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Home My WebLink About20150236.tiff NADOA Model Form Division Order (Adopted 9/95\ rtak noble DIVISION ORDER energy Return To: NOBLE ENERGY, INC Desk Code : MPP 156506 1625 BROADWAY STE 2200 Date : NOV 07 2014 DENVER CO 80202 US Effective Date: JAN 2013 Property Name : WELLS RCH AE18-68-1HN NI Operator : NOBLE ENERGY, INC County / Parish and State : WELD, CO API 05 - ! 23 - ( 74 Property Description : Refer to next page for property description attachment Product : ALL OWNER NAME PROPERTY # OWNER # INTEREST WELD COUNTY CO 435823625 124102 - 1 0.05016054 RI % BOARD OF COUNTY COMM WELD CO CENTENNIAL CENTER 1150 O STREET GREELEY CO 80632 US The undersigned certifies the ownership of their decimal interest in production or proceeds as described above payable by Noble Energy, Inc. (Noble). Noble 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. Noble 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 Noble any amount attributable to an interest to which the undersigned is not entitled. Noble may accrue proceeds until the total amount equals $25.00, or clear ALL payable proceeds annually if said accrued total amount is less than $25.00, 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 Noble may have certain statutory rights under the laws of the state in which the property is located. Special Clauses: R' 1 T , ° T :<;777: tr ,u �}E , n r .tt✓ � , � ` � r, ll5 �' � ��.�Uing Owner(s) Signature(s) Barbara Kirkmeyer , Chair Char an, Board f/ 4UtAJ unty ommissioners ES'YJ ' `k� Owner(s) Tax I.D. Number(s): _ j 1 ZQ�5 TIN(s) or SSN(a) 84-6000-813 � ti � � . � ,. .. Telephone/Fax none/Fax #: 970-336- 7204 �# C �t rTY CLERK TO T E BOARD Owner Daytime p Address Correction : _ ntPUT ! CL r;K TO HE BOARD Federal Law requires you to furnish your Social Security or Taxpayer Identification Number. Failure to comply will result in tax withholding in accordance with federal law, which will not be refundable by Payor. COrvi - )rda U►'��ir�l' 12fr � 2015-0236 I -42 I- 1 $- LE02I! - NOBLE ENERGY.INC. Property Description Attachment Property Name : WELLS RCH AE18-68-1HN NI Operator : NOBLE ENERGY, INC County/Parish and State : WELD, CO Property Description T6N R62W SEC 18:N2,CONTAINING 320 ACRES MORE OR LESS,WELD COUNTY,CO 1625 Broadway 119 noble Suite 2200 energy RECEIVED Denver,Colorado 80202 Tel:303.228.4126 Fax:303.228.4287 www Nov / 2014 .nobleenergyinc.com o V WELD COUNTY Dear Interest Owner: COMMISSIONERS Enclosed are copies of Noble Energy, Inc.'s Division Orders for your approval and execution. For your convenience, Noble has adopted the NADOA Model Form of Division Order. The purpose of this division order is to provide you information about your ownership and obtain Certification from you that you are the correct person to whom payments for this interest should be made. Please review your decimal interest in the property described. Also review the terms of the division order. Supply and/or verify your Social Security or Tax Identification Number. Failure to comply will result in a tax withholding for the Internal Revenue Service. Supply and/or verify the address to which checks should be mailed. The well RC number will be listed on your check detail identifying your payment for this interest. Your party number is your identifying number with our company. Please refer to this number when making inquiries about payments or your interest. After your review of the enclosed division orders, please execute one copy and return to this office for further handling. The extra copy is for your files. Please be advised, Noble Energy, Inc. does not accept altered Division Orders. Therefore, if our division order has been altered, Noble Energy, Inc. will still make disbursements based on the ownership and