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GAS DIVISION ORDER
TO: NUN I-H AMERICAN RESOURCES COMPANY
EFFECTIVE: Date of First Production
The below named parties, hereinafter designated as "OWNERS", and each of them by their signatures hereto
affixed, do hereby represent,certify and warrant that they are the legal owners in the proportions set out below of all the
gas and associated liquid hydrocarbons produced from or allocated to the well, acreage or communitized area more
particularly described as follows:
Township 1 North,Range 65 West
Section 2: N2
Containing 320.00 acres,more or less
CO.5357 Hudson#1 (Dakota(
In Weld County, State of Colorado, and are entitled to receive payments for gas taken or sold off of the
premises,and until further notice credit for such gas so taken or sold from said premises shall be given as directed below:
CREDIT TO DIVISION OF INTEREST MAILING ADDRESS
SEE EXHIBIT'A' FOR INTEREST OWNERS
-
rMEM NORTH AMERICAN RESOURCES COMPANY, hereinafter called
to= "OPERATOR" may sell and deliver to any purchaser and then remit to the OWNERS as set out herein for all gas and
a
co associated liquid hydrocarbons,including condensate produced,saved and sold from said premises as follows:
a
m _ 1. Payment for gas shall be paid to the OWNERS according to the division of interest
• .• `+•l shown above. Payment therefor may be made monthly by the OPERATOR mailing to such parties its check therefor at the
p r. post office address stated, on or before thirty (30) days after receipt by OPERATOR of sufficient information upon which
mom
e0 me settlement therefor may be made. If the amount accruing to the interest of any Owner herein is less than Twenty Five
a al=== Dollars($25.00)in any one month,the proceeds of such runs may, at the option of OPERATOR,be accumulated and paid
m'arm without interest on an annual basis,payment to be made in December of each year.
Hv� If a refund of a portion of the proceeds derived from the sale of gas may be required under any
5 s� order, rule or regulation of the Federal Power Commission or other governmental agency having jurisdiction thereof, or the
r = provisions of the "Natural Gas Act",the price for gas shall be calculated on the basis of the unsuspended or unconditional
vd- certificated price for such gas. OPERATOR may hold, without interest, the portion of proceeds subject to possible refund
C• ountil the amount of the refund, if any, is determined by final unappealable order of the Federal Power Commission or such
▪ C = other governmental agency. OPERATOR is also expressly authorized ano given the tight, in its sole discretion,to withhold
p �a or deduct from the share of any disbursement,directed hereunder attributable to any Owner, a sufficient sum to pay all ad
Oeinc — valorem taxes, applicable State and Local taxes, Resource Indemnify Fund Tax and any other tax (excluding income taxes)
o=
that will become due and payable by any Owner, and to pay such taxes and render a full account of any such taxes paid by
gal it to any Owner for whom such taxes have been paid.
Elm 2. Settlement for the above interests shall be made on the basis of the net proceeds received from
the sale of gas based upon the volume computations made or accepted by the purchasers thereof. "Net Proceeds" means
the amount received from such sale less transportation, dehydration, separating, treating, processing and compression
charges and other costs or expenses,if any. OPERATOR may sell gas to any purchaser of its choice at such quantities and
price as it shall deem prudent. However, in the event the sales price for gas is established or regulated by the Federal
Power Commission, or other governmental authority,the price applicable to such sales for the purpose of calculating net
proceeds shall be the unsuspended or unconditional certificated price for such gas determined by final unappealable order
of the Federal Power Commission or such other governmental agency.
3. Payments so made are to be in full settlement for such gas so taken or sold from said premises.
4. OWNERS severally shall notify OPERATOR of any change of ownership, and no transfer of
interest shall be binding upon OPERATOR until a request to make such transfer and the recorded instrument evidencing
such transfer,or a certified copy thereof,shall be furnished to OPERATOR.Transfers of interest shall be made effective not
earlier than the first day of the calendar month in which notice is received by OPERATOR.OPERATOR is relieved hereby of
any responsibility for determining if and when any of the interests set forth above shall or should revert to or be owned by
other parties as the result of the completion or discharge of money or other payments from said interests and the OWNERS
whose interests are affected by such money or other payments, if any, assume said responsibility and shall give
OPERATOR notice in writing by certified letter addressed to OPERATOR, when any such money or when any other division
of interest 'titan that set forth above shaii, fur any reasun, uecome effective, anu w twntsn requests for transrer
accordingly,and that in the event such notice shall not be received,OPERATOR shall be held harmless in the event of and
is hereby released from any and all damage or loss which might arise out of,any overpayment.
