HomeMy WebLinkAbout960630.tiff AUTHORIZATION TO RECEIVE OIL AND DIRECTION FOR PAYMENT
TO: TEXACO TRADING AND TRANSPORTATION INC. ( TTTI ) Lease No. 053787
Lease Ownership
Post Office Box 5568
Denver, Colorado 80217-5568 Date: FEBRUARY 29, 1996
Toll Free 1-800-992-8470
Effective at 7:00 A.M. FEBRUARY 1, 1996 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:
PRIMA EXPLORATION -- BICH E 22-1 LEASE
located in WELD County, State of COLORADO
described as:
TOWNSHIP 6 NORTH " RANGE 65 WEST
SECTION 22
FORMER PURCHASER: ASSOCIATED TRANSPORT & TRADING
The u lease and warrasnts to to Idistribute hip payment interor est
oil as provided below indicated
dlow next to their name in the oil produced and saved from the v abo direcCREDIT TO OWNER NUMBER: 000053723 TYPE: ROYALTY INTEREST: 0.0011953
TRANSFERRED FROM: 999999989
CURRENT INTEREST(S) IN PAY STATUS FOR THIS LEASE:
WELD COUNTY CLERK TO THE BOARD
PO BOX 756
GREELEY CO 80632-0758
CONFIRMATION 2480665 B-1537 P-287 03/13/96 02:11P PG 1 OF 3 REC DOC
0.00
Weld County CO Clerk & Recorder
X111111111111 III!! 1111111 E'ri :..1;11911111111
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n event of a dispute concerning torT . Theet agrtion rf theees to no fy 1'eeds 111 in this writing oterest. f TI
nyrcha geay ldin thhee decimal al interest eds until it receives
and all
evidence nges title satisfactory to undersigned owi
changes shall be effective the first day of the
g month tollowing TTTI's receipt of such notice. For any claims arising from the undersigned's
f:" Vr:vide wrpaynth s notice,
interest,uth n 'ITI'll may recoed will uindemnify
the overpaid amount from and hold atheeundersigned's inte. If action or rests in other leases.ction by the undersigned
nn all ents shall be subject to all present and future laws, regulations and orders.
O y NER(S) PAYMENT FOR THIS INTEREST SHOULD BE SENT TO:
N-11361 • , Weld County Clerk to the Board
ra ir . eyer, '' air
C n 'Board of Commissioners PO Box 758
Greeley, CO 80632
� w : .��f! • OR TAX ID NUMBER
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.
REC'D
z N/A
SUSPENSE
D of t ZIP t 960630
ANALYST u91 in. 1195
01 960229145736 VA03SMM
CONSENT AGENDA 03/11/96 LE0006
TEXACO TRADING AND TRANSPORTATION INC.
CUSTOMER SERVICE
Office Hours 6:30 A.V1. - 4:30 P.M. (MST)
Telephone: 1-800-992-8470 FAX: (303)860-3699
WELD COUNTY CLERK TO THE BOARD
PO BOX 758
GREELEY CO 80632-0758
FEBRUARY 29, 1996
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 based upon an ownership paysheet from the prior purchaser.
Enclosed is our Authorization Document covering your interest.
Please examine the Authorization Document for accuracy. 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 owners 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 Document verifies that your interest is correctly
stated and continues your interest in a current pay status. We will release payment for prior
purchases on the 20th day of the following month, provided that the accruals to the interest
amount to at least $25.00.
Please refer to our lease number and your 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
2480665 B-1537 P-287 03/13/96 02:11P PG 2 OF 3
053787
000011878 PRIMA EXPLORAT ION INC W 0 . 1424844
000015947 DOUSSARD BRANT HODEL & 0 0 . 0024183
000053723 WELD COUNTY
000294740 GERRITY OIL & GAS CORPORATION W 0 . 6200668
000303815 THOMPSON JR J CLEO & JAMES CLEO W 0 . 0425547
000314088 WILSON III FRANK
000316071 COLTON LTD LIA BILITY COMPANY W 0 . 0056564
000316872 CHRISTENSEN JR CHRIS L 0 0 . 0032675
000340542 HS RESOURCES I NC
000346706 PATCHEN C A & SYLVIA B 0 0 . 0016338
000351662 ARMANTROUT ROBERT L 0 0 . 0044283
000351663 SHELDON THEODORE D 0 0 . 0181211
000351672 CLERKIN BECKY JANE HAMILTON R u . Gueone7
000351673 BAKKEN MARIAN J 0 0 . 0032675
000351701 BICKLING MELVIN & IMOGENE R 0 . 0204220
000351702 BICKLING FLORENCE F R 0 . 0204220
000351703 STOFFREGEN HARLAN R R 0 . 0153165
000351705 BICKLING JR HERBERT C & CHARLOTTE R 0 . 0102110
000351706 BICKLING JAMES SPENCER & SHALA R 0 . 0025528
000351707 WOJCIAK JANICE LOUISE R 0 . 0153165
000351708 BICKLING JOHN DANIEL R 0 . 0025528
060351709 KOENEMAN CHARLES F & JOYCE W R 0 . 0204220
000351710 BICKLING MARGARET RUTH R 0 . 0102110
000351711 HEINZ SHARON F & ROGER R R 0 . 0025528
000351712 OMLOR SUSAN BICKLING & WALT R 0 . 0102110
000351713 NEW CACHE LA P OUDRE IRRIGATING CO R 0 . 0012727
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. /.'
/
7
BY: . 1
ounty Attor ey
DATE: .7 / ±(c)
2480665 B-1537 P-287 03/13/96 02:11P PG 3 OF 3
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