HomeMy WebLinkAbout960311.tiff AUTHORIZATION TO RECEIVE OIL AND DIRECTION FOR PAYMENT
TO: TEXACO TRADING AND TRANSPORTATION INC. ( TTTI ) Lease No. 053712
Lease Ownership
Post Office Box 5568
Denver, Colorado 80217-5568
Toll Free 1-800-992-8470 Ad 24767 Date: FEBRUARY 1, 1996
Effective at 7:00 A.M. DECEMBER 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 -- LILLI FIELD UNIT GAS TRACT 19 LEASE
located .n WELD County, State of COLGRADO
described as:
TOWNSHIP 8 NORTH - RNAGE 58 WEST
SECTION 6: LOTS 12 & 15
FEDERAL LEASE #C-57211
TRACT PARTICIPATION FACTOR - 0.0342310
The undersigned warrants to 1'1'11 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 INTEREST: 0.0392169
TRANSFERRED FROM: 999999999
CURRENT INTEREST(S) IN PAY STATUS FOR THIS LEASE:
WELD COUNTY CLERK TO THE BOARD
PO BOX 758
GREELEY CO 80832-0758
•
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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 TTTI. 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 TTTI's receipt of such notice. For any claims arising from the undersigned's
failure to rovide written notice, the undersigned will fully indemnify and hold TTTI harmless. If action or inaction by the undersigned
coos to over-pay this interest, then 11TI may recoup the overpaid amount from the-undersigned's interests in other leases.
ments shall be ubject to all present and future laws, regulations and orders.
i
E (V PAYMENT FOR THIS INTEREST SHOULD BE SENT TO:
CLERK TO THE BOARD OF WELD COUNTY COMMTSSTONERS
(861 ({• E HAI
PO :BOX 758
:DEPUTY
p1 'SEU O AX ID NUMBER
'TOTH
THE BOARD GREELEY, CO 80632-0758
' ter:
84-6000813
DAYTIME TELEPHONE NUMBER ( 970 )356-4000 CORRESPONDENCE AND IRS FORM 1099 SHOULD BE SENT TO:
X4225
❑ Please check if these are NEW ADDRESSES and apply to all AS ABOVE
leases with this owner number.
RECD
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SUSPENSE
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ZIP + 4 CODE IS REQUESTED
ANALYST
2476739 B-1532 P-612 02/16/96 03:13P PG 1 OF 3 Tear
Lcc//9 CONSENT AGENDA Weld County CO Clerk & Recorder 960311
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TEXACO TRADING AND TRANSPORTATION INC.
CUSTOMER SERVICE
Office Hours 6:30 A.M. - 4:30 P.M. (MST) -H
Telephone: 1-800-992-8470 FAX: (303)860-3699
Ti
WELD COUNTY CLERK TO THE BOARD
PO BOX 758
GREELEY CO 80632-0758
FEBRUARY 1, 1996
Dear Interest Owner,
The enclosed Authorization Document has been prepared on the basis of documentation provided.
Please examine the Authorization Document for accuracy. If you agree 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 required and should be included in the
spaces provided. The executed-original should then be returned to our office. We have included a
self-addressed envelope for your convenience.
If the fully executed Authorization is received in our office on or before the end of the month, we
will release payment for prior purchases on the 20th day of the following month, providing that the
accruals to the interest amount to at least $25.00.
Please refer to our lease number andyour owner number in any communications with our company
so that 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 $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.
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
2476739 B-1532 P-612 02/16/96 03:13P PG 2 OF 3
000000069 MINERALS MANAG EMENT SERVICE R 0 . 0624689
000006556 WALSH FRANK H R 0 . 0009446
000006556 WALSH FRANK H W 0 . 2317733
000053723 WELD COUNTY R 0 . 0392169
000143425 WALSH PRODUCTI ON INC R 0 . 0022040
000143425 WALSH PRODUCTI ON INC W 0 . 5408044
000306327 ACORN RESOURCE S INC 0 0 . 0037518
000317916 MCNAY J/T JAMES B & NANCY L 0 0 . 0018467
000317916 MCNAY J/T JAMES B & NANCY L R 0 . 0042124
000323584 D & J TRUST 0 0 . 0249876
. 000330036 GILBERT ROBERT M R 0 . 0181363
000338569 MCNAY JAMES W 0 . 0317971
000341322 GREEN J/T SAMUEL P & ELIZABETH 0 0 . 00iiu8G
000341322 GREEN J/T SAMUEL P & ELIZABETH R 0 . 0025274
000341322 GREEN J/T SAMUEL P & ELIZABETH W 0 . 0190783
000341323 VANDAGRIFF J/T BILLY JIM & JUDY 0 0 . 0007386
000341323 VANDAGRIFF J/T BILLY JIM & JUDY R 0 . 0016849
000341323 VANDAGRIFF J/T BILLY JIM & JUDY W 0 . 0127188
3 /7 /96
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. 3
BY: t /' , . ..i L!",.`Z
,,,,County Attorney - '--1-
2476739 B-1532 P-612 02/16/96 03:13P PG 3 OF 3
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