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NADOA Model Form Division Order(Adopted 9/95)
DIVISION ORDER
To: Bonanza Creek Energy,Inc. Date: July 22,2015
410 17th Street,Suite 1400
Denver,CO 80202
Attn:John McLoughlin
Property Number:CO007364 Effective Date:July 22,2015
Property Name: NORTH PLATTE J14-F11-34HNC
11-34HNC
Operator: BONANZA CREEK ENERGY INC RECEIVED
County and State: Weld, Colorado Qp, 0 5_12 J?^i 5g9r
Property township 5 North.Range 63 West ry q
Description: Section 34:W2 JUL 2 8 2015
WELD COUNTY
COMMISSIONERS
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: 0.02496044
GREELEY,CO 80632-0758 Interest Calculation:
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 t be pa teres on
payments withheld due to a title dispute or adverse claim. A ITEST:�, ,�u v• '
Special Clauses: ne or See Atta h- Exhibit) WELD ' ' TY CLERK TOT BOARD
Owner(s)Signature(s):
•arbara Kir -yer,
Weld County Commissi r: CL RK s THE BOARD
Owner Daytime Telephone 970-336-7204 , `��
1161 ( s,�):e
Federal Law requires you to furnish your S•, r, .cation N'
Failure to comply will result in 31 %tax wi.1 :° •,i , , refun' .le by 1 2015-2845
(I)
.►M Retain this o fCOnnealt AOCildiL f+� '
I
6-67+15
INSTRUCTIONS TO ALL INTEREST OWNERS
Dear Interest Owner,
Bonanza Creek Energy,Inc.has enclosed a Division 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.
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.
This shows that Weld County owns 100% of
the minerals in Tract 1 of a 315 .94 acre unit,
at a 20% royalty
�Veld County. Colorado G . 0?4960-�-� RI 30
T*,� ,
(1 .00 DII x 0.?0 LOR s 0. 1 ?480218 PF}
I�-. O���� ERSHIP OF OIL .a\D GAS. .a1D I'HE PROC"EEDS FRO� I ?HE S.�LE OF
OIL _�\D GAS, .� S I' O I' HE \ ORTH PL_�7TE J14-F11 -3�H\'C� , I' HE tiORI'H PL.�T'T'E
J-F-.; � H\B . .�i\-D T'HE \ORI' H PL.�TI' E J-F-34HC� «-ELLS . LOC� �iI' ED «�ITHI\ A
L'�II' C' O� IPRISED QF ?HE ��';'2 OF SECTIO \ 3�#, I' O��'\ SHIP � \ ORI' H. R��GE 63
«�ESI' , 6TH P .� i . FROJI T'HE B.�,SE OF T' HE ••J " SA�'D FOR�L�TIO� "� A\D BELO�1� :
Tract 1 : � . 1 ? 430 ? 1 � ( 39 . �i3 acres ' 315 . 9� acre � �
Traci 2 : 0 . � 8316136 { 1 {? . b5 acres 31 � . 9� acresl
Ti• act 3 : O . OSS 1 ' S60 ( 13 . 3S � crzs 31 { . 9� acres )
Iract 4 : 0 . 00303555 {0 . 96 acres 315 . 94 acres )
Tract � : � . 13 " 160 ' (43 , � 1 acres 315 . 9� acres )
Ti• act 6 : O . 1 �S913 ? 3 (46 . 10 acres. 315 . 9� acres )
Tract 7 : 0 . 0070� 66 � (? . �? acres 315 . 94 acres )
Iract 3 : 0 . 0030 ?0 ?0 {Q . 97 acres '315 . 9� acres )
Tract 9 : 0 . 01 � _' 9366 �4 . 20 acres 315 . 9 � acresl
T' r � ct 10 : 0 . 001 S 19 ? 8 {0 . �3 acres 31 � . 94 acres )
Tr ;� ct 11 : 0 . 004 �9129 � 0 . , { acres 31 � . 9 � acres )
I' ract 12 : 0 . 0007? ? 99 {0 ? _� acres 315 . 94 acres)
I' i• � ct 13 : 0 . 0? 0 ? 63 � ( 6 . Sb acres 31 � . 94 acres )
�
COGIS - WELL Information Page 1 of 1
COGIS - WELL Information
SCout Cal'd �� Related � Insp . 4 MIT � GIS �. Doc �. COA �ll` Wellbore � Orders
Surface Location Data for API # 05- 123-35298 Status : PR 7/7/2015
weii NameiNo : No�tr, Piatte #� � 4-Fi 3 -3� HNc (click well name for production)
Operator: BONANZA CREEK ENERGY OPERATING COMPANY LLC - 8960
Status Date : 7/7/2015 Federal or State Lease #:
County: WELD #123 Location : SWSW 34 5N 63W 6 PM
Field : WATTENBERG - #90750 Elevation : 4 , 529 ft.
Planned Location 550 Fs� 300 Fvu� LaULong : 40 . 350227/- 104 .43033 LaULong Source : Field Measured
"��� Job Date : 3/18/2015 Reported : 4/14/2015 Days to report: 20
��� F�S Job End Date: 3/25/2015
Chemical l7isclosure Reqistry
Wellbore Data for Sidetrack #00 Status : PR 7/7/2015
Spud Date: 1 /9/2015 Spud Date is: ACTUAL
Wellbore Permit HORIZONTAL
Permit #: Expiration Date: 7/20/2016 5 : 52 :46 PM
Prop Depth/Form : 11041 Surface Mineral Owner Same :
Mineral Owner: FEE Surface Owner: FEE
Unit: Unit Number:
Formation and Spacing : Code : NB-CD , Formation : NIOBRARA-CODELL , Order: , Unit Acreage : 40 , Drill Unit: SWSW
Formation and Spacing : Code : NBRR , Formation : NIOBRARA , Order: , Unit Acreage : 320 , Drill Unit: GWA
Casing : String Type : SURF , Hole Size : 13. 5 , Size: 9 .625 , Top : 0 , Depth : 410 , Weight: 36
Cement: Sacks: 200 , Top : 0 , Bottom : 410, Method Grade :
Casing : String Type : 1 ST , Hole Size : 8 . 75, Size : 7 , Top : 0, Depth : 6817 , Weight: 26
Cement: Sacks: 500 , Top: 2500 , Bottom : 6817 , Method Grade:
Casing : String Type : 1ST LINER , Hole Size: 6. 125 , Size: 4. 5 , Top : 6717 , Depth : 11041 , 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: 34 Twp : 5N 63W Footage : 631 Fs� 981 Fw� Depth
Bottom Hole Location : Sec: 34 Twp: 5N 63W Footages: 470 FN� 9H1 FFWLL Depth
Formation Log Top Log Bottom Cored DSTs
Completed information for formation N -COM Status : PR 7/7/2015
1 st Production Date: N/A Choke Size:
Status Date : 7/7/2015 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= 12335298 &type=WELL 8/ 10/2015
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): North Platte J14-F11-34HNC File Location(s): LE0170-2
B . DATE: ''(z0( / j�--
Bruce Barker - County Attorney
NOTES: 39.43 mineral acres/ 315.94 acres spacing unit * 20% = .0249604 MATCH
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