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Home My WebLink About982622.tiff v LISA BREWER DIAMONII-" AMROCK REFINING AND MAR-`WING COMPANY Page 1 of 1 DIVISION ORDER 197865 Property Number: 60312 Date:November 23, 1998 Property Name:PERRY 1 Effective:October 1,1998 Product Type:OIL Operator: WILLEI'T H L (OP-LT) State ID: Owner Number:30105466 County and State:WELD,CO WELD COUNTY BOARD OF COMMISSIONERS PO BOX 758 GREELEY,CO 80632-0758 COMMENT:We will be making payment to you in lieu of Amoco. Legal Description: E/2 SECTION 10-1N-65W;CONSISTING OF SE/4 EXCEPT SW/4 NW/4 SE/4&N/2 NW/4 SW/4 SE/4 AND TOWN OF HUDSON-BLK 95-LOTS 20,21,22; BLK 96,WELD COUNTY,COLORADO IMPORTANT: You must provide your social security number or tax identification number Your signature and those of two..' witnesses must also be provided. Your signature confirms the interest identifed below to Owner#30105466,and binds you to the terms On the reverse side of this division order document effective as of 7:00 A.M.on the first day of October,1998 Please return one copy of the executed division order to Diamond Shamrock Refining and Marketing Company,,Attention:Division Order Section,515 Central Park Drive,Suite 200 Oklahoma City,Oklahoma 73105-1702,(405)525-8100 or M00)151-1901. Please refer to the Instructions for Execution on the reverse side of this document. Owner(s)Signature i°919/9° Signature of Witness#1 84-6000-813 Social Security or Tax ID# Signature of Witness#2 915 10th Street Address Voice Telephone Number Greeley, CO 80632 City,State and Zip Code FAX Telephone Number Owner Name Interest Type Decimal Interest 'WELD COUNTY BOARD OF " Royalty Interest 0.030761700 111111111111111111 IlI 1111111111 IIIluI 1111111 IIII III 2659431 12/10/1998 09:39A Weld County CO 1 of 2 R 0.00 D 0.00 JA Suki Tsukamoto YOURCOPY 982622 Diamond Shamrock Refining and Marketing Company 515 Central Park Drive, Suite 200 Oklahoma City,Oklahoma 73105 1111 110 11111 III! 11111 111111111111 III 11111 111 111 (405) 525-8100 or (800) 851-1901 2659431 12/10/1998 09:39q Weld County CO 2 of 2 R 0.00 D 0.00 JR Sul(' Tsukamoto Each interest owner set out on the reverse side hereof("owner"),severally and not jointly,certifies to be the legal owner of the interest set out on the reverse side hereof ("division of interest")of all the oil/gas and related liquid/gaseous hydrocarbons produced from the property described on the reverse side hereof("property"). THIS AGREEMENT DOES NOT AMEND ANY LEASE OR OPERATING AGREEMENT BETWEEN THE INTEREST OWNERS AND THE LESSEE OR OPERATOR OR ANY OTHER CONTRACTS FOR THE PURCHASE OF OIL OR GAS. The following provisions apply to each owner who executes this agreement with Diamond Shamrock Refining and Marketing Company("payor"): TERMS OF SALE:Each owner will be paid in accordance with the division of interest set out on the reverse side hereof.As to all the oil/gas and related liquid/gaseous hydrocarbons sold pursuant to this division other,the payor shall(after computation by payor as purchaser of quantity with corrections for gravity and temperature and deductions for impurities)pay all parties at the price agreed to by the operator for oil to be sold pursuant to this division order.Settlement for gas or casinghead gas produced,saved and sold from,or used off the property shall be made in the proportions shown in the division of interest. PAYMENT:From the effective date,payment is to be made monthly by payor's check,based on this division of interest,for oil runs during the preceding calendar month from the property,less taxes required by law to be deducted and remitted by payor as purchaser.Payments of less than$25 may be accrued before disbursement until the total amount equals$25 or more,or until December 31 of each year,whichever occurs first.Owner agrees to refund to payor any amounts attributable to an interest or part of an interest that owner does not own. INDEMNITY:Owner agrees to indemnify and to hold payor harmless from all liability resulting from payments made to owner in accordance with such division of interest,including but not limited to attorney fees or judgements in connection with any suit that affects owner's interest to which payor is made a party. DISPUTE,WITHHOLDING OF FUNDS:If a suit is filed that affects the interest of owner,written notice shall be given to payor by owner together with a copy of the complaint or petition filed.In the event of a claim or dispute that affects title to the division of interest credited herein,payor is authorized to withhold payments accruing to such interest,without interest unless otherwise required by applicable statute,until