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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
Clerk to the Board
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Kerr-McGee Onshore LP bt cD%ni Transfer Order RECEIVED TRANSFEREE WELD COUNTY COLORADO C/O BOARD OF COUNTY COMMIS 1150O ST GREELEY CO 80632 See reverse for list of Properties and Interests. FEB 2 6 202J WELD COUNTY COMMISSIONERS Effective Date: Date of First Sales The undersigned certifies the ownership of their decimal interest in production as described above payable by Kerr-McGee Onshore LP (Payor). Payor shall be notified, in writing, of any change in ownership, decimal interest, or payment address. All such changes shall be effective the first day of the month following receipt of such notice. Payor is authorized to withhold payment pending resolution of a title dispute or adverse claim asserted regarding the interest in production claimed herein by the undersigned. The undersigned agrees to indemnify and reimburse Payor any amount attributable to an interest to which the undersigned is not entitled. Payor may accrue proceeds until the total amount equals $100, or Sept. 30 whichever occurs first, or as required by applicable state statute. This Division Order does not amend any lease or operating agreement between the undersigned and the lessee or operator or any other contracts for the purchase of oil or gas. In addition to the terms and conditions of this Division Order, the undersigned and Payor may have certain statutory rights under the laws of the state in which the property is located. Note: NADOA Model Form Division Order (Adopted 9/95) Your Copy RV37471504 WELD COUNTY COLORADO CIO BOARD OF COUNTY COMMIS XXX-XX-0813 SIGNATURE: BOARD OF WELD COUNTY COMMISSIONERS, CHAIR ATTEST: CLERK TO THE BOARD BY: DEPUTY CLERK TO THE BOARD Weld County Government 1150 "O" Street Greeley, CO 80634 Phone: 970-336-7204 Fax: 970-336-7233 Tax ID: 84-6000-813 *Failure to furnish your Social Security/Tax ID number will result in withholding tax in accordance with federal law and any tax withheld will not be refundable by payor. ** All individual parties must complete and return the enclosed W9 to ensure proper payment. Additional forms may be obtained at www.irs.gov Please return to: Kerr-McGee Onshore LP P.O. BOX 173779 DENVER, CO 80217-3779 1-800-359-1692 Date Prepared: February 25, 2020 Prepared By: Brian Jones Suspense Flag: N Transaction No: 816560 2020-1714 4 OV"\` �.v\�`�- Page 1 of 2 WELD COUNTY, CO Property Property Name 294594/2 VARGAS 11-13 Legal Description: T2N R67W SEC 13:N2SW 0 ACR State/County CO/WELD RI 1 0.00021875 Int Type Int Seq Interest *Failure to furnish your Social Security/Tax ID number will result in withholding tax in accordance with federal law and any tax withheld will not be refundable by payor. ** All individual parties must complete and return the enclosed W9 to ensure proper payment. Additional forms may be obtained at www.irs.gov Please return to: Kerr-McGee Onshore LP P.O. BOX 173779 DENVER, CO 80217-3779 1-800-359-1692 Date Prepared: February 25, 2020 Prepared By: Brian Jones Suspense Flag: N Transaction No: 816560 Page 2 of 2 JesskReid Lao a From: Sent: To: Subject: Attachments: Brian_Jones@oxy.com Tuesday, May 19, 2020 4:17 PM Jessica Reid RE: Vargas 11-13 DO Weld County Lease_Rec #$ 1580927.pdf; Vargas 11-13 COGCC.pdf Caution: This email originated from outside of Weld County Government. Do not click links or open attachments unless you recognize the sender and know the content is safe. Hi Jessica, Apologies for the delay yet again and thanks for bringing it to my attention. Please see below for the answers to your questions: 1. The reception number(s) or copy of the lease that shows Weld County's mineral interest. See attached for lease reception # 1580927. 