interest stated on our division order, unless otherwise advised in writing. Individuals-Sign your name as it appears on the Division Order. Joint Ownership-Should be signed by all owners shown on the Division Order. Corporations-The name of the Corporation as well as the name and title of the person signing the document must be included. Signature by other than named owner-If the Division Order is signed by an agent, attorney-in- fact, guardian, trustee or any party other than the named owner, please provide a copy of the document which authorizes him/her to sign on behalf of the owner. Please note that the interest stated on the Division Order reflects your total owned ownership. However, Noble Energy, Inc. may or may not disburse 100% of the proceeds. If you should have any questions, please contact the Division Order Department at the above address. Sincerely, NOBLE ENERGY, INC. Division Order Department Note: If you would like to have your proceeds electronically deposited to your bank account, please complete and return the enclosed direct deposit ACH Enrollment Form. IF YOU HAVE PREVIOUSLY COMPLETED AND RETURNED THE DIRECT DEPOSIT ENROLLMENT FORM, PLEASE DO NOT RESEND. 1625 Broadway ■ ..IV. noble Suite 2200 Denver,Colorado 80202 energy Tel:303.228.4126 Fax:303.228.4287 www.nobleenergyinc.com December 17, 2014 TO: Karla Ford kford@co.weld.co.us FROM: Noble Energy, Inc. RE: Weld County Division Order Information Well Name WELLS RANCH AE18-68-1 HN Reception Number of Lease 3550769 Spud Date 11/1/12 Date of First Production 2/20/13 Please find the rest of the information attached; ® Lease Description ® First Page of DOTO ® Tract Description FJ Interest Calculations ® Plat ® Division Order Lease Descriptions—Wells Ranch AE-18-68-1HN T6N-R62W-Section 18: N/2 1) Township 6 North,Range 62 West, 6`h P.M. Section 18: W/2,S/2NE/4,N/2SE/4,E/4SE/4 Containing 518.20 acres,more or less. 2) Township 6 North,Range 62 West,6"'P.M. Section 18:N/2NE/4 Containing 80.00 acres,more or less. Total Acreage:598.20 acres li /Ns KAJSA GOTLIN CARLETON GOTLIN LAW vc kyotlin@carletongotlinlaw.com May 5, 2014 Mr. Eric Koble Noble Energy, Inc. 1625 Broadway, Suite 2200 Denver, Colorado 80202 Re: Drilling and Division Order Title Opinion Wells Ranch AE18-67-1HN Well Wells Ranch AE18-68-1 HN Well (the"Subject Wells") T6N, R62W, 6th P.M., Section 18: N/2 Weld County, Colorado DRILLING AND DIVISION ORDER TITLE OPINION Covering Township 6 North, Range 62 West, 6th P.M. Section 18: N/2 Weld County, Colorado Containing 327.03 acres,± Referred to herein as the "captioned lands" Dear Mr. Koble: Pursuant to a request from Noble Energy, Inc., I examined the materials listed below for the purpose of rendering a Drilling and Division Order Title Opinion covering the captioned lands. As a result of my examination, I determined that the ownership of minerals, oil and gas leasehold, oil and gas production, and the proceeds from the sale of oil and gas production, as of 7:00 a.m. on November 12, 2013 for the N/2 of Section 18, T6N, R62W, 6th P.M. (the "Certification Date") is as specified hereafter, subject to the Exceptions, Comments and Requirements that follow. :i? `.. i ... �krl.:-•�, 1.-i,,, OF Fa.,"if.. . ,v . •Ii.:r.;♦ -'J I` 1580 Lincoln St.Suite 1200,Denver,CO 80203 17:303.826.1125 F:303.302.3088 I www.ctrletongotlinlaw.com ENERGIZING LAW Entity Mergers and Name Changes 1. APPLICATION FOR AMENDED AUTHORITY, filed with the Colorado Secretary of State on June 7, 2001, evidencing the change of name of Mobil Oil Corporation to ExxonMobil Oil Corporation. Records 1. COGCC WELL INFORMATION CARD, reviewed on April 3, 2014, for the Wells Ranch AE18-67-1HN well with a surface location in the NW/4NW/4 of Section 18, T6N, R62W, operated by Noble Energy, Inc. The record indicates that this well is spaced as a 320-acre GWA unit comprising the N/2 of Section 18 for the Niobrara formation.' This well is shown in a "Producing" status. 