the claim or dispute is settled. TERMINATION:Termination of this division order is effective on the first day of the month that begins after the 30th day after the date written notice of termination is received by either party. NOTICES:Owner agrees to notify payor in writing of any change in the division of interest,including changes of interest contingent on payment of money or expiration of time. No change of interest is binding on payor until a recorded copy of the instrument of change or documents satisfactorily evidencing such change are furnished to payor at the time the change occurs. Any change of interest shall be made effective on the first day of the month following receipt of such notice by payor. Any correspondence regarding this division order shall be furnished to the addresses set out herein,unless otherwise advised by either party. In addition to the legal rights provided by the terms and provisions of this division order,an owner may have certain statutory rights under the laws of this state. FAILURE TO FURNISH YOUR SOCIAL SECURITY/TAX ID.NO.WILL RESULT INA 31%WITHHOLDING TAX IN ACCORDANCE WITH FEDERAL LAW,AND ANY TAX WITHHELD WILL NOT BE REFUNDABLE BY PAYOR. INSTRUCTIONS FOR EXECUTION Read all terms and conditions before signing. ce O Individuals must sign their name as shown on the Division Order.If executing on behalf of a Corporation please indicate your official capacity as President or Vice Q President,impress the corporate seal,and have your signature attested by the secretary or assistant 0 or association,please indicate your official capacity and provide documentation of your authority to execute on behalf of such organization.Signatures by Agents, pp secretary of the corporation.If executing on behalf of Partnership, LlJ Attorneys-in-Fact,Trustees,Guardians,Estate Representatives or any party other than the named interest owner,must be verified by attaching evidence of the = rights vested in the signatory party. I— O Insert the Address to which checks are to be mailed.Please be sure to notify us promptly of any changes in your mailing address. Please do not change or alter the division order unless such changes are accompanied by documentary LU tary evidence justifying the change. UPlease retain one copy of the Division Order for your records.Please return one copy to Diamond Shamrock Refining and Marketing Company. LISA BREWER DIAMOND SHAMROCK REFINING AND MARKETING COMPANY Page I of I DIVISION ORDER 197865 Property Number: 69980 Date:November 23, 1998 Property Name:OTTESEN 1 Effective: October 1, 1998 Operator: WILLETT I3 L (OP-LT) Product Type:OIL State ID: Owner Number:30105466 County and State:WELD,CO WELD COUNTY BOARD OF COMMISSIONERS PO BOX 758 GREELEY,CO 80632-0758 COMMENT: We will be making payment to you in lieu of Amoco. Legal Description: S/2 SECTION 3-IN-65W,WELD COUNTY,COLORADO IMPORTANT: You must provide your social security number or tax identification number. Your signature and those of two witnesses must also be provided. Your signature confirms the interest identifed below to Owner#30105466,and hinds you to the terms on the reverse side of this division order document effective as of 7;00 A.M.on the first day of October,1998. Please return one copy of the executed division order to Diamond Shamrock Refining and Marketing Company,Attention;Division Order Section,51S Central Park Drive,Suite 200 Oklahoma City,Oklahoma 73105-1702,(405)525-8X00 or(800)851-1901. Please refer to the Instructions for Execution on the reverse side of this document. Owner(s)Signature Signature of Witness#1 84-6000-813 Social Security or Tax ID# Signature of Witness#2 915 10th Street Address Voice Telephone Number Greeley, CO 80632 City, State and Zip Code FAX Telephone Number Owner Name Interest Type Decimal Interest WELD COUNTY BOARD OF ; Royalty Interest 0.016484400' AID 11111 HUH Eli 11111 1111111 III 11111 IIII IIII 2659432 12/10/1998 09:428 Weld County CO 1 of 2 R 0.00 D 0.00 JR Suki Taukemoto YOUR COPY qc 95 db Diamond Shamrock Refining and Marketing Company 515 CentrOklahoma , Oklahoma Drho, Sute 73105 200 I IIIIII 111111111111111 �11111111I I111111III 11111IIII I"I Oklahoma City, (405) 525-8100 or (800) 851-1901 2659432 12/10/1998 09:42R Weld County CO 2 of 2 R 0.00 D 0.00 JR Sukt Tsukamoto Each interest owner set out on the reverse side hereof("owner'),severally and not jointly,certifies to be the legal owner of the interest set out on the reverse side hereof ("division of interest")of all the oiUgas and related liquid/gaseous hydrocarbons produced from the property described on the reverse side hereof("property"). THIS AGREEMENT DOES