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Home My WebLink About20160174.tiff Great Western Great Western Operating Company, LLC OIL i GAS COMPANY Phone: 303.398.0546 1801 Broadway,Suite 500 Facsimile: 866.742.1784 Denver, CO 80202 Email: OwnerRelations@gwogco.com www.gwogco.com December 4, 2015 RE: Simpson FD 16-039HC Simpson FD 16-059HN Simpson FD 16 062HN T6N R67W T6N R67W T6N R67W Sec. 16: ALL Sec. 16: ALL Sec. 16: ALL Sec. 15: W2 NE Sec. 15: W2 NE Sec. 15: W2 NE Weld County, CO Weld County, CO Weld County, CO Ladies and Gentlemen: Great Western Operating Company LLC is pleased to announce the captioned Simpson wells have been completed as producing wells. First sales from each well occurred on November 10th, 2015. Enclosed please find copies of the Division Order(s) that pertain to your individual interest. Please sign the documents where indicated and complete the pertinent information before returning six (6) copies of the Division Orders to our office. The duplicate copies may be retained for your records. Upon receipt of your executed Division Order, Great Western will place your interest in a pay status. Royalty checks are processed every month and mailed mid-month. * Please note that we have a $100.00 minimum suspense requirement; until such time your interest accrues $100.00 or more, the system will not generate a check for payment. If you have any questions or concerns regarding the enclosed documents, please do not hesitate to contact me. RECEIVED Best Regards, DEC 1 4 2015 GREAT WESTERN OPERATING COMPANY LLC WELD COUNTY COMMISSIONERS Caitlin McEwen Division Order Analyst Enc • • � 2016-0174(One/at ii90 ./di,leti411).1426I I-13-I10 1_/ 3.,/ L o3z� INSTRUCTIONS TO ALL INTEREST OWNERS Dear Interest Owner, Great Western Oil and Gas Company, LLC has enclosed a Division Order/Transfer Order for your execution. The attached document should not be altered in any way except to correct spelling errors, unless accompanied by documentary evidence to support the change. If your name and interest are correctly shown: 1. Sign your name as shown on the Division Order/Transfer Order. 2. If your name has changed due to marriage or divorce, execute the Division Order/Transfer Order using your present name and furnish a copy of the marriage certificate or divorce decree. 3. If signed by agent, attorney-in-fact, guardian or any party other than the named interest owner, a certified copy of the power of attorney or other evidence of such party's right to sign must be furnished. 4. Your correct mailing address should be noted in the space provided to insure prompt receipt of production proceeds. 5. The "Sign and Return Copy" of the Division Order/Transfer Order should be returned to: Great Western Oil and Gas Company, LLC 1801 Broadway, Suite 500 Denver, CO 80202 Attn: Caitlin McEwen 6. Should you have any further questions regarding the enclosed Division Order/Transfer Order, please contact Caitlin McEwen at 303-398-0546. 