lnstructions OKLAHOMA CORPORATION COMMISSION This form must be
filed with the Form 1073A. Please type or print using black or blue
ink.
B. Form must be signed by former operator and new operator.Oil
& Gas Conservation Division
Post Office Box 52000
OCC withir
of the well.Rev. 2016
C. Signatories must be listed on their companys Form 1006B.
Oklahoma City, OK 73152-2000
D. Fill in the complete legal description below. FEE:
$25.00Transfer of OperatorE. Direct questions to Well Records (405)
521-2271. Single Oil or Gas Well OAC 165.5-3-1(b)(1 )(N)
OAC16510-1-15 (SEE BACK PAGE FOR PAYMENT INFORMATION)
API No149-21138 OTC Prod 149-1145038
Unit No.SurfaceLocation
Sec. 18 Twp 09N Rge. 17w NW SW NE NW1/4 1/4 1/4 1/4
Ft FSL of900'
Qtr SecFt FWL of 1400'Qtr Sec
County WASHITA
Current Well PHILIS MASON 1-18Name/NumberOriginal Well
PHILIS MASON 1-18Name/NumberUnit Name(if applicable)Well Ciass:
QOIL EIGAS IDDRY
Specify a -ell status: (see back page)0 ND SP El AC TA 0 TM
DO NOT WRITE INSIDE THIS BOX6 LukP C.OM
RECEIPT 1709700010
hte: 05;10/2017 Time: 11:02
'Ase: 000000009 Casnicr:
P • ior: PLFF:C PEODUCTION 'NC
Cmock: 77886 $23.00
t18 WELL TRANSFER-OPER
Use this form to transfer single oil or gas wells only. Use Form
1073MW to transfer 10 or more wens.
Producingformation(s)
VIRGILIAN
The effective date of transfer of this well, for the purposes of
Commission records,
is the date that the transfer is approved by the
Commission.OCC/OTC No.
CURRENAPPERATOR 23541 N W OPERATORName
MADURO OIL & GAS, LLC
Address3102,MAPLE AVENUE, SUITE 400
CityDALLAS State TX Zip 75201
Phone(214) 953-9399No.
FAX No./E-maimmccray©maduro-og.com
l verify that I am the legal operator of record with authority
to transferoperatorship of this well, that the facts presented
herein are true and correct,and that I have completed this form as
required by the above instructions.
(Signatory must be listed on companys Form 1006B Operator's
Agreement)
Signaturettttttt in
tttttttttttt Marquita ray, Manager# ‘4. fry,
,.W.44,e-68.-Titii.t*,4 or Printed)
f4.*W') I Ai8);'•/1' '''s•.Signed and sworn.to IV-fore me
this11431Firay oi i, Ap ' 2017EXP. 6/16/20 : ::-.7
Ifk• ,._cri..--•.. ,,, r•-. ...'N ;;;* eo,
ZDAUP,)k'll`k.'f...1./Bi..\`-.' ',N,* 0 ,?
..,,,v ^„'••••' * 'c ',0•N Notary Public i ./ifkihritriei *Ores:
1‘ " Jad
IOCC/OTC No.23727
Name BUFFCO PRODUCTION j-ttc-
Address PO BOX 2243
City LONGVIEWState TX Zip 75606
Phone 903-988-8199No.
FAX No./E-mail903-988-8609
Being the new operator, as of the effective date of
transfer,
l accept the facts presented as being true and correct and
accept the
operational responsibility for the well on the described
property.
(Signatory must be list on company's Form 10 Operator's
Agreement)
/0°27
SignatureFrank atifkin, President
Name & Title (Typed or Printed)
• • r • - I a worn to before me•• 'i 4 r day of et , fii0/t
i ., i CNOotzPEub)rtate. of T4I;ttttt
4
. NO: 15- - z —( -ZeZo
I verify under oath that I have exercised due diligence in
attempting to locate the current operator of record according to
OCC records,who has abandoned the listed well/lease and cannot be
located to obtain signature. l have attached a certified copy of
the recorded leaseor assignment, or certified copies of a journal
entry of judgment or bankruptcy proceeding pursuant to OAC
165:10-1-15(b).
Signed and sworn to before me this
My commission expires:
day of
Signature
FOR OCC USE ONLY
Surety Approved Date
Well
Records
Review:
MAY 1 Z L6
WEL:APilliz sii_,
MAY 1 2 2011
WELL RECORDS
APPROVED
Notarv Public
By processing this Form 1073, the Oklahoma CorporationCommission
has approved the contents thereof as to form only. The
Oklahoma Corporation Commission does not warrant that the
factsprovided by the operator are true.
Transfer is not effective until approved
by the Well Records Department.
Janie Hlinicky
From: Janie HlinickySent: Friday, May 12, 2017 1:54 PMTo:
'[email protected]'; '[email protected]'Subject: Well
Transfers
To Whom It May Concern,
We have approved the transfer of the 11 wells listed below from
Maduro OiI & Gas LLC (23541) to Buffco Production Inc
(23727).
039-20676 LARUE 1-17 17-12N-18W
039-21092 WILLIAMS 2-31 31-13N-16W
039-21428 OSCAR COLLINS 7-2 7-13N-16W
039-21480 MILLER 8-A 8-13N-16W
149-20883 HSR CAIN 1-26 26-18N-18W
149-21040 BEECH 1-15 15-9N-17W
149-21066 MARY ANN 1-16 16-9N-17W
149-21097 BONHAM 1-29 29-9N-17W
149-21119 BOOTHE FARMS 1-2 2-9N-18W
149-21138 PHILIS MASON 1-18 18-9N-17W
149-21262 ED HINES 1-12 12-9N-18W
Images of the approved forms will be available online in the
next few days.
Sincerely,
Janie HlinickyOklahoma Corporation CommissionWell Records
SectionPhone: 405.521.2271Fax: 405.522.0854
[email protected]
Oklahoma Corporation Commission
There are new forms for transfers. 1073 for single well, 1073MW
for 10+ wells, 10731 for single injection well, 10731MW for10+
injection wells. Fees for transfers went into effect August 25,
2016. The amounts of the fees are on the forms.
1
