE
located in WELD County, State of COLORADO
described as:
SECTION 8 - TOWNSHIP 8 NORTH - RANGE 58 WEST
The undersigned warrants to you ownership of the interest indicated below next to their name in the oil produced and saved from the
above lease and directs you to distribute payment for such oil as provided below.
CREDIT TO OWNER NUMBER: 000053723 TYPE: ROYALTY INTEREST: 0.1250000
TRANSFERRED FROM: 999999999
CURRENT INTEREST(S) IN PAY STATUS FOR THIS LEASE:
WELD COUNTY
PO BOX 758
GREELEY CO 8O632-O758
CONFIRMATION
SIGNATURE OF OWNER(S) f, ,/ PAYMENT FOR THIS INTEREST SHOULD BE SENT TO:
X /�[,/. 0 7oleN,���" `�//� f Weld County Board of Commissioners
onst:ance L. Harbert, Chairman
X P.O. Box 758
Greeley, Colorado 80632-0758
SOCIAL SECURITY OR TAX ID NUMBER
Federal Tax I.D. : 84-6000-813
TTTI ROUTING.
REC'D CORRESPONDENCE AND IRS FORM 1099 SHOULD BE SENT TO:
N/A
Weld County Board of Commissioners
SUSPENSE _
D of 1 P.O. Box 758
ANALYST.
Greeley, Colorado 80632-0758
[III III III II II HID 11
II 141I���� ZIP + 4 CODE IS REQUESTED
IIIIIIIII Ihlll�plll DAYTIME TELEPHONE NUMBER ( 303 )3564000 ext.4225
II ncheck if these are NEW ADDREs, 93 1667
!MI�Ip�p��I �II�A'� i����t I ist, _ aL ti r",ner
DIVISION OF INTEREST FOR LEASE 050854
OWNER NO. NAME TYPE INTEREST
000006556 WALSH FRANK H W 0 . 1779632
000053723 WELD COUNTY R 0 . 1250000
000116205 MILE HI OIL & GAS INC 0 0 . 0056250
000143425 WALSH PRODUCTI ON INC W 0 . 4152474
000292954 ABBEY PAUL 0 0 . 0127500
000292954 ABBEY PAUL W 0 . 0122649
000317031 CAMMON TERRY J 0 0 . 0127500
000317031 CAMMON TERRY J W 0 . 1617437
000317933 BROWN MARVIN W 0 . 0383279
000323544 BROWN MARK T W 0 . 0383279
PAGE 1
a
III
MAIL ADDRESS: PO BOX 5568 TA
September. 1, 1993 Denver, CO 80217-5568
RE: Lease No. 50854 - Rim 6-8A
Weld County, Colorado
Dear Interest Owner:
We are pleased to advise you that Texaco Trading and Transportation Inc. ,
will be disbursing the oil proceeds from the captioned lease to the interest
owners effective August 1, 1993. Our payments have been set up based on the
ownership transcript from National Cooperative Refinery Association (NCRA) .
The operator is Diversified Operating Corporation. Enclosed is our
Authorization to Receive Oil and Direction for Payment covering your
interest.
Please examine the Authorization form for accuracy and if you are in
agreement with the interest set forth, execute the original, retaining the
copy provided for file and future reference. A correct mailing address and
Social Security or Tax Identification Number are necessary and should be
included in the spaces provided. The executed original should then be
returned to our office. If the current ownership or owner's name is
different from what is shown on the Authorization, please attach legal
documentation to support the change. .
Your return of the fully executed Authorization form verifies that your
interest is correctly stated and continues your interest in a current pay
status. Payment for our purchases will be released to you on the 20th day of
the month following our purchase, if the accruals to your interest total at
least $25.00. Any interest accruing less than $25.00 by year-end, will be
released at that time.
Please refer to our lease number and your owner number in any communication
with our company so that we can respond promptly.
Very truly yours,
" Atli
ti
Sheila M. McGuire
Associate Analyst
Title Department, Northern & Western Region
SMM/mlc
Enc.
Hello