HomeMy WebLinkAbout961150 AUTHORIZATION TO RECEIVE OIL AND DIRECTION FOR PAYMENT
TO: TEXACO TRADING AND TRANSPORTATION INC. ( TTTI ) Lease No. 053861
Lease Ownership
Post Office Box 5568
Denver, Colorado 80217-5568
Toll Free 1-800-992-8470 Date: MAY 1, 1996
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 -- MEL BICHLING 31-22 (GAS) LEASE
located in WELD County, State of COLORADO
described as:TOWNSHIP 6 NORTH - RANGE 65 WEST
SECTION 22
The undersigned warrants to MI 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: 0.0011953
TRANSFERRED FROM: 999999999
CURRENT INTEREST(S) IN PAY STATUS FOR THIS LEASE:
WELD COUNTY CLERK TO THE BOARD
PO BOX 758
r_REJ.'Y .y..V. 6c=-
II 1111111111 f11111 111111 111111111111111 I l l lm l l ll l I1111111 Il ll 11 ll 1111 II
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 CPI'I. The undersigned agrees to notify PPI'I 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 provide written notice, the undersigned will fully indemnify and hold 111'1 harmless. If action or inaction by the undersigned
causes TTTI to over-pay this interest, then 11111 may recoup the overpaid amount from the undersigned's interests in other leases.
F. : tca' ayments shall be subject to all present and future laws, regulations and orders.
4114%/ B[ •l� .,OWNER(S) i PAYMENT FOR THIS INTEREST SHOULD BE SENT TO:
.. 1 „ . €\ -_ j' //2yi/-':„'_ „ Weld County Clerk to the Board
,tsar 4 `fecti . .tJ. Kirkmeyer,; Chair
jj +0< nt Board of Comm issioners PO Box 758
•n � ;vs AM Greeley, CO 80632
`( -, � .` ,ti OP TAX ID NUMBER
;',6000813
DAYTIME TELEPHONE NUMBER ( 970 )356-4000 CORRESPONDENCE AND IRS FORM 1099 SHOULD BE SENT TO:
ext.4225
❑ Please check if these are NEW ADDRESSES and apply to all AS ABOVE
leases with this owner number.
REC'D
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F ' 2491175 B-1547 P-469 05/15/96 04:37P PG 1 OF 3 REC DOC
D '. SUSPENSE
°z ( Weld County CO Clerk & Recorder 0.00
D of I
ZIP + 4 CODE IS RFOUr..cmGn
ANALYST
LE0006 01 960501120117 VAO3CCP 961150
CONSENT AGENDA 05/13/96
TEXACO TRADING AND TRANSPORTATION INC.
CUSTOMER SERVICE
Office Hours 6:30 A.M. - 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
MAY 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 and your owner number in any communications with our company
so that we can respond promptly.
2491175 B-1547 P-469 05/15/96 04:37P PG 2 OF 3
FOR YOUR INFORMATION
Payments will be made monthly for oil received during the previous month unless the amount due is
less than S25.00. Amounts of less than 525.00 will be accumulated and paid when the total either
equals or exceeds 525.00 or at such time during each fiscal year when all amounts due of 55.00 or
more are released to owners whose accounts are in pay status. Amounts due of less than 55.00, 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
053861
000011878 PRIMA EXPLORAT ION INC W . 1399069
000015947 DOUSSARD BRANT HODEL & 0 . 0024183
000053723 WELD COUNTY R . 0011953
000294740 GERRITY OIL & GAS CORPORATION W . 5824400
000303815 THOMPSON JR J CLEO & JAMES CLEO W . 0399735
000314088 WILSON III FRANK W . 0169584
000316071 COLTON LTD LIA BILITY COMPANY W . 0056528
000316872 CHRISTENSEN JR CHRIS L 0 . 0032675
000340542 HS RESOURCES I NC 0 . 0039211
000346706 PATCHEN C A & SYLVIA B 0 . 0016337
000351662 ARMANTROUT ROBERT L 0 . 0044282
000351663 SHELDON THEODORE D 0 . 0181212
000351668 SBH ASSOCIATES INC W . 0427999
000351672 CLERKIN BECKY JANE HAMILTON R . 0012763
000351673 BAKKEN MARIAN J 0 . 0032675
000351701 BICKLING MELVIN & IMOGENE R . 0510550
000351702 BICKLING FLORENCE F R . 0204220
000351703 STOFFREGEN HARLAN R R . 0153165
000351707 WOJCIAK JANICE LOUISE R . 0153165
000351708 BICKLING JOHN DANIEL R . 0012764
000351710 BICKLING MARGARET RUTH R . 0051055
000351713 NEW CACHE LA P OUDRE IRRIGATING CO R . 0012727
000351716 BICKLING EST HERBERT C R . 0051055
000351717 KOENEMAN EST MARY F
000351718 BICKLING JAMES SPENCER R . 0012764
000351719 HEINZ SHARON F R . 0012764
000351720 OMLOR SUSAN BICKLING R . 0051055
2491175 B-1547 P-469 05/15/96 04:37P PG 3 OF 3
L
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: —
unt A t mey ---_
i
DATE: '�,i ', j .�-
PAGE 1
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