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NADOA Model Form Division Order (Adopted 9/95)
CORRECTED DIVISION ORDER
To : Bonanza Creek Energy, Inc. Date: August 6, 2019
410 17th Street, Suite 1400
Denver, CO 80202
Attn: Erin Pettigrew Effective Date: December 1 , 2018
Skean PVirtYLA0 a14 - a e 1 c2-uti3
Property Number: CO045358 Ne .., 05 - \a3 ` 461 41
Property Name: ST ANTELOPE 24-2- 14XRLNB
Operator: BONANZA CREEK ENERGY INC G 1,7 u
( ifl)
County and State: Weld County, ColoradoJ. �� , zl? ,
Property Township 5 North, Range 62 West . Al
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Description: Section 2 : SESW, Section 11 : E2W2, Section 14 : E2W2
Production: X Oil X Gas X Other: all products _
Owner Name OWNER NUMBER: 1041
and Address:
WELD COUNTY BOARD OF COMMISSIONERS Type of Interest: RI
P O BOX 758 Decimal Interest: 0 .05555556
GREELEY, CO 80632-0758
The undersigned certifies the ownership of their decimal interest in production or proceeds as described above payable by
Bonanza Creek Energy, Inc. (Payor) .
(Company Name)
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 $50.00, or pay yearly 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.
Special Clauses : (None or See ibit) Weld County Government
tr4 llits4N 1150 " O " Street
SIGNATURE . / da t v: Greeley, CO 80634
BOARD OF WED OUNTYC !� AMISS � ;, ', � � Phone :
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970-336-7204
" ' _ ' `.. . Fax : 970-336-7233
ti. a 'ATTEST' 4 4�`,e s " I4 i
CLER 0 g � �' / l I Tax ID : 84-6000-813
8, r0 Pr:- - i
BY: 7 1,{ i A 7; „ ai L 1 - Se
Ti* ' '
DEPUTY CLERK THE BOA ," %,
„„aci 14 1,1
Federal Law requires you to furnish your Social Security or Taxpayer Identification Number.
Failure to comply will result in 31 % tax withholding and will not be refundable by Payor
EKP Retain this copy for your records
CO te\SrunItc oIC1/4 / . 2019-4326 6 )
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CO045358 - ST ANTELOPE 24 - 2 - 14XRLNB
Township 5 North , Range 62 West:
Section 02 : SESW
Section 11 : E2W2
Section 14 : E2W2
Weld County Board of Commissioners lease filed at reception #3943889 covers :
T5N- R2W-Section 14 : E2SW
Spacing Unit for wells = 360 acres, Weld County lease covers 80 acres with 25 % royalty
25% * 80 / 360 = 0 . 05555556
n 11 410 17th Street, Suite 1400
uuHuLH Denver, CO 80202
k;, . (303) 8034 725 direct
, sza ,:i
ro
(720) 305-0804 fax
August 6, 2019 Bc r an.zac�rk.cpm
TO : ALL OWNERS
PFCFR / Era
RE : CO045356
ST ANTELOPE J14-2 - 14XRLNB AUIZ 6
Township 5 North , Range 62 West o
Sec 2 : S2SW; Sec 11 : W2; Sec 14 : W2 :vvaLPcOYNTX
_
Weld County, CO ,d s r
CO045357
ST ANTELOPE J 24-2 - 14XLR N B
Township 5 North, Range 62 West
Sec 2 : 525W; Sec 11 : W2; Sec 14 : W2
Weld County, CO
CO045358
ST ANTELOPE 24-2 - 14XRLNB
Township 5 North, Range 62 West
Sec 2 : SESW, Sec 11 : E2W2, Sec 14 : E2W2
Weld County, CO
Greetings :
Enclosed are CORRECTED Division Orders for the referenced wells . Please execute where indicated and
return in the envelope provided .
The corrections made to the interests : carrying them out to eight decimals instead of six, along with
changes made pursuant to revisions received from Anschutz Exploration Company ( Greg Cooley ) .
The revenue payment for June 2019 production will reflect these corrected interests . Corrections will
be made going back to date of first sales; however, please note the corrections will take some time to
complete .
Sincerely,
ErLs't' P&frLxjrcw
Erin Pettigrew
Division Order Supervisor
/ep
enclosures
COUNTY s°1kTTORIVEY 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 ) : St Antelope 242A4XLN *
File Locatipn ( s ) : L
BY : - - - - DATE : ‘1 ( 71172 \ ( l
Bruce Ka'rker - County Attorney
NOTES : 80 mineral acres/ 360 acres spacing unit *25 % = 0 . 05555556 MATCH
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