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Home My WebLink About20160156.tiff Kerr-McGee Onshore LP Division Order WELD COUNTY COLORADO See reverse for list of C/o BOARD OF COUNTY COMMIS RECEIVED Properties and Interests. EC PO Box: 758 E V GREELEY,CO 80632 OCT 1 3 2015 Effective Date: Date of First Sales WELD COUNTY COMMISSIONERS 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) Special Clause(s): Payee agrees that by execution of this DO and returning the signature page to Payor that the signature page will be attached to Payor's duplicate original of this instrument and treated as an original for all purposes. RV37471504 WELD COUNTY COLORADO CIO BOARD OF COUNTY COMMIS XXX-XX-0813 SIGNATURE: 'Y i t -�- 1.00 • Weld County Government 1150"0"Street BOARD OF ZiCTIVMjalonitS, y!' :►� i�� Greeley,Co 80634 ATTE : • 04: Phone:970-336-7204 Fax:970-336-7233 CLE T E BO Tax ID:84-6000-813 DEPUTY CLERK O TH BOA'] I '+v►* d , YOUR COPY *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: Date Prepared: October 08, 2015 Kerr-McGee Onshore LP Prepared By: ERIN NELSON -MT P.O. BOX 1330 Suspense Flag: N HOUSTON, TX 77251-9874 • heat Flag: N 2016-0156 1-800-359-1692 / /� " - /I Page 1 f 2 ``� �'TT �J �- ��- / & LEO0 25 Property Property Name Product State/County Int Type Int Seq Interest 333934 GRISWOLD 26N-11 HZ NBRR All Products CO/WELD RI 1 0.04000000 Legal Description: /l p, 05-12 3- 409 2.3 ,,SWSW-40 ACS rT J SEC 2: SESE-40 ACS NO SOA SEC 11: E2E2 - 160 ACS NO SOA S : W2W2 - 160 ACS NO SOA 400. S M/L WELD COUNTY, CO NIOBRARRA FORMATION SOA COMING UP ON SEC 1 622878 DANIEL BRENNAN HOWEVER OUR ACREAGE IS SWSW AND SOA IS E2NE *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: Date Prepared: October 08, 2015 Kerr-McGee Onshore LP Prepared By: ERIN NELSON - MT P.O. BOX 1330 Suspense Flag: N HOUSTON, TX 77251-9874 Escheat Flag: N 1-800-359-1692 Page 2 of 2 a 0 I p S • Q p .-a O 0 6 Cl) Q 0 r�y V T V Si a .Y cc a cn U N v d O o N N .-C ; 8O < O = V O Q N a O a) x V] 5" V O CI g O ~ C 8 w O 3 w a N J o li..� °cn S ' i 1 O a. i m V 6& c vj cn a = O cn I cn r , cu Cr O < N r '-C-4) o a.) Z o 0 a O O,.t 9_, v O '' o 3 Nc oh i o To ° >, x w COGIS - WELL Information Page 1 of 1 COGIS - WELL Information Scout Card D4-60 Related Q Insp.Q MIT •GIS a Doc a COA 1t Wellbore .'Orders Surface Location Data for API # 05-123-40923 Status: PR 6/1/2015 Well Name/No: GRISWOLD#26N-11 HZ (click well name for production) Operator: KERR MCGEE OIL&GAS ONSHORE LP-47120 Status Date: 6/1/2015 Federal or State Lease#: County: WELD#123 Location: SWSE 11 1N 66W 6PM Field: WATTENBERG -#90750 Elevation: 5,126 ft. Planned Location 560 FSL 1953 FEL Lat/Long:40.060068/-104.741877 Lat/Long Source: Field Measured Date:Job D 5/12/2015 C_M,�, Frac Focus Job End Date: 5/23/2015 Reported: 7/20/2015 Days to report: 58 Chemical Disclosure Registry Wellbore Data for Sidetrack#00 Status: PR 6/1/2015 Spud Date: 2/5/2015 Spud Date is: ACTUAL Wellbore Permit HORIZONTAL Permit#: Expiration Date: 12/22/2016 4:21:27 PM Prop Depth/Form: 12545 Surface Mineral Owner Same: Mineral Owner: FEE Surface Owner: FEE Unit: Unit Number: Formation and Spacing: Code: NBRR, Formation: NIOBRARA,Order: , Unit Acreage:400, Drill Unit:GWA Casing: String Type:SURF, Hole Size: 13.5,Size:9.625,Top:0, Depth: 1624,Weight:36 Cement: Sacks:630,Top:0, Bottom: 1624, Method Grade: Casing: String Type: 1ST, Hole Size:7.875,Size: 5.5,Top:0, Depth: 12545,Weight: 17 Cement: Sacks: 1457,Top:0, Bottom: 12545,Method Grade: Wellbore Completed Completion Date: N/A Measured TD: Measured PB depth: True Vertical TD: True Vertical PB depth: Top PZ Location: Sec: 11 Twp: 1N 66W Footage:843 FSL 50 FFELL Depth Bottom Hole Location: Sec: 11 Twp: 1N 66W Footages: 100 FNL 50 FFELL Depth Formation Log Top Log Bottom Cored DSTs Completed information for formation N-COM Status: PR 6/1/2015 1st Production Date: N/A Choke Size: Status Date: 6/1/2015 Open Hole Completion: Commingled: Production Method: Formation Name: NOT COMPLETED Status: PR Tubing Size: Tubing Setting Depth: Tubing Packer Depth: Tubing Multiple Packer: Open Hole Top: Open Hole Bottom: No Initial Test Data was found for formation N-COM. No Perforation Data was found for formation