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Home My WebLink About20150671.tiff NADOA Model Form Division Order(Adopted 9/95) DIVISION ORDER To: Bonanza Creek Energy,Inc. Date: January 26,2015 410 17th Street, Suite 1400 Denver,CO 80202 Attn: John McLoughlin Property Number: CO001170 Effective Date: October 23,2014 Property Name: PRONGHORN P-10-15XRLNB Operator: BONANZA CREEK ENERGY INC County and State: Weld, Colorado Property Township 5 North Range 61 West API - 05-I 3 -390D5 Description: Section 10: E2,Section 15: E2 Production: X Oil X Gas X Other: all products — Owner Name OWNER NUMBER: 1041 and Address: WELD COUNTY BOARD OF COMMISSIONERS Type of Interest: RI P O BOX 758 Decimal Interest: 0.03125000 GREELEY,CO 80632-0758 Interest Calculation: 160/640x12.5 % The undersigned certifies the ownership of their decimal interest in production or proceeds as described above payable by Bonanza Creek Energy,Inc. (Payor). (Company Name) 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 yearly 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. 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. Unless otherwise required by law,Payor shall not be required to pay int st on payments withheld due to a title dispute or adverse claim. R Special Clauses: (N ne or See Attach d Exhibit) !L' Owner(s) Signature(s): Barbara Kirkmeyer, ai .e key ELD COUNT BOARD OF lut Ey- Owner Daytime Telephone MAR 1 1 201 s4 Tt P 970-336-7204 Attes -g, Cl If the Boa d Owner FAX Telephone#: 970-336-7233 By �. Deputy Cl k to the Board Federal Law requires you to furnish your Social Security or Taxpayer Identification Ni 2015-0671 Y L� Failure to comply will result in 31 %tax withholding and will not be refundable by / F )m COI/ �� Alma / Retain this copy u��records LE0Op 1 -5 INSTRUCTIONS TO ALL INTEREST OWNERS RECEIVED Dear Interest Owner, WELD COUNTY Bonanza Creek Energy, Inc. has enclosed a Division Order for your execution. COMMISSIONERS 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. 2. If your name has changed due to marriage or divorce, execute the Division Order using your present name and furnish a copy of the marriage certificate or divorce decree. 4. If signing for a corporation, signature must be attested,corporate seal fixed and title of signatory party reflected. 5. 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. 6. Your correct mailing address should be noted in the space provided to insure prompt receipt of production proceeds. 7. The top copy or the"Original"of the Division Order should be returned to: Bonanza Creek Energy, Inc 410 17th Street, Suite 1400 Denver, CO 80202 Attn: John McLoughlin 8. Should you have any further questions regarding the enclosed Division Order, please contact John McLoughlin at 720-475- 8926. 9. Please DO NOT DETACH the exhibit from the Division Order or Transfer Order if one is included. PRONGHORN P-10-15XRLN8 API: 05-123-39005 SPUD: 8/15/2014 DOFP: 10/23/2014 t: q aik.411i ", nvFTY I_AW I IR M Andrew I-acres nd-e*-a,nesC^cve laM+'-n core Bonanza Creek Energy Inc May 19 2014 410 1,*Street.Suite 1400 Denver.CO 80_20: Attn Camhne Heunng RE Drilling&Division Order Title Opinion Pronghorn P-I0-ISXRL.NB.K.O-101-INC F-J-10ILNB Wells Attorney File$71'7 LANDS COVERED BY OPINION Township 5 North.Range 61 West. 6th P M. Section 10 ALL Section 15 E 2 Weld County.Colorado Containing 960 00 acres.more or less "Captioned Lands" DESCRIPTION OF LAND QUARTER-QUARTER-21: NE 4SE 4 SECTION 15 Tract_21 De;rnunon Tract Factor Lease Township 5 North.Range 6I West,6th P.M. 40 00 960 00 XX- 100°oo Section 15 NE 4SE 4 \Veld County.Colorado QUARTER-QUARTER—22: NR 4SE 4 SECTION 15 Tract 22 Description Tract Factor Lease Township>North.Range 61 West.6th P.M 40 00 960 00 XX-100°4 Section 15: NW 4SE 4 Weld County.Colorado Tract 23 Descnptzon Tract Factor Lease Township 5 North. Range 61 West_6th P NL 40.00 960.00 XX- 10000 Section 15 SW 4SE 4 Weld County Colorado QUARTER-QUARTER-24: SE 4SE 4 SEC TION 15 Tract 24 Descnptzon Tract Factor Lease Township 5 North_Range 61 West_ 6th P.M TO 00 960.00 XX- 10000 Section 15 SE 4SE 4 Weld County Colorado O\CNERSHIP INTERESTS IN TRACTS 21, 22, 23, & 24 (SE'4 Secrott 15, MINERALS INTERESTS& ROYALTY: (OIL.GAS.