7. Please DO NOT DETACH the exhibit from the Division Order/Transfer Order if one is included. I I NADOA Model Form Division Order (Adopted 9/95) DIVISION ORDER To: Great Western Oil & Gas Company, LLC Date: December 2, 2015 1801 Broadway, Suite 500 Denver, CO 80202 Attn: Caitlin McEwen Property Number: W12020 Effective Date: First Sales Property Name: SIMPSON FD 16-039HC OIL Operator: GREAT WESTERN OPERATING CO LLC County and State: Weld, Colorado Property Township 6 North, Range 67 West Description: Section 15: N2 SW Production: X Oil X Gas X Other: all products OWNER NAME AND ADDRESS: OWNER NUMBER: 1381 WELD COUNTY ATTN: BARB CONNOLLY TYPE OF INTEREST: RI PO BOX 758 DECIMAL INTEREST: 0.00009050 GREELEY , CO 80632 The undersigned certifies the ownership of their decimal interest in production or proceeds as described above payable by Great Western Oil & Gas Company, LLC (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$100.00, or pay annually 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 Attached Exhibit) 1 3 20'1 Weld County Government SIGNATURE: � • 1150"O"Street BOARD OFtD COUNTiSOMM .S;OI�E' Tl: SILO Greeley,CO 80634 ATTEST a eAj ��jj`` r de, ' '� Phone:970-336-7204 CLER O `;E BOA ` ' Fax:970-336-7233 Tax ID:84-6000-813 BY: i._. �� • �iL.:�u:+3� .� ;�,� DEPUTY CLERK T THE BOARD I I Federal Law requires you to furnish I Security or Taxpayer Identification Number. Failure to comply will result in 31 %tax withholding and will not be refundable by Payor CM Sign and return this original 02.0/6 -0/ 7 ' (1) NADOA Model Form Division Order (Adopted 9/95) DIVISION ORDER To: Great Western Oil & Gas Company, LLC Date: December 2, 2015 1801 Broadway, Suite 500 Denver, CO 80202 Attn: Caitlin McEwen Property Number: W12020 Effective Date: First Sales Property Name: SIMPSON FD 16-039HC GAS Operator: GREAT WESTERN OPERATING CO LLC County and State: Weld, Colorado Property Township 6 North, Range 67 West Description: Section 15: N2 SW Production: X Oil X Gas X Other: all products OWNER NAME AND ADDRESS: OWNER NUMBER: 1381 WELD COUNTY ATTN: BARB CONNOLLY TYPE OF INTEREST: RI PO BOX 758 DECIMAL INTEREST: 0.00009050 GREELEY , CO 80632 The undersigned certifies the ownership of their decimal interest in production or proceeds as described above payable by Great Western Oil & Gas Company, LLC (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 $100.00, or pay annually 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 Attached Exhibit) SIGNATURE: �� 3 2016 Weld County Government 1150"O"Street BOARD OF W OUNTY C.MMIS TONERS ? \s �� Greeley,CO 80634 ATTES ` �� Phone:970-336-7204 CLE T'l � E BO Fax:970-336-7233 ,,� Tax ID:84-6000-813 BY: � A: �_!iL� 1{61 ( � DEPUTY CLER f O THE BOA • Federal Law requires you to furnish y ecurity or Taxpayer Identification Number. Failure to comply will result in 31 %tax withholding and will not be refundable by Payor CM Sian and return this original c:26/40'-0/ 7 (1 COGIS - WELL Information Page 1 of 1 COGIS - WELL Information scout Related 0 Insp.0 0 GIS a Doc a COA Wellbore ,1 Orders Card MIT Surface Location Data for API # 05-123-41338 Status: DG 7/14/2015 Well Name/No: Simpson FD#16-039HC (click well name for production) Operator: GREAT WESTERN OPERATING COMPANY LLC- 10110 Status Date: 7/14/2015 Federal or State Lease#: County: WELD#123 Location: SENE 15 6N 67W 6 PM Field: WATTENBERG -#90750 Elevation: 4,811 ft. Planned Location 2036 FNL 1106 FED Lat/Long:40.488592/-104.874181 Lat/Long Source: Field Measured Wellbore Data for Sidetrack #00 Status: DG 7/14/2015 Spud Date: 7/14/2015 Spud Date is: ACTUAL Wellbore Permit HORIZONTAL Permit#: Expiration Date: 3/28/2017 8:17:03 PM Prop Depth/Form: 12304 Surface Mineral