2. Detailed calculations illustrating how the County's royalty interest was derived. - Vargas 11-13 (NB CDL, 80 acre spacing unit). Royalty tract acres / spacing unit acres :.125 * .14 / 80 - 0.00021.875 - Vargas 11-13 (JSAND, 320 acre spacing unit). Royalty * tract acres / spacing unit acres :.125 * .14 / 320 = 0.00005469 3. Title opinion pages that refer to Weld County's royalty interest. See the screenshots below: (Please note the interest differs on the NB CDL unit because the well spacing is 80 acres instead of 160) EXHIBIT C: CONSOLIDATED OWNERSHIP AND DIVISION OF INTERESTS FOR T E 5/2: JrSA D PRODUCTION Township 2 North, Range 67 West Section 13: 512 A.s to production from the J -Sand formation Containing 320 acres, more or less LANDOWNER ROYALTY f"LOR" Tract Lease Lease interest Mineral __ Lease Royalty Tract Acres -.. Weld County, Colorado 19 5 100.000000% 12.50% 0.140 EXHIBIT D: CONSOLIDATED OWNERSHIP AND DIVISION of INTERESTS FOR THE SW/4: CODELL AND NIO Township 2 North, Range 67 West ecti0n 13; VAII4 As to production from the Codell and Niobrara formations 160 less Containing acres, more or LANDOWNER ROYALTY ("LOR.") Tract Lease Lease I me Mineral rest Lease Royalty 'yield County_, Colorado 100,000000% 12,50 o t 0.140 150.000 0.0001003750 4. If available, a letter sized copy of the plat reflecting the complete spacing unit with Weld County's mineral interest outlined and highlighted related to the division order. Also, please provide all acreage labels necessary to support the calculations used to arrive at the County's royalty interest. See the attached APD from COGCC which shows the spacing unit for each formation. Please let me know if you have any questions. Respectfully, 1 Oka k I GAS COAL BED SINGLE ZONE MULTIPLE ZONE GI HUT COMMINGLE ZONES I�t31111I1�� _ Side Track 3, OGCC Operator Number: 4. Name of Operator: 5. Address: 47120 Kerr-Mc&ee Roc 3939 Carson Avenue Mountain Corporation 1 City: Evans T Well Name: VA RGA S State: CO 8, Unit Name (if Appl.): 9. Proposed Total Depth: 8.120E /J WELL LOCATION ONFORMATION 10. QtrQtr: Zip: 80620 8. Contact Name & Phone Elaine Winick No: 970-330.0614 Fax: 970330-0431 Well Number: 11-13 NESW Sec: 13 Ywn: sammempme Footage From Exterior Section Lines: At Surface: 2153' F L 6(1950' FWL it _ Field Name: Wctttenbsrg 12. Ground Elevation: ....._..__..- - -- ____....—..-...n- r 14. if well is: 2N Rng_ Unit No: Cco p I ete the AtUichment Checkil op & 2 Copies Farm 2A (Recltnaiion) & I Copy St 00CC Permit Fee wets location Nat 67W Meridian: 6th 4869' Field Number: 90750 13. County: VI/e1d Directional FlHorizontal (Highly Deviated), submit deviated drilling plan Footage From Exterior Section Lines and Sec Twp Brig: At top of Production Zone: Same ••-•• ••••••• 04,00 a4...... ..r.. ---.—.n •M .u.. At Bottom Hole: ♦ .u.u....••• - -.- - 15, Is location in a high density area (Rule 603b)? fl Yes No 16, Distance to nearest building, public road, major above gr wind utility or railroad: 17. Distance to nearest Property Line 780 1 18. Distance to nearest well completed in the same Formation: Copy of is opo G� Plugging Surety Mules Lease)i Surface Agreemesrl'Scety Form 15\ Dmieted OranPlan Itequest or cep6on Location E cepdon Logo WINrees ft2 Conlirtgenuv' Plan FederDrr≥ IgPermk(1.94 30 -Day Notice met surface one' carsuflon 7 00 19 LEASE SPACING AND PO NFOR AT ON Unit Configuration (rcU2, SFIM, etc.) Cbjectve Formation (s) Formater< Code Spacing Orden' Number Unit Acreage Assigned to Wen 71--71 li 20. Mineral