HomeMy WebLinkAbout20141306.tiff NADOA Model Form Division Order(Adopted 9/951
Y1 noble DIVISION ORDER
t� energy
Return To: NOBLE ENERGY,INC Desk Code: MPP 137316
1625 BROADWAY STE 2200 Date: DEC 20 2013
DENVER CO 80202 US Effective Date: DEC 2013
RECEIVED
Property Name: JONES WALTER 01-26 CD
Operator: NOBLE'ENERGY,INC MAR 2 6 2014
County/Parish and State: WELD, CO fl pi 05-03.../0 999
WELD COUNT)/
Property Description: Refer to next page for property description attachment
P COMMISSIONERS
Product: ALL
OWNER NAME PROPERTY# OWNER# INTEREST
WELD COUNTY CO 432132229 124102-8 0.00013906 RI
BOARD OF COUNTY COMMISSIONER
1150O ST
P O BOX 758
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 in January of each year,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 Noble may have certain statutory rights under the laws of the state in which the
property is located.
Special Clauses: ,� - -9
Owner(s)Signature(s): c'�J'O J /4D� Cvk111i014 Douglas Rademacher, Chair
Owner(s)Tax I.D.Number(s): / )f '
TIN(s)or SSN(s) 84-6000-813 Attest:
Clerk to the Board Eta
Owner Daytime Telephone/Fax#: 970-336-7204 B :
Deputy Clerk to the Boa
Address Correction: 1161 t
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.
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NOBLE ENERGY,INC. Property Description Attachment
Property Name : JONES WALTER 01-26 CD
Operator : NOBLE ENERGY, INC
County/Parish and State : WELD, CO
prooerty Description
T6N R66W SEC 26:W2NE,CONTAINING 80 ACRES MORE OR LESS,WELD COUNTY,CO
110 West Broadway F f.-i noble
Ardmore,OK 73401 L energy
• Tel:580.223.4110
Fax:580.221.1364
www.nobleenergyinc.com
Dear Interest Owner:
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. Ilob'a Energy, Inc. does not accept atered Division Orders Tnerefore, our
division order has been altered. Noble Energy, Inc vvile st:ll make disbursements based on the
ownership and interest stated on Cu.- dr:,sion order, unless otherwise advised in v;rir:ng
IndividualsSlgn you- name as it appears on the D vision Order
Joint Ownership-Snould be signed by a'I owners sho;m on the Division Order.
Coroorations-The name of the Corporat.on as vre'I as the name and title of the person signing
the document must be Included.
Signature by other than named owner-If tne D,i'is'ion Order is signed by an agent, atone,-Im
fa=ct, guardian, trustee or any part/ other than the named owner, please provide a cop/ of tne
document C,hich autncri?es hlm!h_r 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.
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SCALE: 1": 1000'
In accordance with a request from Bellwether Exploration Co. ,
Flatirons Surveying has determined the location of Walter Jones #1-26
to be 'in the SW4 of the NE4 of Section 26, T6N, R66W, Sixth Principal
Meridian, Weld County, Colorado, surveyed as shown above. Elevation
of 4595' at location is based on USGS Greeley 7.5' Quadrangle, spot
elevation of 4691' on the road surface at the intersection of Weld Co.
64 and N. 35tkti-Ave. along the E line of Section 26.
S,-) 0
,
Flatirons Surveying
— '` • O,: C; •.' ,r'` 855 Broadway, Ste . 4
r
'; z- :..'•" Boulder , CO 80302
COGIS - WELL Information Page 1 of 2
COGIS - WELL Information
Scout Card EM® Related Q Insp.Q MIT 0 GIS a Doc $Wellbore -S Orders
Surface Location Data for API # 05-123-10999 Status: PR
Well Name/No: JONES, WALTER#1-26(click well name for production)
Operator: NOBLE ENERGY INC- 100322
Status Date: 6/11/2004 Federal or State Lease#: 55645
County: WELD#123 Location: SWNE 26 6N 66W 6 PM
Field: BRACEWELL -#7487 Elevation: 4,695 ft.
Planned Location 1980 FNL 1980 FEL Lat/Long:40.461084/-104.741931 Lat/Long Calculated From Footages
• As Drilled Location Footages Not Available Lat/Long:40.461129/-104.741951 Lat/Long Source: Field Measured
Wellbore Data for Sidetrack #00 Status: PR 6/11/2004
Wellbore Permit
Permit#: 830015 Expiration Date: 5/6/1983
• Prop Depth/Form: Surface Mineral Owner Same:
Mineral Owner: FEE Surface Owner:
Unit: Unit Number
Formation and Spacing: Code: CODL, Formation: CODELL,Order 0, Unit Acreage: 0, Drill Unit:
Wellbore Completed
Completion Date: 2/13/1983
Measured TD: 7250 Measured PB depth: 0
True Vertical TD: 0 True Vertical PB depth:
Casing: String Type: SURF , Hole Size: 12.25, Size: 8.625,Top: 0, Depth: 414,Weight:
Cement: Sacks: 300,Top:0, Bottom: , Method Grade:
Casing: String Type: 1ST, Hole Size: 7.875, Size:4.5,Top: 0, Depth: 7250,Weight:
Cement: Sacks: 0,Top: 0, Bottom: , Method Grade:
Formation Log Top Log Bottom Cored DSTs
PARKMAN 3612
SUSSEX 4394
SHANNON 4816
NIOBRARA 6795
FORT HAYS 7073
CODELL 7102
CARLILE 7121
Completed information for formation CODL
1st Production Date: 4/2/1983 Choke Size:
Status Date: 6/11/2004 Open Hole Completion: N
Commingled: N Production Method: FLOWING
Formation Name: CODELL Status: PR
Formation Treatment
Treatment Date: 2/13/1983
Treatment summary: REPERF CODELL 7102-7118(64 HOLES). REFRAC CODELL W/132,762 GAL VISTAR 28#GEL&
245,1803 SAND, 3/2/04,
Tubing Size: 2.375 Tubing Setting Depth: 7096
Tubing Packer Depth: Tubing Multiple Packer:
Open Hole Top: Open Hole Bottom:
Initial Test Data:
Test Date: 6/11/2004 Test Method: FLOWING
Hours Tested: 24 Gas Type: WET
Gas Disposal: SOLD
Test Type Measure
BBLS_H2O 0
BBLS_OIL 3
BTU-GAS 1299
CALC_BBLS_H2O 0
CALC_BBLS_OIL 3
http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12310999&type=WELL 4/21/2014
COGIS - WELL Information Page 2 of 2
CALC_GOR 10333
CALC_MCF_GAS 31
CASING_PRESS 720
GRAVITY_OIL 59
MCF_GAS 31
TUBING_PRESS 600
Perforation Data:
Interval Bottom: 7118 Interval Top: 7102
#of Holes: 104 Hole Size: 0.42
http://cogcc.state.co.us/cogis/FacilityDetail.asp?facid=12310999&type=WELL 4/21/2014
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): Jones, Walter 1-26 File Location(s): LE0070-4
BY: Ar41,4eAgi*A-us> DATE: z/Z/ / f
Stephanie Arries
Assistant County Attorney
NOTES: .089 mineral acres/ 80 acres spacing unit *12.5 % = .000139 Match
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