Owner Same: Mineral Owner: FEE Surface Owner: FEE Unit: Unit Number: Formation and Spacing: Code: CODL, Formation: CODELL, Order:407-1307 , Unit Acreage: 1120, Drill Unit: Casing: String Type: CONDUCTOR, Hole Size:24, Size: 16,Top: 0, Depth: 80,Weight:42 Cement: Sacks: 121,Top: 0, Bottom:80, Method Grade: Casing: String Type: SURF, Hole Size: 12.25,Size: 9.625,Top:0, Depth: 1250,Weight: 36 Cement: Sacks: 333,Top: 0, Bottom: 1250, Method Grade: Casing: String Type: 1ST, Hole Size: 7.875, Size: 5.5,Top:0, Depth: 13040,Weight: 17 Cement: Sacks: 1205,Top:0, Bottom: 13040, Method Grade: Wellbore Completed Completion Date: N/A Measured TD: Measured PB depth: True Vertical TD: True Vertical PB depth: Top PZ Location: Sec: 15 Twp:6N 67W Footage:470 FNL 460 FEL Depth Bottom Hole Location: Sec: 16 Twp:6N 67W Footages:470 FNL 310 FEL Depth Formation Log Top Log Bottom Cored DSTs Completed information for formation N-COM Status: PR 7/14/2015 1st Production Date: N/A Choke Size: Status Date: 7/14/2015 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=12341338&type=WELL 1/5/2016 NADOA Model Form Division Order (Adopted 9/95) DIVISION ORDER To: Great Western Oil & Gas Company, LLC Date: December 2, 2015 1801 Broadway,Suite 500 Denver, CO 80202 Attn: Caitlin McEwen Property Number: W12022 Effective Date: First Sales Property Name: SIMPSON FD 16-059HN OIL Operator: GREAT WESTERN OPERATING CO LLC API 65-123- 11110g5- County and State: Weld, Colorado Property Township 6 North. Rance 67West Description: SPr'tinn 16: N2 SW Production: X Oil X Gas X Other: all products OWNER NAME AND ADDRESS: OWNER NUMBER: 1381 WELD COUNTY ATTN: BARB CONNOLLY TYPE OF INTEREST: RI PO BOX 758 DECIMAL INTEREST: 0.00009050 GREELEY , CO 80632 The undersigned certifies the ownership of their decimal interest in production or proceeds as described above payable by Great Western Oil & Gas Company, LLC (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 $100.00, or pay annually whichever occurs first, or as required by applicable state statute. This Division Order does not amend any lease or operating agreement between the undersigned and the lessee or operator or any other contracts for the purchase of oil or gas. In addition to the terms and conditions of this Division Order, the undersigned and Payor may have certain statutory rights under the laws of the state in which the property is located. Special Clauses: (None or See Attached Exhibit) Weld County Government SIGNATURE 7�, JAN 1 3 Z ti 1150"0"Street BOARD OF C UNTYQjQ,/I��L�/$I e. R . P � Greeley,CO 80634 ATTES : �I �'C�+� Phone:970-336-7204 Fax:970-336-7233 CLER T T BO Tax ID:84-6000-813 BY: ..n,•. DEPUTY CLERK TH BOAR ') ;S Federal Law requires you to furni curity or Taxpayer Identification Number. Failure to comply will result in 31 % olding and will not be refundable by Payor CM Retain this copy for your records 02401 - 0/1/O) NADOA Model Form Division Order (Adopted 9/95) DIVISION ORDER To: Great Western Oil & Gas Company, LLC Date: December 2, 2015 1801 Broadway,Suite 500 Denver, CO 80202 Attn: Caitlin McEwen Property Number: W12022 Effective Date: First Sales Property Name: SIMPSON FD 16-059HN GAS Operator: GREAT WESTERN OPERATING CO LLC County and State: Weld, Colorado Property Township 6 North, Range 67 West Description: Section 15: N2 SW Production: X Oil X