HomeMy WebLinkAbout950995.tiffAfi24349& S
AUTHORIZATION TO RECEIVE OIL AND DIRECTION FOR PAYMENT
TO: TEXACO TRADING AND TRANSPORTATION INC. ( TTTI ►
Lease Ownership
Post Office Box 5568
Denver, Colorado 80217-5568
Toll Free 1-800-992-8470
Lease No. 053588
Date: APRIL 4, 1995
Effective at 7:00 A.M. MARCH 1, 1995 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
-- RIM 6-8A GAS LEASE
located in WELD - County, State of COLORADO
described as:
TOWNSHIP 8 NORTH - RANGE 58 WEST
SECTION 8
The undersigned warrants to TTTI ownership of the interest indicated below next to their name in the oil produced and saved from the
above lease and directs TTTI to distribute payment for such oil as provided below.
CREDIT TO OWNER NUMBER: 000053723 TYPE: ROYALTY
TRANSFERRED FROM: 999999999
CURRENT INTEREST(S) IN PAY STATUS FOR THIS LEASE:
WELD COUNTY CLERK TO. THE BOARD
PO BOX 758
GREELEY CO 80632-0758
CONFIRMATION
IYIIA
2434985 B-1488 P-455 04/20/95 02:1OP PG 1 OF 3
Weld County CO Clerk & Recorder
Nil EHI flUO
I
HI
INTEREST: 0.1250000
aIUEI
REC DOC
0.00
IIla!
In the event of a dispute concerning title to any portion of the proceeds of this interest, TTTI may hold the proceeds until it receives
evidence of title satisfactory to VIII. The undersigned agrees to notify TTTI in writing of any change in the decimal interest and all
changes shall be effective the first day of the month following TITI's receipt of such notice. For any claims arising from the undersigned's
failure to provide written notice, the undersigned will fully indemnify and hold TTTI harmless. If action or inaction by the undersigned
causes MI to over -pay this interest, then '1'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.
SIG ='PURE OF OWNE
X -
DAZE ' . HALL, HA
WELD COUNTY BOARD OF COMMISSIONERS PO BOX 758
PAYMENT FOR THIS INTEREST SHOULD BE SENT TO:
WELD COUNTY CLERK TO THE BOARD
SOCIAL SECURITY OR TAX ID NUMBER
84-6000813
DAYTIME TELEPHONE NUMBER (970 )356-4000X4225
Please check if these are NEW ADDRESSES and apply to all
leases with this owner number.
GREELEY, CO 80632
CORRESPONDENCE AND IRS FORM 1099 SHOULD BE SENT TO:
WELD COUNTY CLERK TO THE BOARD
PO BOX 758
GREELEY, CO 80632
01 950404145529 VAO3CCP 1-6-011S
ZIP + 4 CODE IS REQUESTED
950995
AS /lc
COUNTY ATTORNEY
STAFF APPROVAL
This is to affirm the attached
Division Order or Authorization to
Receive Payment for an Oil and
Gas Well has been reviewed by
the County Attorney's staff as to
form, legal description, and
percentage of royalties, if
applicable.
TEXACO TRADING AND TRANSPORTATION INC.
CUSTOMER SERVICE
Office Hours 6:30 A.M. - 4:30 P.M. (MST)
Telephone: 1-800-992-8470 FAX: (303)860-3699
2434985 B-1488 P-455 04/20/95 02:10P PG 2 OF 3
WELD COUNTY
PO BOX 758
GREELEY
APRIL 4, 1995
CLERK TO THE BOARD
CO 80632-0758
Gentlemen:
The enclosed division order has been prepared on the basis of documentation provided.
We are aware that Government agencies do not execute Authorization Documents; however, we
are sending you a copy so you can verify the information and notify us if there is a problem.
Please refer to our lease number and your owner number in any communication with our company
so we can respond promptly.
FOR YOUR INFORMATION
Payments will be made monthly for oil received during the previous month unless the amount due is
less than S25.00. 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.
Please send written notice of any name or address change to:
Lease Ownership / Name and Address, P.O. Box 5568, Denver CO 80217
Be sure to indicate your owner and tax identification numbers
353588
000006556
000006556
000053723
000143425
000143425
000317916
000341322
000341323
WALSH
WALSH
WELD COUNTY
WALSH PRODUCTI
WALSH PRODUCTI
MCNAY J/T
GREEN J/T
VANDAGRIFF J/T
FRANK H
FRANK H
ON INC
ON INC
JAMES B & NANCY L
SAMUEL P & ELIZABETH
BILLY JIM & JUDY
2434985 B-1488 P-455 04/20/95 02:10P PG 3 OF 3
0
W
R
0
W
0
0
0
0.0076500
0.2799921
0.1250000
0.0178500
0.5638829
0.0028125
0.0016875
0.0011250
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