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DETACH STUB AT PEREOPATED LINE.
CHECK NUMBER CHECK DATE PLAINS MARKETING, L.P. OWNER NUMBER
02695670 03/20/2015 P.O. BOX 4648 • HOUSTON, TX 77210-4648 0221176
LEASE NUMBER 01-133124 FOR YOUR INFORMATION
LEASE NAME PIERCE UNIT DIRECT ALL INQUIRIES REGARDING
LEASE STATE/COUNTY CO/WELD THIS CHECK TO:
OPERATOR NAME STELBAR OIL CO
ATTN:CUSTOMER RELATIONS
PRODUCT OIL
PRODUCTION DATE(MM/YY) 02/2015 HOUSTON,
LEASE BARRELS OR MCF 1,882.81 MAR 4 2015 72-7 8T 77210-464813- -
800-772-7584/713-646-4460
LEASE GROSS VALUE 70,130.90
OPERATOR PAY .00 WELD COUNTY 713-646-4311 (FAX)
LEASE SEVERANCE TAX .00 COMMISSIONERS paadivisionorder@paalp.com
BE SURE TO INCLUDE LEASE NUMBER
LEASE NET VALUE 70,130.90 AND OWNER NUMBER.
AVG PRICE PER BBL/MCF 37.25 Please visit our website @
OWNER KIND OF INTEREST ROYALTY WWW.PAALP,COM
OWNER DECIMAL .00117290 and select Owner/Operator
OWNER GROSS VALUE 82.26 Relations to register and view
OWNER SEVERANCE TAX .00
your information online.
OIL AND GAS ASSESSMENT .00 TAX RESERVE CODES:
i.AD VALOREM 6.AD VALOREM;SEVERANCE
COLORADO SEVERANCE TAX 00 2.SEVERANCE 7.NET PRO/BUS PRIV/REAL EST
UTAH WITHHOLDING TAX .00 3.NET PROCEEDS 6.AD VAL/NET PRO/BUS PRIV/REAL EST
4.BUSINESS PRIVILEGE 9.UTAH OCCUPATIONAL TAX
TAX RESERVE (SEE CODE) .00 S.REAL ESTATE
OWNER NET 82.26
LEASE NUMBER
LEASE NAME
LEASE STATE/COUNTY
OPERATOR NAME
PRODUCT
PRODUCTION DATE(MM/YY)
LEASE BARRELS OR MCF
u LEASE GROSS VALUE
OPERATOR PAY
LEASE SEVERANCE TAX
LEASE NET VALUE
AVG PRICE PER BBL/MCF
OWNER KIND OF INTEREST
OWNER DECIMAL
OWNER GROSS VALUE
OWNER SEVERANCE TAX
OIL AND GAS ASSESSMENT
COLORADO SEVERANCE TAX
2015-0806
UTAH WITHHOLDING TAX
TAX RESERVE (SEE CODE) OS I
OWNER NET rI
CHECK GROSS SEVERANCE AX WINDFALL PROFIT TAX BACKUP WITHHOLDING NON-RESIDENT ALIEN TAX CHECK NET
82.26 .00 .00 .00 .00 82.26
WFB WELD COUNTY COLORADO C/O BOARD OF COUNTY COMMISSIONERS PAGE: 1 OF: 1
YTD GROSS YTD SEVERANCE TAX YTD WINDFALL PROFIT TAX YTD BACKUP WITHHOLDING YTD NON-RESIDENT ALIEN TAX YTD CHECK NET
362.58 .00 .00 .00 .00 362.58
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