Gas X Other: all products OWNER NAME AND ADDRESS: OWNER NUMBER: 1381 WELD COUNTY ATTN: BARB CONNOLLY TYPE OF INTEREST: RI PO BOX 758 DECIMAL INTEREST: 0.00009050 GREELEY , CO 80632 The undersigned certifies the ownership of their decimal interest in production or proceeds as described above payable by Great Western Oil & Gas Company, LLC (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$100.00, or pay annually 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 Attached Exhibit) JA 3 2Qi6 SIGNATURE: P �_ - Weld County Government BOARD OF COUNTY MMI ION ,- � ,,..� -_ Greeley, "y,street ATTEST. " � Greeley,70 80634 �`� � �►` Phone:970-336-7204 CLER T T BO +`� =gS � Fax:970-336-7233 $st =�� 'Minj BY: ��•� Tax ID:84-6000-813 "fteDEPUTY CLERK T THE BOARD 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 CM Sian and return this original 020/Zo 2/ 7 �l� COGIS - WELL Information Page 1 of 1 COGIS - WELL Information Scout &Da Related Ck Insp.Qi GIS RI Doc a COA 1E Wellbore )41)* Orders Card MIT Surface Location Data for API # 05-123-41685 Status: DG 7/15/2015 Well Name/No: Simpson FD#16-059HN (click well name for production) Operator: GREAT WESTERN OPERATING COMPANY LLC-10110 Status Date: 7/15/2015 Federal or State Lease#: County: WELD#123 Location: SENE 15 6N 67W 6 PM Field: WATTENBERG -#90750 Elevation: 4,812 ft. Planned Location 2036 FNL 1091 FEL Lat/Long:40.488592/-104.874128 Lat/Long Source: Field Measured Wellbore Data for Sidetrack #00 Status: DG 7/15/2015 Spud Date: 7/15/2015 Spud Date is: ACTUAL Wellbore Permit HORIZONTAL Permit#: Expiration Date: 6/16/2017 10:42:00 AM Prop Depth/Form: 17317 Surface Mineral Owner Same: Mineral Owner: FEE Surface Owner: FEE Unit: Unit Number: Formation and Spacing: Code: NBRR, Formation: NIOBRARA, Order:407-1307 , Unit Acreage: 1120, Drill Unit: Casing: String Type:CONDUCTOR, Hole Size: 24, Size: 16,Top: 0, Depth: 80,Weight:42 Cement: Sacks: 121,Top: 0, Bottom:80, Method Grade: Casing: String Type: SURF, Hole Size: 12.25,Size: 9.625,Top: 0, Depth: 1250,Weight: 36 Cement: Sacks: 333,Top:0, Bottom: 1250, Method Grade: Casing: String Type: 1ST, Hole Size: 7.875,Size: 5.5,Top: 0, Depth: 17317,Weight: 17 Cement: Sacks: 1675,Top: 0, Bottom: 17317, Method Grade: Wellbore Completed Completion Date: N/A Measured TD: Measured PB depth: True Vertical TD: True Vertical PB depth: Top PZ Location: Sec: 15 Twp:6N 67W Footage: 659 FNL 460 FEL Depth Bottom Hole Location: Sec: 16 Twp: 6N 67W Footages:660 FNL 470 FwL Depth Formation Log Top Log Bottom Cored DSTs Completed information for formation N-COM Status: PR 7/15/2015 1st Production Date: N/A Choke Size: Status Date: 7/15/2015 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=12341685&type=WELL 1/5/2016 NADOA Model Form Division Order (Adopted 9/95) DIVISION ORDER To: Great Western Oil & Gas Company, LLC Date: December 2, 2015 1801 Broadway, Suite 500 Denver, CO 80202 Attn: Caitlin McEwen Property Number: WI 2023 Effective Date: First Sales Property Name: SIMPSON FD 16-062HN OIL Operator: GREAT WESTERN OPERATING CO LLC I� - 0943(40 County and State: Weld, Colorado Av I V 5-1 2- Property Township 6 North Range 67 West Description: c,..