HomeMy WebLinkAboutC2007-122 - 3/20/2007 - Approved~_ NADOA Model Form Division Order (Adopted 9/95)
Owner. City of Carpus Chrlsti
Deacript3on: Petp~s B #1
Complete Property @escriptqn Listed Below
Producqo~: X Oil X Gas Other
Date: 11 /14J2006 12:0O:OOAM
Effective Date: 10/01/2006
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Owr~er I~ame and ~ddress -- --- _-- -- --
City of Cor{~s Ch~fi
, Owner Number: 042938
I A Texas Mu~icipaF~orpo~lion
~ Type Interest: NRPI
I P O B~c 9277
Cap~ Christi,TX 7~8469-9~77
~ Decimal Interest: O.OQ052083
Phone Number. FAX Number.
The undArsigned ce~fies tlis o~mership of the dedmai interest in producUon proceeds as described payable by (Payor):
Weider Exploration and Production Inc
Pay~ sF~U be noti~ in w~pp, of any change in ownership, decimal interest, or payment address. All such changes shall
be efFectl-re the first ~ay of d~ month foliowing rea+eipt of such notice.
Payor is 8uthorized~ withht~l payment pending rrsolution of a title dispute or ad~rerse claim asgerted ~egarding the iMerest
in produdtion d~m he~ein'bp the undersigned.
The undqrsigned agll~es to i~ldsmnify and reimb~xae Payor any amount attributable to an interest to which the undersigned is
not entitkd.
Payor may accrue p~Ipc~eds ~il the total amount equals $100.00, or as required by applicable state statute.
Thia Div~ion Order~s not Mnend any I~se or t~erating agreement between the undersigned and the lessee or operator
or any oMer c~rttra for the purchase of oil or gas.
In additipn to the ter~s auM e~nditions of this Divqion Order, the undersigned and Payor may have certaln statutory rights
urxler ths laws of th~:atate irt~hich the Property i located. ~
~~~~~~T ~ ~~~~
owne~(s) sfgnature(s): x x ~
qpp~yed a6 b iorm: ril 1 t Za~1 ~. n~,,,Qp
,{ lJ`~`r-
Owner(s) Tax I.D. N~ber(s): ~ U~~'Sr 7~
dwner(s) Daytime Pllone #: ~/~ ~~' ~~~ ~ ~ ~tnn.du
Owner(sj FAX Num6iK: . _ ~° / ~v'" ~_~~ ~~
~.~r~
Pettus B-1 Well
8~.0 aci±es of land, situataeci within the Pedro Trevino Survey, Abstract 45 and Abstract 46, out of
a called 1556.72 acre tract of land in the name of J.M. Perius, as described in Partition Deed da.ted
Jt~ne 11, 1951, from R.L. Pettus, et al to J.M. Pettus, recorded in Volume 144, Page 85 of the
I~ed Re~cords of Goliad County, Texas,
2007-122
03/2{U07
Res02 7177 i~s you to fumish your Social Security or Taxpayer ldentification Numbe~.
Wc (der Et pIr-t~~itlolt .iitd PCOd. ~y ~^"~~ resWt in 2896 tax wlthhold~g and w(I! not be refundable by Payor.
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