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AUTHORIZATION TO RECEIVE OIL AND DIRECTION FOR PAYMENT
TO: TEXACO TRADING AND TRANSPORTATION INC. ( TTTI ) Lease No. 053460
Lease Ownership
Post Office Box 5568
Denver, Colorado 80217-5568 Date: NOVEMBER 8, 1994
Toll Free 1-800.992-8470
Effective at 7:00 A.M. OCTOBER 1, 1994 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:
WALSH PRODUCTION INC
-- PAWNEE FEDERAL 14-6 LEASE
located in WELD County, State of COLORADO
described as:
TOWNSHIP 8 NORTH - RANGE 58 WEST
O SECTION 6: SE/4SW/4
V • o FORMERLY TOTAL LEASE # 305847
W 0 FEDERAL LEASE COC-22405
r.� COMMUNITIZATION AGREEMENT # C-49168
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The
undersigned
warrants to
TIM to di ownership
of thet for oil interest
indicated
as provided
itd below
lod below to their name in the oil produced and saved from the
above lease and directs
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I CREDIT TO OWNER NUMBER: 000053723 TYPE: ROYALTY
' TRANSFERRED FROM: 999999999
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C., a) CURRENT INTEREST(S) IN PAY STATUS FOR THIS LEASE:
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PO BOX 758
GREELEY CO 80632-0758
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CONFIRMATION
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INTEREST: 0.0392169
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n t e event of a dispute conce ning.title to any portion of the proceeds of this inte est 111I may m d the proceeds until it receives
evidence of title satisfactory to TIM. The undersigned agrees to notify TTTI in writ ng of any change in the decimal interest and all
failurre to prlovideawritten notice, first
undersigned �willth ofullyi indemnify and receiptof such noti e.
l'1'1'I harmless. Ifr ny action aims or inaction by i the
causes Fl II to over -pay this interest, then ITT! may recoup the overpaid amount from the undersigned's interests in other leases.
Finally, all payments shall be subject to all present and future laws, regulations and orders.
SIGNATURE OF OWNER(S) PAYMENT FOR THIS INTEREST SHOULD BE SENT TO:
WELD COUNTY BOARD OF COMMISSIONERS WELD COUNTY CLERK TO THE BOARD
PO BOX 758
E
C
DALE K. HALL, CHA RMAN
z69S
SOCIAL SECURITY OR TAX ID NUMBER
84-6000813
DAYTIME TELEPHONE NUMBER ( 303 )356-4000,EXT
4225
Please check if these are NEW ADDRESSES and apply to all
leases with this owner number.
REC'D s.
N/A
SUSPENSE::
I) of I
ANALYST
GREELEY, CO 80632
CORRESPONDENCE AND IRS FORM 1099 SHOULD BE SENT TO:
WELD COUNTY CLERK TO THE BOARD
PO BOX 758
GREELEY, CO 80632
ZIP + 4 CODE IS REQUESTED
01 941107165721 VA03CCP
nel in. 1/94
TEXACO TRADING AND TRANSPORTATION INC.
CORPORATE OFFICES
(Office Hours 7:3O A.M. - 4:3O P.M. MTN)
Title Analyst: C.C. PENNELS at 303-860-3671
If you need assistance with: Please call:
Questions about this Authorization
Telecopy (FAX)
Telecopy Verification
TDD - Service for Hearing and Speech Impaired
All Other Departments
• Please send written notice of any name or address change to:
Title Department/Name and Address, P.O. Box 5568, Denver, CO. 80217
* Be sure to indicate your owner and tax identification numbers.
FOR YOUR INFORMATION
(303) 860-3671
(303) 860-3699
(303) 860-3569
(303) 860-3504
(303) 861.4475
Payments will be made monthly for oil received during the previous month unless the amount due is less than $25.00. Amounts
of less than $25.00 will be accumulated and paid when the total either equals or exceeds $25.00 or at such time during each fiscal
year when all amounts due of $5.00 or more are released to owners whose accounts are in pay status. Amounts due of less than
$5.00, will be released when requested by owner.
If a question arises as to the legal adequacy of title to any interest, sufficient evidence of clear title may be required before
payment is made for interest.
WELD COUNTY
PO BOX 758
GREELEY CO 8O632 -O758
2425139 B-1478 P-367 02/02/95 01:18P PG 2 OF 3
353460
000000069
000006556
000006556
000053723
000116205
000116205
000116205
000143425
000143425
000306327
000323584
000330036
MINERALS MANAG
WALSH
WALSH
WELD COUNTY
MILE HI OIL &
MILE HI OIL &
MILE HI OIL &
WALSH PRODUCTI
WALSH PRODUCTI
ACORN RESOURCE
D & J TRUST
GILBERT
EMENT SERVICE
FRANK H
FRANK H
GAS INC
GAS INC
GAS INC
ON INC
ON INC
S INC
ROBERT M
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0.0624689
0.0009446
0.2317733
0.0392169
0.0036932
0.0084248
0.0635942
0.0022040
0.5408044
0.0037518
0.0249876
0.0181363
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2425139 [B-1.'78 P-367 02/02/95 01:1RP PG 3 OF 3
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