Ownership: Fee State Federal Indian Lease # 21. Surface Ownership: X Fee State Federal �' j Indian :� — X 22 Is the Surface Owner also the Mineral Owner?: 1 Yes X No ` Surface Surety ID# 2 tO12 If No: i. I Surface Corners Agreement Attached or 4 in $25,000 Blanket Bond r $2,000 Surface Bond L I $5,000 Surface Bond 23. Describe lease area associated only with the proposed well Part of 14125W of Sec 13 -2M -67W i by QtrOtr, Sec, Twp, Ang (attach separate sheet/map if required): j 24. Distance to Nearest Lease Line: 3 0* 1 25. Total Acres in Lease: 67 _ _ r--------- ____o ROLLING PLANS AND PROCEDURES J26. Approx. Spud Date: arch ° IF Air/Gass Drilling, Notify Local Are Officials 27. Drilling Contractor Number: Name: 28. Is H2S Anticipated: 1~- Yes jx INO 29. Will salt sections be encountered during drilling? 30_ Will salt (>15,000 ppm TDS CO or oil based muds be used during drilling? 31_ It questions 29 or 30 are yes, is this location in a sensitiive3area (Rule 903)? 32. Mud disposal: X Ofsite Onsite Method: !And Farming Land Spreading I Disposal Facility NOTE: The use of an earthen (pit for recompletion fluids requires a pit permit (Rule 905b). if yes, attach contingency plan. Yes VSNo Yes Yes Phone # No No Other: 33. String Production 4_1/2°' urfuc© Size of Hole 34. BOP Equipment Type: Size of Casing SONG AND CEMENTING PROGRAM Weight per Foot Setting Depth 1 244 Stage Tool Double Ram 650° f 35. Comments, if any: Interest is not common. Made surface owner consultation per rule 306 Sks Cement Rotating Head Cement Bottom Cement Top surface I hereby certify that the statements made in this form are, to the best of my knowledge, true, correct, and complete. Print Name: David S. Dalton Signed: OO00 Approved: I NUMBER Permit. Number: Title: Drams Foreman Date: 2/9/2004 Director of COOCC 03? - 1 Date: Exp i ratio Date: LOCATION: NR1/4 OF SW1/4 OF SEC. Ground Elevation: 4869 AU FER UPPER DAWSON LOWER DAWSON DENVER UPPER APAPAHOE LOWER ARAPAHOE LARAMIE-FOX HILLS ELEVATION BOT. ( TOP T . N . , R.67W. (2153 SSL, 1950 SL) Number of Acres: 0 DEPTH TO ANNUAL NET APPROP STATUS SAND BOT. TOP A -F aaa -- _ - aaaa ---- 4350 mot low. -- 4654 153.7 — — a a a a .am a�a a — — — - as amp 519 .4*a — — a --- aa• Nv — — aaa - - - 215 0.00 NT note: E indicates location is at aquifer boundary and values may be more approximate. Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Brian Jones@oxy.com <Brian Jones@oxv.com> Sent: Wednesday, February 26, 2020 6:29 AM To: Jessica Reid <*reid@weldgov.com> Subject: RE: No Division Order on file Caution: This email originated from outside of Weld County Government. Do not click links or open attachments unless you recognize the sender and know the content is safe. See the attached transfer order for Weld County's interest in the Vargas 11-13 wells. Please sign and return the Transfer Orders at your earliest convenience. Let me know if you have any questions. Respectfully, Brian Jones Occidental Petroleum Corporation Division Order Analyst I DJ Basin Division Orders Brianjones@oxy.com I (720) 929-3255 From: Jessica Reid <jreid@weldgov.com> Sent: Friday, December 27, 2019 12:48 PM To: Owner Relations <Owner.Relations@anadarko.com> Subject: [EXTERNAL] No Division Order on file I received the attached check for a shut-in royalty payment. I do not show a DO on file for this well name. Please provide any info or documentation you have regarding the DO. Jess Reid Deputy Clerk to the Board Weld County 1150 O Street Greeley, CO 80631 tel: 970-400-4212 5 6/2/2020 COGCC Data COGIS - WELL Information Scout Card Related OA Insp. Cis MIT 0 GIS a. Doc a COA 1L Wellbore . e Orders Surface Location Data for API # 05-123-22065 Status: TA 3/1/2020 Well Name/No: Operator: Status Date: FacilitylD: County: Field: Planned Location As Drilled Location VARGAS #11-13 (click well name for production) KERB MCGEE OIL & GAS ONSHORE LP - 47120 3/1/2020 271482 WELD #123 Federal or State Lease #: LocationiD: Location: WATTENBERG - #90750 Elevation: 2153 FSL 1950 FWD Lat/Long: 40.136607/-104.841712 Footages Not Available Lat/Long: 40.13669/-104.841636 racf c us Job Date: 11/2/2011 Reported: Prior to rule 205A.b.