&ASSOCIATED HYDROCARBONS ONLY) Mineral Rotaln Owner Interest Interest Lease Weld County State of Colorado 100.000000°0 12 7T00000°0 XX PART I: DISTRIBUTION OF PRODUCTION PROCEEDS •1 mC°non ≥ut C oloradc 11-'I XX The above calculation represents: (100%ownership of Tract 21 with a tract participation of 1/16 and .125 royalty) (100% ownership of Tract 22 with a tract participation of 1/16 and .125 royalty) (100%ownership of Tract 23 with a tract participation of 1/16 and .125 royalty) (100% ownership of Tract 24 with a tract participation of 1/16 and .125 royalty) Lat40°, Inc. 1635 Foxtrail Drive, Suite 325 Loveland, CO 970-776-3321 WELL LOCATION CERTIFICATE SEC11ON: 10TOW5N THIS MAP DOES NOT REPRESENT A BOUNDARY SURVEY RANGE; 61W I ' PRONGHORN P-10-15xRLNB et _____ Slat r.&v.. 4RQ1,I. '� 1 I :17_ I 1 I 1 rOUMo is RE6AR elm 2S ALUM. CAP L '3995 N 88'19'07" E 5305.25' — LAT; 40.4084511LAT 40.4092711 _ — r — LOreC. 1C4 twinyLONG' 104.20424V FOUND 0 REHM 91114 2.5" ALUM. CAP LS 13695 I( ! 1 I 18 I. i 0 0 t« R►1/! - Ndl/!— ' rn Ul O1 z IN 1 L _ 8 I 18 I N 4i 5.16, r& . R 9.1, s N * W N 88'02'59" E 2659.43' N 8802'59"`E 2659.43' — — — .. I*1 * to an co cn c. c.• � I IIA Ig °11 I 1 rJ 4r o W N 01 I IN 1O I I 1m Ol)i-- UT.' 1333' .-r I 4y0' 40 393S61 Faro*6 MAR WIM 1 5 8LONG: 104.20442V 7'46'55" W 5332.59' FOUND 0 *WAN '9111 LAT: 4°.363931 2.5'ALUM. CAP L 37697 LArfG: 10415.55011/2.6' ALUM. CAP Ls 13195 tOQpafl Lie,c, u loon •er�U=�V ��',s+F(1 I---I--L ( C.)°,�', 1 4.% illy i".1000 12 VC d17 N$tT NEE p =O i According to Colorado lay, you mot commence �� .ti� (4 i_ any legal action based upon any&tact In don *L C. •ithin thra room era' Yo1 diecoysr 'NO -ChM? LLVING ri�1/j,., N detect. Ir no rent, mar any action Wood upon ' QF p t . to C? ony defect n this sway ha commenced more - AUOUOT MONUMENT AS DESCtaIrrED Ktie E. Rutz—On behalf 'hen tin yeas actor the date at the cer6ticate ,�.fir•- sl+o•r1 hsr•on. (13-80-105 0.9.5.) O=CALCULATE)POSITION Colorado Licensed Professional r : 3,!25/21313 Land Surveyor No. 38307 PRC.,ECTT 20'20/1 COGIS - WELL Information Page 1 of 1 COGIS - WELL Information Scout Card Related Insp. 4 MIT $GIS a Doc R. COA 11 Wellbore ,. Surface Location Data for API # 05-123-39005 Status: DG 8 Well Name/No: Pronghorn #P-10-15XRLNB(click well name for production) Operator: BONANZA CREEK ENERGY OPERATING COMPANY LLC -8960 Status Date: 8/15/2014 12:00:00 PM Federal or State Lease#: County: WELD#123 Location: NWNE 10 5N 6' Field: WATTENBERG -#90750 Elevation: 4,728 ft. Planned Location 405 FNL 1449 FED Lat/Long: 40.422/-104.19026 Lat/Long Source: rac Focus Job Date: 9/13/2014 Job End Date: 10/13/2014 Reported: 11/12/2014 Days to report: 3 Chemical Disclosure Registry Wellbore Data for Sidetrack #00 Status: DG 8/' Spud Date: 8/15/2014 Spud Date is: NOTICE Wellbore Permit HORIZONTAL Permit#: Expiration Date: 2/25/2016 7:59:31 Prop Depth/Form: 16145 Surface Mineral Owner Same: N Mineral Owner: FEE Surface Owner: FEE Unit: Unit Number: Formation and Spacing: Code: NBRR , Formation: NIOBRARA , Order: , Unit Acreage: 640, Drill Unit: GWA Casing: String Type: SURF , Hole Size: 13.5, Size: 9.625, Top: 0, Depth: 410, Weight: 36.0C Cement: Sacks: 200, Top: 0, Bottom: 410, Method Grade: Casing: String Type: 1ST , Hole Size: 8.75, Size: 7, Top: 0, Depth: 6583, Weight: 26.00 Cement: Sacks: 500, Top: 2500, Bottom: 6583, Method Grade: Casing: String Type: 1ST LINER , Hole Size: 6.125, Size: 4.5, Top: 6483, Depth: 16145, We Cement: Sacks: , Top: , Bottom: , Method Grade: Completion data is confidential until 4/24/2015 http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12339005&type=WELL 2/18/2015 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): Pronghorn P-10-15XRLNB File Location(s): LE0081-5 BY: � � DATE: t' J ' l5 Brad Ya e - Assistant County Attorney NOTES: 160 mineral acres/ 640 acres spacing unit * 12.5% = .03125000 MATCH Hello