HomeMy WebLinkAbout20152079.tiff Kerr-McGee Onshore LP Division Order
WELD COUNTY COLORADO See reverse for list of
CIO BOARD OF COUNTY COMMIS Properties and Interests.
PO Box: 758 RECEIVED
GREELEY, CO 80632 JUN 15 2015 Effective Date: Date of First Sales
WELD COUNTY
COMMISSIn"r"'
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
I - XXX-XX-0813
d‘rh,t)
Attest:
Cler t he Board er Signature/Co orate Title 'JUL 1 3 2015 Owner Address(if different from above)
By: Barbara Kirkmeyer, Chair
Deputy Cler Owner Signature/Corporate Title City, State Zip Code
Board of Weld County Commissioners
�a•.,, Owner Daytime Phone
tet
Email Address
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.lrs.gov
Please return to: Date Prepared: June 12, 2015
Kerr-McGee Onshore LP Prepared By: LOREN PEDRICK-SM
P.O. BOX 1330 Suspense Flag: N
HOUSTON, TX 77251-9874 Escheat Flag: N 2015-2079 0d)
1-800-359-1692 -yje
COMInt ,A 7 i, i�' LEWiS-1
1-131
Property Property Name Product State/County Int Tvpe Int Seq Interest
329898 REYNOLDS CATTLE 28N-19HZ All Products CO/WELD RI 1 0.00046674
�� ��LeegallD�Description: API 05' 123-- 3d;, 13 -
I8 2SW
19 N2NW
3N-68W
13 S2S2
24 N2N2
480 ACRES +/- # rlU
NIOBRARA FORMATION
WELD COUNTY, COLORADO
*Failure to furnish your Social SecuritylTax ID number will result in withholding tax In accordance with federal law and any tax withheld
wilt-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.ire.gov
Please return to: Date Prepared: June 12,2015
Kerr-McGee Onshore LP Prepared By: LOREN PEDRICK-SM
P.O. BOX 1330 Suspense Flag: N
HOUSTON, TX 77251-9874 Escheat Flag: N
1-800-359-1692
Page2of2
Karla Ford
From: Pedrick, Loren <Loren.Pedrick@anadarko.com>
Sent: Thursday,June 18, 2015 2:38 PM
To: Karla Ford
Subject: RE: Division Order for Weld County/Kerr McGee - Reynolds Cattle 28N-19HZ
Hi Ms. Ford,
The lease reception number is 1551545 which should be the same that was used to calculate the Weld County
royalty interest in the Reynolds Cattle 6C. The title opinion screen shots for the Reynolds Cattle 28N are as
follows:
Schedule Ito that Division Order Title.
Opinion dated"March 6,2014
prepared by Tjornehoj&Hack LLC
TOP#00017596
Tract No.
818-D 57.3145 12:063265°0
S18-G 3.1855 0,670468%
$18-H 3.200 0.673520%
$18-I 3.200 0673520%
" .
518-J 1`1540 2,42888196.
$19-C 74.802 15.764992'16°
4-S19-D 1.774 0.37338396
S13-1 80.006 16.8379936
S13-2 80.000 16:837993%
$24-A - 80.000 .16:837993°6
$24-8 80.000. 16.83799396
475:116 100.00000096
Total spading unit acreage=475.116 acres
.5 o
1
COGIS - WELL Information Page 1 of 1
COGIS - WELL Information
Scout Card -4 Related A Insp.A MIT S GIS IA Doc a COA 11 Wellbore .Orders
Surface Location Data for 4/Niffiliffiligil Status: PR 2/6/2015
Well Name/No: valliliONIMMINIMOIMick well name for production)
Operator: KERR MCGEE OIL&GAS ONSHORE LP-47120
Status Date: 2/6/2015 Federal or State Lease#:
County: WELD#123 Location: NENE 23 3N 68W 6 PM
Field: WATTENBERG -#90750 Elevation: 4,932 ft.
Planned Location 590 FNL 155 FEL Lat/Long:40.217299/-104.961383 Lat/Long Source:Field Measured
411FF,cL Job Date: 11/2/201
t Reported: 1/6/2015 Days to report: 56
Chemical Disclosure Registry Job End Date: 11/11/2011 4
Wellbore Data for Sidetrack#00 Status: PR 2/6/2015
Spud Date is: ACTUAL
Wellbore Permit HORIZONTAL
Permit#: Expiration Date: 3/16/2016 1:00:51 PM
Prop Depth/Form: 14428 Surface Mineral Owner Same:
Mineral Owner: FEE Surface Owner: FEE
Unit: Unit Number:
Formation and Spacing: Code:NBRR,Formation:NIOBRARA,Order:,Unit Acreage:480,Drill Unit:GWA
Casing: String Type:SURF,Hole Size:13.5,Size:9.625,Top:0,Depth:1298,Weight:36
Cement: Sacks:490,Top:0,Bottom:1298,Method Grade:
Casing: String Type:1ST,Hole Size:8.75,Size:7,Top:0,Depth:7514,Weight:26
Cement: Sacks:790,Top:0,Bottom:7514,Method Grade:
Casing: String Type:1ST LINER,Hole Size:6.125,Size:4.5,Top:6413,Depth:14428,Weight:11.6
Cement: Sacks:,Top:,Bottom:,Method Grade:
Wellbore Completed
Completion Date: N/A
Measured TD: Measured PB depth:
True Vertical TD: True Vertical PB depth:
Top PZ Location: Sec:24 Twp:3N 68W Footage: 185 FNL 482 FFWLL Depth
Bottom Hole Location: Sec: 19 Twp:3N 67W Footages: 185 FNL 2071 FFWLL Depth
Formation Log Top Log Bottom Cored DSTs
Completed information for formation N-COM Status: PR 2/6/2015
1st Production Date: N/A Choke Size:
Status Date: 2/6/2015 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=12339137&type=WELL 6/25/2015
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): Reynolds Cattle 28N-19HZ File Location(s): LE0078-1
BY: DATE: ctu6 ft/AP/6
Brad Yatabe - sistant County Attorney
NOTES: 1.774 mineral acres/ 475.116 acres spacing unit * 12.5% = 0.00046674 GAFF
Na v Check out the Anadarko Owner Relations Website: Go to www.anadarko.com, click on About
is 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-Fad, 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. The enclosed W8 or W9 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.
2. Pleas- ••••j - - - ' -'• - ,ur exeecu�t�edd Division Order,to the following address:
'err ' ee • • as •ns ore �.
Attn: Division Orders
P.O. Box 173779
D-nver CO 80217-3 '
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.
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