N-COM. http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=cc.state.co.us/co is/Facilit Detail.as ?facid=12340923& e=WELL 12/1/2015 P g g Y P tYP Karla Ford OYL& epayLiar From: Josephson, Stefanie <Stefanie.Josephson@anadarko.com> Sent: Monday, December 28, 2015 1:05 PM To: Karla Ford Subject: RE: Kerr McGee Griswold Division Order Karla, KMG is the operator of the Griswold 26N-11HZ. Let me know if you still have questions and I will look into it for you. Thanks, Stefanie From: Nelson, Erin [Prodigy Staff Advsr] Sent: Monday, December 28, 2015 6:44 AM To: 'Karla Ford' Cc: Josephson, Stefanie; Stromme, Sara Subject: FW: Kerr McGee Griswold Division Order Hi Karla, I'm no longer in this group, you unfortunately sent this to me during the transitional period and it slipped through the cracks. I apologize about the inconvenience, Sara or Stefanie will be able to help you. Sincerely, Erin Zehner Erin.Nelson@Anadarko.com 1 ■o■ Check out the Anadarko Owner Relations Website: Go to www.anadarko.com, click on About Anadarko, click on Owner Relations. Our Owner Relations website provides details regarding issues/questions about royalty checks, owner interest and much more! Dear Interest Owner: 1. Enclosed are two copies of your Division Order or Transfer Order. Please execute(in front of two witnesses)the document stamped"Return This Copy"and retain the one marked"Your Copy"for your records. a. Sign exactly as shown on the Division Order or Transfer Order. Signatures must be witnessed by two people. If joint ownership,all owners will be required to sign, but may sign separate copies. Signatures by Agents, Attorneys-in-Fact, Guardians or Trustees must be verified by attaching evidence of the right to sign in that manner, such as a copy of the Power of Attorney. b. If a W8 or W9 is enclosed with this mailing, it MUST be completed and returned to us per IRS rules. Failure to provide this form WILL result in withholding tax in accordance with federal law and any tax withheld will not be refundable by payor. If the name on the Division Order or Transfer Order does not match the name on your Social Security Card, please advise us, in writing, of the differences. c. Please note. If there is not a W8 or W9 enclosed with this mailing, we have valid tax information on file and no further action on your part is necessary, 02. Ple a address all correspondence, including r executed Division Order, to the following address: Kerr McGee Oil &Gas Onshore Attn: Land Administration P.O. Box 1330(AHT) Houston,TX 77251-9874 3. Please send all written CHANGES OF ADDRESS to the address listed above, or submit changes through the Oildex website. (Please see the reverse side of this page for instructions.) 4. NAME AND OWNERSHIP CHANGES must be submitted in writing to the above address. Please include proper documentation confirming the change: a. For Name Changes: Marriage Certificate, Divorce Decree, etc. b. For Ownership Changes: Deeds,Assignments,etc., must be recorded in the County(Parish)in which the property is located prior to sending to our office. Copy of the document sent in must have evidence of the recording (e.g., the recording stamp) on it. c. For Changes due to Death of an Owner: As a general rule, we require complete copies of probate proceedings rendered by a court having jurisdiction over the property in question. If the Estate was not probated, or if it was probated in a different state, other documentation may be required. 5. When you wish to make an inquiry or request a change, please have available as much of the following information as you can: -Owner Number -County and State where well is located -Well name and/or property number -Your telephone number with AREA CODE 6. Anadarko Owner Relations toll-free telephone number: 1-800-359-1692. Our Owner Relations Agents are committed to monitoring and returning calls in a timely manner. Our goal is to return your call within two business days. 7. For access to check information: http://www.oildex.com. Please see the reverse side of this page for instructions. 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): Griswold 26N-11HZ NBBR File Location(s): LE0065 BY: DATE: // 42 //( Br e Barker - County Attorney NOTES: 80 mineral acres/ 400 acres spacing unit * 20% = 0.04 MATCH Hello