5. In the event of any dispute or question at any time concerning title to the above described lands,
or the gas produced therefrom,OPERATOR may hold the proceeds of all gas runs hereunder,until indemnity satisfactory to
OPERATOR has been furnished or until such dispute or question of title is corrected or removed to court affecting title to
either the real property above described or to the gas produced therefrom in which any of the undersigned are parties,
written notice of the filing of such action shall immediately be furnished to OPERATOR by the undersigned, stating the
court in which the same is filed and the title of such action or suit, and OPERATOR or any purchaser of gas runs shall be
held harmless from and any judgment rendered in such suit and all reasonable costs and expenses incurred in defending
against said claim whether in OPERATOR's defense of the gas purchaser,and the undersigned shall pay said judgment and
said costs and expenses in the proportion and to the extent that the same affects his or their interest. Where, under this
provision the proceeds of any gas sales are retained,OWNERS agree to indemnify and hold the OPERATOR harmless from
any liability for any-tax proposed or assessed against or paid on account of such retained proceeds, together with the
penalties incident thereto, and the OPERATOR may deduct the same from any amount owing by it to OWNERS. In the
•
981691
Le-Wete."
event of overpayment for gas to the interest of any Owner herein, OPERATOR is authorized upon discovery thereof to
recoup such amounts from future accruals to this or any other interest of such Owner for which OPERATOR may make
settlement.
6. This Agreement shall be binding upon all parties agreeing hereto irrespective of whether all
parties owning an interest in the minerals, royalty, and leasehold estates execute the same, and shall extend to and be
binding upon their respective heirs,devisees,executors,legal representatives,successors and assigns.This Agreement may
be attached as an exhibit to any other document and incorporated therein by reference for all purposes and execution of
any such document to which this Gas Division Order may be attached shall be deemed to be for all purposes of the same
force and effect as execution of this document.
7. If applicable, the OPERATOR will comply with all provisions of Executive Order No. 11246 of
September 24, 1965, and any amendments or supplement thereto and of the rules, regulations and relevant orders of the
Secretary of Labor.
Special Provisions:
Witness:
X
X ); 7)//i/9<
Protem " f Cty floTT sion
n ATTEST °• ✓✓
84-6000-813 - C NTY K TO T BOARD
Owner SSJNTax ID 11104.C
P.O. Box 758, Greeley, CO 80632 • p BOAR
Owner Mailing Address i
(U11i`i`r�
I 111111 III 111111 11111 11111 111111 11111 III 11111 1111 HI
2632308 08/11/1998 01:10P Weld County CO
2 of 3 R 0.00 D 0.00 JA Sukl Tsukamoto
•
95/‘/Y
EXHIBIT"A"
ATTACHED TO AND MADE A PART OF
THAT CERTAIN GAS DIVISION ORDER
EFFECTIVE WITH THE DATE OF I°IRST PRODUCTION
FOR C0.5357 HUDSON #1 DAKOTA WELL LOCATED IN
WELD COUNTY, COLORADO
OWNER # OWNER NAME AND ADDRESS INTEREST
10970 Colorado Dept of Transportation .325563% RI
4201 E Arkansas
Denver, CO 80222
7524 Farmers Reservoir& Irrigation Company .109829% RI
80 South 27`" Ave
Brighton, CO 80601
8147 Alice Thelma Spayd .457812% RI
1532 Tulip CT
Longmont, CO 80501
8472 Arlie Marie Swan .457813% RI
2522 Rockdell St
La Crescenta,CA 91214-2220
9063 Wilma Hardiman .642804% RI
3628 So Fort
Springfield, MO 65807
10943 Vitha Crystal Reynolds .457813% RI
16809 N 59th Street
Scottsdale,AZ 85254
10944 Kathern Harriett Bowers .457813% RI
2522 Rockdell St
La Crescenta, CA 91214-2220
10945 Margaret F Kent .642804% RI
639 Jessup, #C
Brighton, CO 80601
11300 John L McGill 1.285609%RI
22461 1-76 Access Road
Hudson, CO 80642
21529 Weld County Colorado 5.849191% RI
Board of County Commissioners
P 0 Box 758
Greeley, CO 80632
25593 Rescar Cleaning Corp of Channelview, Inc. 1.831252% RI
22400 1-76
Hudson, CO 80642-9123
7970 Double Eagle Petroleum& Mining Company 2.924595%OR
P 0 Box 766
Casper,WY 82602
16339 Richard N uodge .1 /6099% OR
P 0 Box 3687 r
Douglas, AZ 85608-3687
22 North American Resources Company 84.381003%WI
16 East Granite
Butte, MT 59701
TOTAL 100.000000%
111111 11111111111 III 11111 IIII Till
2832308 08/11/1988 01:10P Weld County CO
3 of 3 R 0.00 D 0.00 JA Suitt Taukamoto
NiaNnrth Ampriran
Resources Company .