(2)(A) Chemical Disclosure Registry Job End Date: 11/2/2011 Wellbore Data for Sidetrack #00 Spud Date: Wellbore Permit Permit #: Prop Depth/Form: Mineral Owner: Unit: Formation and Spacing: Formation and Spacing: Casing: Cement: Casing: Cement: Casing: Cement: Wellbore Completed Completion Date: Measured TD: True Vertical TD: Log Types: Casing: Cement: Casing: Cement: Casing: Cement: Formation SUSSEX NIOBRARA FORT HAYS CODELL J SAND 9/10/2004 Spud Date is: 20051404 7983 Expiration Date: Surface Mineral Owner Same: FEE Surface Owner: Unit Number: Code: JSND , Formation: J SAND , Order: 232 , Unit Acreage: 320, Drill Unit: S2 Code: NB -CD , Formation: NIOBRARA-CODELL , Order: 407 , Unit Acreage: 80, Drill Unit: N/2SW String Type: SURF , Hole Size: 12.25, Size: 8.625, Top: , Depth: 672, Weight: 24 Sacks: 500, Top: 0, Bottom: 672, Determination Method: String Type: 1ST , Hole Size: 7.875, Size: 4.5, Top: , Depth: 7979, Weight: 11.6 Sacks: 220, Top: 6698, Bottom: 7979, Determination Method: String Type: STAGE TOOL, Hole Size: , Size: , Top: , Depth: 4942, Weight: Sacks: 160, Top: 3630, Bottom: 4942, Determination Method: 332269 NESW 13 2N67W 6 PM 4,869 ft. Lat/Long Calculated From Footages Lat/Long Source: Field Measured Status: TA ACTUAL 3/1/2020 4/28/2006 N FEE 9/23/2004 7983 Measured PB depth: 7950 7983 True Vertical PB depth: 7950 CBL, ML, CVL, CNL, CDL, AIL, LCL String Type: SURF , Hole Size: 12.25, Size: 8.625, Top: 0, Depth: 672, Weight: 24 Sacks: 500, Top: 0, Bottom: 672, Determination Method: CALC String Type: 1ST , Hole Size: 7.875, Size: 4.5, Top: 0, Depth: 7979, Weight: 11.6 Sacks: 220, Top: 6698, Bottom: 7979, Determination Method: CBL String Type: S.C. 1.1 , Hole Size: , Size: , Top: , Depth: 4942, Weight: Sacks: 160, Top: 3630, Bottom: 4942, Determination Method: CBL Log Top 4404 7130 7373 7396 7832 Completed information for formation JNBCD 1st Production Date: Status Date: Commingled: Formation Name: Formation Treatment Treatment Date: Treatment summary: https://cogcc.state.co.us/data.html#/cogis N/A 12/22/2005 Y J-NIOBRARA-CODELL 9/23/2004 Log Bottom Choke Size: Open Hole Completion: Production Method: Status: Status: CM 0.313 N FLOWING CM Cored N N N N N 12/22/2005 DSTs N N N N N 1/3 6/2/2020 COGCC Data Tubing Size: Tubing Packer Depth: Open Hole Top: Initial Test Data: Test Date: Hours Tested: Gas Disposal: Test Type BBLS_H2O BBLS_OIL CALC_BBLS_H2O CALC_BBLS_OIL CALC_GOR CALC_M C F_GAS CASING_PRESS GRAVITY_OIL MCF_GAS TUBING_PRESS Perforation Data: Interval Bottom: # of Holes: 2.375 12/22/2005 24 SOLD 7884 Measure 0 7 0 7 13857 97 860 44 97 600 Tubing Setting Depth: Tubing Multiple Packer: Open Hole Bottom: Test Method: Gas Type: Interval Top: Hole Size: Completed information for formation JSND 1st Production Date: Status Date: Commingled: Formation Name: Formation Treatment Treatment Date: 10/25/2011 Treatment summary: SET SAND PLUG © 7630-7861 Formation Treatment Treatment Date: 12/22/2005 2/1/2017 N J SAND 9/23/2004 Choke Size: Open Hole Completion: Production Method: Status: 7828 FLOWING 7158 Status: TA 2/1/2017 N TA Treatment summary: J SAND 160759 GAL FLUID 4000 LBS 12/20 SAND 115180 LBS 30/50 SAND