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AUTHORIZATION TO RECEIVE OIL AND DIRECTION FOR PAYMENT
TO: TEXACO TRADING AND TRANSPORTATION INC. ( TTTI ) Lease No. 053461
Lease Ownership
Post Office Box 5568
Denver, Colorado 80217-5568
Toll Free 1-800-992-8470 Date: NOVEMBER 8, 1994
Effective at 7:00 A.M. OCTOBER 1, 1994 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
-- PAWNEE FEDERAL 14-9 GAS LEASE
located in WELD County, State of COLORADO
0 described as:
Wv •
o TOWNSHIP 8 NORTH - 58 WEST
SECTION 6: SE/4SW/4
FORMERLY TOTAL LEASE # 305847
FEDERAL LEASE COC-22405
COMMUNITIZATION AGREEMENT # C-49168
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P+ The undersigned warrants to TIT1 ownership of the interest indicated below next to their name in the oil produced and saved from the
N • s, above lease and directs '1 1 I'I to distribute payment for such oil as provided below.
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CD 0 CREDIT TO OWNER NUMBER: 000053723 TYPE: ROYALTY INTEREST: 0.0392189
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TRANSFERRED FROM: 999999999
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CURRENT INTEREST(S) IN PAY STATUS FOR THIS LEASE:
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O at WELD COUNTY
�p U PO BOX 758
o GREELEY CO 80832-0758
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n h vent of a d spute con e ning title to any po 'on o the p o eed of this in eiest T 'TI may o d e l roceed until it receives
evident of title sa isfactory o 'ITN. The undersign d agrees to io ify TTl'I in writ/ g of my change in the de imal interest and all
changes shall be e ective the fist day of the month follow ng 'T'P 's r ceipt of such notice. For any claims ari ing from the undersigned's
failure o provide written notice, the undersigned wi I fully indemnify and hold TP11 ,-armless. If action or mwc ion by the undersigned
causes 'ITPI to ove -pay this ii terest, then 'I Tl'I may recoup the overpaid amount fro n the undersigned's intere is in other leases.
Finally, all payments shall be subject to all present Ind future laws, regulations and orders.
SIGNATURE OF OWNER(S)
PAYMENT FOR THIS INTEREST SHOULD BE SENT TO:
WELD COUNTY BOARD OF COMMISSIONERS WELD COUNTY CLERK TO THE BOARD
X }�I7
DALE Ij(AIRMAN
SOCIAL SECURITY OR TAX Ill NUMBER
84-6000813
DAYTIME TELEPHONE NUMBER( 303 )356-4000, EXT.
4225
Please check if these are NEW ADDRESSES and apply to all
leases with this owner number.
RECD'
N/A
SUSPENSE>,
ANALYST'?
PO BOX 758
GREELEY, CO 80632
CORRESPONDENCE AND IRS FORM 1099 SHOULD BE SENT TO:
WELD COUNTY CLERK TO THE BOARD
PO BOX 758
GREELEY, CO 80632
95O257
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01 '141107170.121 VA03CCP
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TEXACO TRADING AND TRANSPORTATION INC.
CORPORATE OFFICES
(Office Hours 7:30 A.M. - 4:30 P.M. MTN)
Title Analyst: C.C. PENNELS at 303-860-3671
If you need assistance with:
Questions about this Authorization
Telecopy (FAX)
Telecopy Verification
TDD - Service for Hearing and Speech Impaired
All Other Departments
* Please send written notice of any name or address change to:
Title Department/Name and Address, P.O. Box 5568, Denver, CO. 80217
* Be sure to indicate your owner and tax identification numbers.
Please call:
(303) 860-3671
(303) 860-3699
(303) 860-3569
(303) 860-3504
(303) 861-4475
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.
If a question arises as to the legal adequacy of title to any interest, sufficient evidence of clear title may be required before
payment is made for interest.
WELD COUNTY
PO BOX 758
GREELEY CO 80632-0758
2425138 B-1478 P-366 02/02/95 01:17P PG 2 OF 3
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000006556
000006556
000053723
000116205
000116205
000116205
000143425
000143425
000306327
000323584
000330036
MINERALS MANAG
WALSH
WALSH
WELD COUNTY
MILE HI OIL &
MILE HI OIL &
MILE HI OIL &
WALSH PRODUCTI
WALSH PRODUCTI
ACORN RESOURCE
D & J TRUST
GILBERT
EMENT
FRANK
FRANK
SERVICE
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GAS INC
GAS INC
GAS INC
ON INC
ON INC
S INC
ROBERT M
PAGE 1
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0.0249876
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2125138 0-1478 P-366 02/02/95 01:17P PG 3 OF 3
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