a Montana Power company
INSTRUCTION TO ALL INTEREST OWNERS
THE ENCLOSED DIVISION ORDER OR TRANSFER ORDER SHOULD NOT BE ALTERED IN
ANY WAY EXCEPT TO CORRECT SPELLING ERRORS, UNLESS ACCOMPANIED BY
DOCUMENTARY EVIDENCE TO SUPPORT THE CHANGE.
If your name and interest are correctly shown:
INDIVIDUAL- Sign your name as shown and have your signature
witnessed.
CORPORATION- Signature must be attested, corporate seal
affixed and title of party reflected.
PARTNERSHIP- Must be executed by all partners or by an
authorized partner. Please provide copy of
instrument giving partners authority to sign.
AGENT, ATTORNEY-IN-FACT,GUARDIAN ETC - Please provide copy
of power of attorney of other evidence of
party's authority to sign.
If your name has changed because of marriage or divorce, execute the Division Order with
your current name and send a copy of the marriage certificate or divorce decree with your
executed Division Order.
SHOULD YOU FAIL TO PROVIDE YOUR CORRECT SOCIAL SECURITY NUMBER OR
TAX IDENTIFICATION NUMBER, THE LAW PROVIDES FOR A 20% WITHHOLDING
OF ALL YOUR PRODUCTION PROCEEDS DUE YOU. PLEASE COMPLETE AND
RETURN THE ENCLOSED W-9 FORM WITH YOUR EXECUTED DIVISION ORDER.
Please provide your mailing address in the space provided.
RETURN ONE COPY OF THE DIVISION ORDER/TRANSFER ORDER IN THE SELF-
ADDRESSED ENVELOPE PROVIDED.
If for any reason a suspense has been set out for your interest the reason for the suspense
will be set out with your Division Order. Please respond to the requirements as indicated.
DO NOT DETACH THE EXHIBIT FROM THE DIVISION ORDER IF ONE IS INCLUDED.
If you should have any questions about this instrument please contact Mary Kay Thompson
at (406) 496-5267.
16 East Granite Street• Butte,Montana 59701-9326
Telephone 406-782-4233
Facsimile:406-496-5295(Land,Lease&Accounting)• 406-496-5300(Engineering) ^*/
North American
Resources Company
a Montana Power company
The Internal Revenue Service has issued guidelines requiring us
to maintain certain information on each of our vendors or accounts
receiving payment from us. Please provide the information requested
below.
To avoid possible delays in future payments or the possible
deduction of backup withholding, this letter should be completed and
returned to us, in the enclosed self-addressed envelope, within fifteen
(15) days.
Thank you in advance for your cooperation.
RETURN LETTER
SUBSTITUTE FORM W-9
Please provide your Tax ID Number:
EMPLOYER IDENTIFICATION NUMBER
SOCIAL SECURITY NUMBER
STATE OR NON-PROFIT EXEMPT ORGANIZATION YES NO
Are you a Corporation? YES or NO (Circle One)
Have you been notified by the IRS that you are subject to backup
withholding? YES or NO (Circle One)
Certification under penalties of perjury, I certify that:
The number shown on this form is my correct taxpayer
identification number (or I am waiting for a number to be issued to
me) .
Signature Date
Print or Type Name
Title
16 East Granite Street• Butte,Montana 59701-9326
Telephone 406-782-4233
Facsimile:406-496-5295(Land,Lease&Accounting)• 406-496-5300(Engineering) qO/ / 9/
(!7
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. J
2-BY:
1 ty Attorn
DATE: 1
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