-tinn 15: N2 SW Production: X Oil X Gas X Other: all products OWNER NAME AND ADDRESS: OWNER NUMBER: 1381 WELD COUNTY ATTN: BARB CONNOLLY TYPE OF INTEREST: RI PO BOX 758 DECIMAL INTEREST: 0.00009050 GREELEY , CO 80632 The undersigned certifies the ownership of their decimal interest in production or proceeds as described above payable by Great Western Oil & Gas Company, LLC (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$100.00, or pay annually 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 Attached Exhibit) �� J r� Weld County Government SIGNATURE—� , � 1150"0"Street BOARD OF D C UN� Sip ER ;�� '?:i.! � �}d1/f{[�ATTES v' �� = ` Greeley, 0 80634 +%V"' Phone:970-336-72044 i ��►�� . ', Fax:970-336-7233 CLE T? J E BOA' : t Tax ID:84-6000-813 BY: DEPUTY CLERK THE B.ARDI/ •� . ' �_ , 11.12.04. 14. 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 CM Retain this copy for your records pZO/�o- c7/7Y ( ) NADOA Model Form Division Order (Adopted 9/95) DIVISION ORDER To: Great Western Oil & Gas Company, LLC Date: December 2, 2015 1801 Broadway, Suite 500 Denver, CO 80202 Attn: Caitlin McEwen Property Number: W12023 Effective Date: First Sales Property Name: SIMPSON FD 16-062HN GAS Operator: GREAT OPERATING CO LLC County and State: Weld, Colorado Property Township 6 North, Range 67 West Description: Section 15: N2 SW Production: X Oil X Gas X Other: all products OWNER NAME AND ADDRESS: OWNER NUMBER: 1381 WELD COUNTY ATTN: BARB CONNOLLY TYPE OF INTEREST: RI PO BOX 758 DECIMAL INTEREST: 0.00009050 GREELEY , CO 80632 41 The undersigned certifies the ownership of their decimal interest in production or proceeds as described above payable by Great Western Oil & Gas Company, LLC (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 $100.00, or pay annually 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 Attached Exhibit) JAN 1 3 2016 Weld County Government SIGNATURE: ,•�� 1150"O"Street BOARD OF W D COUNTY COMMI SIONE° , �1: R Greeley,CO80634 ATTEST: ii, • �L• e Phone:970-336-7204 CLERK O Y BOAR ~ , �� !; Fax:970-336-7233 i F Tax ID:84-6000-813 DEPUTY CLERK T, THE BOARD ` '' Federal Law requires you to furnish urity or Taxpayer Identification Number. Failure to comply will result in 31 %tax wi hholding and will not be refundable by Payor CM Sian and return this original ot6X,-0/7V(S) COGIS - WELL Information Page 1 of 1 COGIS - WELL Information scout &Da Related Q. Insp. Q GIS a Doc a COA Wellbore r* Orders Card MIT Surface Location Data for API # 05-123-41686 Status: XX 6/17/2015 Well Name/No: Simpson FD#16-062HC (click well name for production) Operator: GREAT WESTERN OPERATING COMPANY LLC- 10110 Status Date: 6/17/2015 10:42:00 AM Federal or State Lease#: County: WELD#123 Location: SENE 15 6N 67W 6 PM Field: WATTENBERG -#90750 Elevation: 4,813 ft. Planned Location 2036 FNL 1061 FEL Lat/Long:40.488592/-104.874019 Lat/Long Source: Field Measured Wellbore Data for Sidetrack#00 Status: XX 1/26/2015 Wellbore Permit HORIZONTAL Permit#: Expiration Date: 6/16/2017 10:42:00 AM Prop Depth/Form: 17328 Surface Mineral Owner Same: Mineral Owner: FEE Surface Owner: FEE Unit: Unit Number: Formation and Spacing: Code: CODL, Formation:CODELL, Order:407-1307 , Unit Acreage: 1120, Drill Unit: Casing: String Type: CONDUCTOR, Hole Size:24, Size: 16,Top: 0, Depth: 80,Weight:42 Cement: Sacks: 121,Top: 0, Bottom: 80, Method Grade: Casing: String Type: SURF, Hole Size: 12.25,Size:9.625,Top: 0, Depth: 1250,Weight: 36 Cement: Sacks:333,Top: 0, Bottom: 1250, Method Grade: Casing: String Type: 1ST, Hole Size: 7.875, Size: 5.5,Top:0, Depth: 17328,Weight: 17 Cement: Sacks: 1677,Top:0, Bottom: 17328, Method Grade: Wellbore Completed Completion Date: N/A Measured TD: Measured PB depth: True Vertical TD: True Vertical PB depth: Top PZ Location: Sec: 15 Twp: 6N 67W Footage: 1014 FNL 460 FEL Depth Bottom Hole Location: Sec: 15 Twp:6N 67W Footages: 1015 FNL 470 FWL Depth Formation Log Top Log Bottom Cored DSTs No additional interval records were found for sidetrack 00. http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12341686&type=WELL 1/5/2016 w o c4 i as to. cu ce F O o J -4 W o o zoo3x w o ci oo � a � o oo � a xR oS L O co F, O O In kr) u a <=, O L o w F N Q M V) a ++ z 00 00 O M M cj O O y ++ - u a v7 n ^ M R L u * ,p ;� C a O O d o 1'' on a) o 00 a c O O cl ui op a) —zi0, a a Ca y i CL) C.4 g C 0 — _ o a, a, a) z es F a) , C O M GO — — ge¢ u CI F QfZiQ fx UU t CD W -o Qz0 >+ a) a) CD - a3xF " �, 33 ct 1. e 0 a �, Clcn 4C4 .C7i 0 ct a a) -) J x Z u C 0 0 a _- b C) ' 'C3 U '0 > Q v u x Jo c vo -. cd o a) r"' 0 u 2 2 LEO-32g D- -lt� Le LEASE 97: Lessor: Weld County,Colorado,a political subdivision of the State of Colorado, acting by and through the Board of County Commissioners of the County of Weld Lessee: Grizzly Petroleum Company, LLC Date' July 2, 2014 Lands Covered: Township 6 North,Range 67 West, 6`h P.M. Section 16: Lot 9, Block 1, Lake View Addition to the Town of Windsor Lots 2, 4 and 8, Block 1, Park Addition to the Town of Windsor County of Weld, State of Colorado containing 0.446 acres,more or less Primary Term: Expires 12 p.m. (noon)on July 2,2017 Royalty: 18.5% Delay Rentals: None;paid-up lease Depository Bank: None specified Shut-In Gas $2.50 per year per acre; minimum shut-in royalty payment shall be $240 Clause: Lesser Interest Yes Clause: Entireties Clause: None specified Pooling Provision: Yes Other Provisions: See lease for negotiated non-standard provisions44 Recording Data: Recorded July 28, 2014 at Reception No. 4033562 of the records of Weld County, Colorado LEASE 98: Lessor: Kern Reservoir and Ditch Company Lessee: Grizzly Petroleum Company, LLC 44 A copy of OGL 97 has been attached hereto as Schedule XV. pl. O rn Obn a a0 o c o \' tri 0 ° O O F- �_ O 0 .b 0 0 ' 0 0 Q O O .0 O O • 4-. tn - 0 b Oori p. — Q 00 s re vs 3 0 o as o .-s4 0 00 a) Go O M � o 3 © co � `° c O Fs cs r:4 ° N o N F. n ° t 4 tK Otri ZO a 0 o a U a �o woo CO .� et o, .r a� cv C Clo I. E -8 S o O aVi ›• aCi 5 L," U H V) o42 g UO 0 .�. m •p 0 c7 y c �" �r O N U �, al b � o a 3 o 0 3 0 U cv� U N N .--4 ^O c.1 m 3 ¢ � � -4 CO �' O � ;; sett C7 a O on 0 rn C7 O, O S (---\' o o 0 O O O O o c c c c o0 OO O o o O 0 O o c 0O a d °° ,— o0 rn a o o t--- .. O O � �CI) 3 0 ~O O g o E o cd o a4 cr) 8 U a za c a o O i-.3 to .0 tn Ctt a o o a E ) H cn o Z U C7 0 o o E ca 74 w c a) .. v tr) '- g O O N y rq N .4 C7 0 > Z O C7 � � b a 0 t7 a. `I O 5 v c) N N- z O N N U O � M N N = N O U C.) ea a U) o w O. E in CO O A 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): Simpson FD 16-039HC File Location(s): LE0329 Simpson FD 16-059HN Simpson FD 16-062HN BY: DATE: ?/' 2 Bruce arker - County Attorney NOTES: .19 mineral acres/ 1103.89 acres spacing unit * 18.5% = .00003184 .35 mineral acres/ 1103.89 acres spacing unit * 18.5% = .00005866 Add.0003184 + .0005866 = .0000905 = MATCH Hello