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NADOA Model Form Division Order(Adopted 9/95)
DIVISION ORDER
To: PDC Energy,Inc. Date: July 21,2015
1775 Sherman Street,Suite 3000
Denver,CO 80203
Attn:Jenni L Mosier (303)831-3914 or Jenni.Mosier(ciJpdce.com
Property Number: 105.101246 Effective Date:March 5,2015
Property Name: Thornton 18L-401 CD e p I O C5- 123 _ 3 °/5(0 p�
Operator: PDC Energy,Inc T�f
County and State: Weld,Colorado
Property Townshiy 7 NorthiRanae 65 West_
Description: Section 18: SWSW(spaced W2—337.87 acres)
Production: X Oil X Gas X Other: all products
Owner Name OWNER NUMBER: 43444
and Address:
Weld County Board of Comm Type of Interest: RI
PO Box 758 Decimal Interest: 0.00047089
Greeley,CO 80632-0758 (0.86/337.87*100%*18.5%)
(Net Acres/Acres in Spacing Unit*%of net acres*Royalty Interest)
The undersigned certifies the ownership of their decimal interest in production or proceeds as described above payable by PDC
Energy,Inc.(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$50.00,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.
Special Clauses: (None or See tt ched Exhibit)
Owner(s)Signature(s): 4f1C14"- ` Barbara KirkmPyPr, Chair
Weld Coun y Commissioners
Owner(s)SSN/Tax I.D.Number(s): 84-6000-813 •�. a��t�r - •— datxdov 4
Owner Daytime Telephone: 970-3 6— 2� �,�..� • �
��` Cl= k the Bo •r.
Owner Email Address: � • `—v�- •
Deputy Cl k to t '- Rnard
!t: ����- k payer Identification Number.
Federal Law requires you to furnish , - ,� p Y
use► "1
Failure to comply will result in 2%o t., :. �11 not be refundable by Payor
.1114
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Retain t �., , �! cords 2015-3020(i)
Ca / LEo313
INSTRUCTIONS TO ALL INTEREST OWNERS
Dear Interest Owner,
PDC 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.
3 . If signing for a corporation, signature must be attested, corporate seal fixed and title of signatory party reflected.
4. 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.
5. Your correct mailing address should be noted in the space provided to insure prompt receipt of production proceeds.
6. The top copy or the "Original" of the Division Order should be returned to:
PDC Energy, Inc.
1775 Sherman Street, Suite 3000
Denver, Colorado 80203
Attn : Jenni L. Mosier
7 . Should you have any further questions regarding the enclosed Division Order, please contact PDC Energy, Inc. at (303) 860-
5836 or (888) 860-5836.
8 . Please DO NOT DETACH the exhibit from the Division Order or Transfer Order if one is included.
( PDC
4) ENERGY
Corporate Office
1775 Sherman Street, #3000 RECEIVED
Denver, Colorado 80203
303.860. 5800 JUL Z
www.pdce .com �� t�
WELD COUNTYCOMMISS
1ONE
RS
July 21 , 2015
Weld County Board of Comm
PO Box 758
Greeley , CO 80632-0758
Re : Division Order: Thornton 18L-401 ( 105. 101246 )
Dear Interest Owner:
Enclosed are two copies of our Division Orders for the above referenced well . PDC drilled the above
listed well at the end of 2014 and it started to produce in March of 2015 . These division orders lay out
your proportionate share of revenue from this well .
As soon as I receive an executed Division Order back from you , I will place your interest into pay status .
Please note , PDC will only issue a check once the accrued amount has reached $50 or more or it will be
paid annually , whichever occurs first. Our checks are cut and mailed around the 24th of each month .
Please follow the enclosed " Instructions to Interest Owners " for executing and returning one copy of
the Division Order to this office . The extra copy is for your records .
The cut-off for changes in accounting is the 10th of the month . If we receive your Division Orders after the
10th , the pay change will take place the following month .
If you have any questions pertaining to the calculation of your interest on the Division Order, please feel
free to contact me by e-mail at Jenni . Mosier@pdce . com . Changes in ownership or address should also
be directed to my attention . If you have questions pertaining to revenue or revenue checks , please
contact the Revenue Department at the Bridgeport Office .
Sincerely ,
PDC Energy , Inc .
'Cri(jAAN4) 4
Jenni L . Mosier
Division Order Analyst
/jlm
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- H O O
COGIS - WELL Information Page 1 of 1
COGIS - WELL Information
Scout Card Related Insp . MIT GIS a Doc COA � �` Wellbore
Surface Location Data for API # 05 - 123 - 39562 Status : PR
Well Name/No : Thornton # 18L-401 ( click well name for production )
Operator: PDC ENERGY INC - 69175
Status Date : 5/ 12/2015 Federal or State Lease #:
County : WELD # 123 Location : SWSW 18 7N 6 `.
Field : WATTENBERG - #90750 Elevation : 4 , 904 ft.
Planned Location 482 FSL 479 FWL Lat/Long : 40 . 5695/- 104 . 71413 Lat/Long Source :
Job Date : 2/27/2015
FráitFrac Focus Job End Date : 2/27/2015 Reported : 3/2/2015 Days to report: 3
Chemical Disclosure Registry
Wellbore Data for Sidetrack #00 Status : PR 5�
Spud Date : 10/22/2014 Spud Date is : ACTUAL
Wellbore Permit HORIZONTAL
Permit #: Expiration Date : 6/5/2016 3 : 52 : 51
Prop Depth/Form : 11899 Surface Mineral Owner Same :
Mineral Owner: FEE Surface Owner: FEE
Unit: Unit Number:
Formation and Spacing : Code : CODL , Formation : CODELL , Order: , Unit Acreage : 320 , Drill Unit: GWA
Casing : String Type : SURF , Hole Size : 12 . 25 , Size : 9 . 625 , Top : 0 , Depth : 875 , Weight: 36
Cement : Sacks : 830 , Top : 0 , Bottom : 875 , Method Grade :
Casing : String Type : 1ST , Hole Size : 8 . 75 , Size : 7 , Top : 0 , Depth : 8063 , Weight : 26
Cement: Sacks : 650 , Top : 500 , Bottom : 8063 , Method Grade :
Casing : String Type : 1ST LINER , Hole Size : 6 . 125 , Size : 4 . 5 , Top : 6749 , Depth : 11899 , W
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 : 7N 65W Footage : 734 FSL 1396 FFWLL Depth
Bottom Hole Location : Sec : 18 Twp : 7N 65W Footages : 500 FNS 1395 FFWLL Depth
Formation Log Top Log Bottom Con
Completed information for formation N -COM Status : PR
1st Production Date : 10/22/2014 Choke Size :
Status Date : 5/ 12/2015 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= 12339562&type=WELL 9/ 1 /2015
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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 ) : Thorson 18L - 401 CD File Location ( s ) : LEO333
BY : DATE : /
truce Barker - County Attorney
NOTES : . 86 mineral acres/ 337 . 87 acres spacing unit * 18 . 5 % = . 00047089 MATCH
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