Tubing Size: Tubing Packer Depth: Open Hole Top: No Initial Test Data was found for formation JSND . Perforation Data: Interval Bottom: # of Holes: 7884 72 Tubing Setting Depth: Tubing Multiple Packer: Open Hole Bottom: Interval Top: Hole Size: Completed information for formation NB -CD 1st Production Date: Status Date: Commingled: Formation Name: Formation Treatment Treatment Date: 11/2/2011 11/16/2011 6/1/2019 N NIOBRARA-CODELL Choke Size: Open Hole Completion: Production Method: Status: 7848 0.38 Status: SI 6/1/2019 N SI Treatment summary: REPERF CDL (10/28/2011) 7398-7410 HOLES 24 SIZE .40 Re-Frac Codell down 4-1/2" Csg w/ 270,732 gal Slickwater w/ 208,860# 40/70, 4,000# SB Excel. Formation Treatment Treatment Date: 9/23/2004 Treatment summary: 500 GAL FLUID; 152336 GAL FLUID; 118180 LBS 30/50 SAND. Tubing Size: Tubing Packer Depth: Open Hole Top: Initial Test Data: Test Date: Hours Tested: Gas Disposal: Test Type 12/3/2011 24 SOLD Measure Tubing Setting Depth: Tubing Multiple Packer: Open Hole Bottom: Test Method: Gas Type: FLOWING SHALE https://cogcc.state.co.us/data.html#/cogis 2/3 6/2/2020 COGCC Data BBLS_H2O BBLS_OIL BTU_GAS CALC_BBLS_H2O CALC_BBLS_OIL L CALC_GOR CALC_MCF_GAS CASING_PRESS GRAVITY_OIL L MCF_GAS TUBING_PRESS Perforation Data: Interval Bottom: # of Holes: 7416 74 0 23 1151 0 23 3217 74 890 47 74 405 Interval Top: Hole Size: 7158 0.38 https://cogcc.state.co.us/data.html#/cogis 3/3 Kerr-McGee Onshore LP TRANSFEREE WELD COUNTY COLORADO CIO BOARD OF COUNTY COMMIS 1150O ST GREELEY CO 80632 t Ss‘ov- I Transfer Order See reverse for list of Properties and Interests. Effective Date: Date of First Sales Rg ►D FER862 f ..,,,o au_t�TY ,in. Rs The undersigned certifies the ownership of their decimal interest in production as described above payable by Kerr-McGee Onshore LP (Payor). Payor shall be notified, in writing, of any change in ownership, decimal interest, or payment address. All such changes shall be effective the first day of the month following receipt of such notice. Payor is authorized to withhold payment pending resolution of a title dispute or adverse claim asserted regarding the interest in production claimed herein by the undersigned. The undersigned agrees to indemnify and reimburse Payor any amount attributable to an interest to which the undersigned is not entitled. Payor may accrue proceeds until the total amount equals $100, or Sept. 30 whichever occurs first, or as required by applicable state statute. This Division Order does not amend any lease or operating agreement between the undersigned and the lessee or operator or any other contracts for the purchase of oil or gas. In addition to the terms and conditions of this Division Order, the undersigned and Payor may have certain statutory rights under the laws of the state in which the property is located. Note: NADOA Model Form Division Order (Adopted 9/95) Your Copy RV37471504 WELD COUNTY COLORADO C/O BOARD OF COUNTY COMMIS XXX-XX-0813 JUN 0 8 2020 SIGNATURE: BOARD OF ATTEST: CLE BY: DEPUTY CLERK TO THE BOARD Weld County Government 1150 "0" Street Greeley, CO 80634 Phone: 970-336-7204 Fax: 970-336-7233 Tax ID: 84-6000-813 •Failure to furnish your Social Security/Tax ID number will result in withholding tax in accordance with federal law and any tax withheld will not be refundable by payor. ** All individual parties must complete and return the enclosed W9 to ensure proper payment. Additional forms may be obtained at www.irs.gov Please return to: Kerr-McGee Onshore LP P.O. BOX 173779 DENVER, CO 80217-3779 1-800-359-1692 Date Prepared: February 25, 2020 Prepared By: Brian Jones Suspense Flag: N Transaction No: 816561 L OO