2. COGCC WELL INFORMATION CARD, reviewed on April 3, 2014, for the Wells Ranch AE18-68-1HN well with a surface location in the NW/4NW/4 of Section 18, T6N, R62W, operated by Noble Energy, Inc. The record indicates that this well is spaced as a 320-acre GWA unit comprising the N/2 of Section 18 for the Niobrara formation.2 This well is shown in a "Producing" status. OWNERSHIP TRACTS The captioned lands are comprised of the following ownership tracts: NE/4NE/4 of Section 18, T6N, R62W, 6th P.M. Tract 1: The NE/4NE/4 of Section 18, T6N, R62W, 6th P.M. Tract 1 contains 40.97 acres, +. NW/4NE/4 of Section 18, T6N, R62W, 6th P.M. Tract 2: The NW/LINE/4 of Section 18, T6N, R62W, 6th P.M. Tract 2 contains 41.05 acres, +. SW/4NE/4 of Section 18, T6N, R62W,6th P.M. Tract 3: The SW/4NE/4 of Section 18, T6N, R62W, 6"' P.M. Tract 3 contains 41.12 acres, ±. Pursuant to Proposed Spacing Unit letter dated April 25,2012,from Noble Energy, Inc. to the COGCC. 2 Pursuant to Proposed Spacing Unit letter dated April 25,2012,from Noble Energy, Inc. to the COGCC. • Page 5 of 5 1, %` 13r 03 ,_a o=s ai il -o z ri t. , c' ,7_- ..7. II al lI ; l0 rc; Oi ri r-. .T LtII W 0 y 0o U - U Z - 5 s 3 l"' Noble Energy, Inc, Weld County Mineral Interest Plat 7 -6N-63'11/1 •= Wells Ranch AE18.68-1HN Wells Ranch AE18-67-I HN 6N62N 18 19 Legend ❑ Well Spacing Unit T6N-R62W,Sec 18: 61/2 U Weld Co.Leasehold Interest T6N-R62W,Sec I8: 18/2NE/4 (Within Spacing Unit) COGIS - WELL Information Page 1 of 1 COGIS - WELL Information Scout Card VJC Related C Insp. Ck MIT O GIS a Doc f COA if Wellbore Surface Location Data for API # 05-123-35674 Status: PR 4, Well Name/No: WELLS RANCH AE#18-68-1 HN (click well name for production) Operator NOBLE ENERGY INC - 100322 Status Date: 4/15/2013 Federal or State Lease#: County: WELD#123 Location: NWNW 181 Field: WATTENBERG -#90750 Elevation: 4,849 ft. Planned Location 980 FNL 215 FWL Lat/Long: 40.49115/-104.37456 Lat/Long So Job Date: 1/4/2013 Reported: 9/25/2013 Days to repc Job End Date: 8/10/2013 Chemical Disclosure Registry Wellbore Data for Sidetrack #00 Status: PR 4/1 ISptktDatet< ,) 11/1/2042 :' Spud Date is: ACTUAL Wellbore Permit HORIZONTAL Permit#: Expiration Date: 5/29/2014 6: Prop Depth/Form: 10963 Surface Mineral Owner Same: Y Mineral Owner: FEE Surface Owner FEE Unit: Unit Number: Formation and Spacing: Code: NBRR , Formation: NIOBRARA , Order: , Unit Acreage: 320, Drill Unit: GWA Casing: String Type: CONDUCTOR , Hole Size: 18.5, Size: 16, Top: 0, Depth: 100, Weight: Cement: Sacks: 6, Top: 0, Bottom: 100, Method Grade: Casing: String Type: SURF , Hole Size: 13.75, Size: 9.625, Top: 0, Depth: 550, Weight: 36 Cement: Sacks: 276, Top: 0, Bottom: 550, Method Grade: Casing: String Type: 1ST , Hole Size: 8.75, Size: 7, Top: 0, Depth: 6965, Weight 26 Cement: Sacks: 487, Top: , Bottom: 6965, Method Grade: Casing: String Type: 1ST LINER , Hole Size: 6.125, Size: 4.5, Top: 6778, Depth: 10963, We 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: 18 Twp: 6N 62W Footage: 981 FFNLL 869 FFWLL Depth Bottom Hole Location: Sec: 18 Twp: 6N 62W Footages: 990 FFNLL 535 FFELL Depth Formation Log Top Log Bottom Completed information for formation N-COM Status: PR 1st Production Date: N/A Choke Size: Status Date: 6/13/2013 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=12335674&type=WELL 12/24/2014 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): Wells Ranch AE18-68-1HN File Location(s): officatiti BY: tit_t DATE: / ° /(o Bob k - County Attorney Brad Yatabe - Assistant County Attorney 0 NOTES: 82.02 mineral acres/ 327.03 acres spacing unit * 20% = .01605 MATCH Q, Q ; 11 ,re. a,r c.j2,c.A:JN I{ Hello