NOT AMEND ANY LEASE OR OPERATING AGREEMENT BETWEEN THE INTEREST OWNERS AND THE LESSEE OR OPERATOR OR ANY OTHER CONTRACTS FOR THE PURCHASE OF OIL OR GAS. The following provisions apply to each owner who executes this agreement with Diamond Shamrock Refining and Marketing Company("payor"): TERMS OF SALE:Each owner will be paid in accordance with the division of interest set out on the reverse side hereof.As to all the oil/gas and related liquid/gaseous hydrocarbons sold pursuant to this division order,the payor shall(after computation by payor as purchaser of quantity with corrections for gravity and temperature and deductions for impurities)pay all parties at the price agreed to by the operator for oil to be sold pursuant to this division order.Settlement for gas or casinghead gas produced,saved and sold from,or used off the property shall be made in the proportions shown in the division of interest. PAYMENT:From the effective date,payment is to be made monthly by payor's check,based on this division of interest,for oil runs during the preceding calendar month from the property,less taxes required by law to be deducted and remitted by payor as purchaser.Payments of less than$25 may be accrued before disbursement until the total amount equals$25 or more,or until December 31 of each year,whichever occurs first.Owner agrees to refund to payor any amounts attributable to an interest or part of an interest that owner does not own. INDEMNITY:Owner agrees to indemnify and to hold payor harmless from all liability resulting from payments made to owner in accordance with such division of interest,including but not limited to attorney fees or judgements in connection with any suit that affects owner's interest to which payor is made a party. DISPUTE,WITHHOLDING OF FUNDS:If a suit is filed that affects the interest of owner,written notice shall be given to payor by owner together with a copy of the complaint or petition filed.In the event of a claim or dispute that affects title to the division of interest credited herein,payor is authorized to withhold payments accruing to such interest,without interest unless otherwise required by applicable statute,until the claim or dispute is settled. TERMINATION:Termination of this division order is effective on the first day of the month that begins after the 30th day after the date written notice of termination is received by either party. NOTICES:Owner agrees to notify payor in writing of any change in the division of interest,including changes of interest contingent on payment of money or expiration of time. No change of interest is binding on payor until a recorded copy of the instrument of change or documents satisfactorily evidencing such change are furnished to payor at the time the change occurs. Any change of interest shall be made effective on the first day of the month following receipt of such notice by payor. Any correspondence regarding this division order shall be furnished to the addresses set out herein,unless otherwise advised by either party. In addition to the legal rights provided by the terms and provisions of this division order,an owner may have certain statutory rights under the laws of this state. FAILURE TO FURNISH YOUR SOCIAL SECURITY/TAX I.D.NO.WILL RESULT IN A 31%WITHHOLDING TAX IN ACCORDANCE WITH FEDERAL LAW,AND ANY TAX WITHHELD WILL NOT BE REFUNDABLE BY PAYOR. INSTRUCTIONS FOR EXECUTION Read all terms and conditions before signing. O Individuals must sign their name as shown on the Division Order.If executing on behalf of a Corporation,please indicate your official capacity as President or Vice President,impress the corporate seal,and have your signature attested by the secretary or assistant secretary of the corporation.If executing on behalf of Partnership, w or association,please indicate your official capacity and provide documentation of your authority to execute on behalf of such organization.Signatures by Agents, F=-- Attorneys-in-Fact,Trustees,Guardians,Estate Representatives or any party other than the named interest owner,must be verified by attaching evidence of the O rights vested in the signatory party. Insert the Address to which checks are to be mailed.Please be sure to notify us promptly of any changes in your mailing address. CC Please do not change or alter the division order unless such changes are accompanied by documentary evidence justifying the change. U Please retain one copy of the Division Order for your records.Please return one copy to Diamond Shamrock Refining and Marketing Company. 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. BY: � ounty orney DATE: i i��i(/)69� Hello