Ej 1. a�D-/7/1(v-) Page 1 of 2 Property Property Name Product State/County Int Type Int Seq Interest 294594/1 VARGAS 11-13 Oil/Condensate CO/WELD RI 1 0.00021875 Legal Description: •Failure to furnish your Social Security/Tax ID number will result in withholding tax in accordance with federal law and any tax withheld will not be refundable by payor. " All individual parties must complete and return the enclosed W9 to ensure proper payment. Additional forms may be obtained at www.irs.gov Please return to: Kerr-McGee Onshore LP P.O. BOX 173779 DENVER, CO 80217-3779 1-800-359-1692 Date Prepared: Prepared By: Suspense Flag: Transaction No: February 25, 2020 Brian Jones N 816561 Page 2 of 2 D i%sia.n Kerr-McGee Onshore LP Transfer Order TRANSFEREE WELD COUNTY COLORADO CIO BOARD OF COUNTY COMMIS 1150O ST GREELEY CO 80632 Wc_\\*.Va<o3aS11-13 See reverse for list of Properties and Interests. RECEIVED FEB 2 6 2020 COMMISSION�LRS Effective Date: Date of First Sales The undersigned certifies the ownership of their decimal interest in production as described above payable by Kerr-McGee Onshore LP (Payor). Payor shall be notified, in writing, of any change in ownership, decimal interest, or payment address. All such changes shall be effective the first day of the month following receipt of such notice. Payor is authorized to withhold payment pending resolution of a title dispute or adverse claim asserted regarding the interest in production claimed herein by the undersigned. The undersigned agrees to indemnify and reimburse Payor any amount attributable to an interest to which the undersigned is not entitled. Payor may accrue proceeds until the total amount equals $100, or Sept. 30 whichever occurs first, or as required by applicable state statute. This Division Order does not amend any lease or operating agreement between the undersigned and the lessee or operator or any other contracts for the purchase of oil or gas. In addition to the terms and conditions of this Division Order, the undersigned and Payor may have certain statutory rights under the laws of the state in which the property is located. Note: NADOA Model Form Division Order (Adopted 9/95) Your Copy SIGNATURE: BOARD 0 ATTEST: CLERK / 0 BY: DEPUTY CLERK TO THE BOARD RV37471504 WELD COUNTY COLORADO C/O BOARD OF COUNTY COMMIS XXX-XX-0813 JUN 0 8 2020 Weld County Government 1150 "0" Street Greeley, CO 80634 Phone: 970-336-7204 Fax: 970-336-7233 Tax ID: 84-6000-813 *Failure to furnish your Social Security/Tax ID number will result in withholding tax in accordance with federal law and any tax withheld will not be refundable by payor. ** All individual parties must complete and return the enclosed W9 to ensure proper payment. Additional forms may be obtained at www.irs.gov Please return to: Kerr-McGee Onshore LP P.O. BOX 173779 DENVER, CO 80217-3779 1-800-359-1692 Date Prepared: February 25, 2020 Prepared By: Brian Jones Suspense Flag: N Transaction No: 816566 k_E.O.O1ES 020 .2,0 - /7/ 4(5) Page 1 of 2 Property Property Name 294595/4 VARGAS 11-13 State/County CO/WELD Legal Description: T2N-R67W-13: S/2 CONTAINING 320 ACRES M/L OF TH J -SAND FORMATION) Int Type Int Seq Interest RI 1 0.00005469 *Failure to furnish your Social Security/Tax ID number will result in withholding tax in accordance with federal law and any tax withheld will not be refundable by payor. " All individual parties must complete and return the enclosed W9 to ensure proper payment. Additional forms may be obtained at www.irs.gov Please return to: Kerr-McGee Onshore LP P.O. BOX 173779 DENVER, CO 80217-3779 1-800-359-1692 Date Prepared: Prepared By: Suspense Flag: Transaction No: February 25, 2020 Brian Jones N 816566 Page 2 of 2 Kerr-McGee Onshore LP TRANSFEREE WELD COUNTY COLORADO CIO BOARD OF COUNTY COMMIS 1150O ST GREELEY CO 80632 Uck\ : Varcc.S 1‘ • 13 ptviSiOr% / Transfer Order See reverse for list of Properties and Interests. RECEIVED FEB 2 6 2020 WELD COUNTY COMMISSIONERS Effective Date: Date of First Sales The undersigned certifies the ownership of their decimal interest in production as described above payable by Kerr-McGee Onshore LP (Payor). Payor shall be notified, in writing, of any change in ownership, decimal interest, or payment address. All such changes shall be effective the first day of the month following receipt of such notice. Payor is authorized to withhold payment pending resolution of a title dispute or adverse claim asserted regarding the interest in production claimed herein by the undersigned. The undersigned agrees to indemnify and reimburse Payor any amount attributable to an interest to which the undersigned is not entitled. Payor may accrue proceeds until the total amount equals $100, or Sept. 30 whichever occurs first, or as required by applicable state statute. This Division Order does not amend any lease or operating agreement between the undersigned and the lessee or operator or any other contracts for the purchase of oil or gas. In addition to the terms and conditions of this Division Order, the undersigned and Payor may have certain statutory rights under the laws of the state in which the property is located. Note: NADOA Model Form Division Order (Adopted 9/95) Your Copy RV37471504 WELD COUNTY COLORADO CIO BOARD OF COUNTY COMMIS XXX-XX-0813 JUN 0 8 2020 SIGNATURE: BOARD OFVA)�i• C• UNTY M I .IQ ATTEST: /� _�1 CLE BY: DEPUTY CLERK TO THE BOARD Weld County Government 1150 "0" Street Greeley, CO 80634 Phone: 970-336-7204 Fax: 970-336-7233 Tax ID: 84-6000-813 *Failure to furnish your Social Security/Tax ID number will result in withholding tax in accordance with federal law and any tax withheld will not be refundable by payor. •• All individual parties must complete and return the enclosed W9 to ensure proper payment. Additional forms may be obtained at www.irs.gov Please return to: Kerr-McGee Onshore LP P.O. BOX 173779 DENVER, CO 80217-3779 1-800-359-1692 Date Prepared: February 25, 2020 Prepared By: Brian Jones Suspense Flag: N Transaction No: 816567 LEoo8c1 Page 1 of 2 f b020 --/7/' /67 Property Property Name 294595/3 VARGAS 11-13 Product State/County Int Type Int Seq Interest it/Condensate CO/WELD RI 1 0.00005469 Legal Description: T2N-R67W-13: S/2 CONTAINING 320 ACRES M/L OF THECSAND FORMATION) 'Failure to furnish your Social Security/Tax ID number will result in withholding tax in accordance with federal law and any tax withheld will not be refundable by payor. " All individual parties must complete and return the enclosed W9 to ensure proper payment. Additional forms may be obtained at www.irs.gov Please return to: Kerr-McGee Onshore LP P.O. BOX 173779 DENVER, CO 80217-3779 1-800-359-1692 Date Prepared: February 25, 2020 Prepared By: Brian Jones Suspense Flag: N Transaction No: 816567 Page 2 of 2 COUNTY ATTORNEY STAFF APPROVAL This is to affirm the attached Division Order and authorization to receive payment for an oil and gas well has been reviewed by the County Attorney's staff as to form and legal description. Well Name(s): Vargas 11-13 (NB CDL), Vargas 11-13 (JSAND) File Location(s): LE0082 BY: Bruce Barker - County Attorney DATE: /J 7 7 t NOTES: 14 mineral acres/ 80 acres spacing unit * 12.5% _ .00021875 MATCH - NB CDL .14 mineral acres/ 320 acres spacing unit * 12.5% _ .00005469 MATCH - JSAND
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