Lease Modification Form

Leasing of Osage Reservation Lands for Oil and Gas Mining (25 CFR 226)

Osage_Lease Modification Form

Lessee submits request for lease modification

OMB: 1076-0180

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OMB# 1076-0180

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MODIFICATION OF MINING LEASE


CONTRACT NO: APPROVED:


LESSOR: Osage Nation LESSEE:


Covering property described as: SW/4 of Section 30, Township 20 North, Range 12 East, Osage County, Oklahoma, containing 160 acres, more or less.


Now, therefore, the Gas Mining Lease is modified to include conventional Oil Mining Lease rights, pursuant to Osage Tribal Council Resolution 30-1235 and 25 CFR 226.


This modification does not change any of the terms, conditions, or stipulations except as specifically set forth herein,



Lessee Signature: [Insert] Date



Lessor Signature: Chairman, Osage Minerals Council Date




UNITED STATES DEPARTMENT OF THE INTERIOR


The modification is hereby approved and declared to be in accordance with the rules and regulations prescribed by the Secretary of the Interior, thereunder, and now in force, (25 CFR 226)




Superintendent, Osage Agency Date


Under the authority delegated by 200 DM 1, 209 DM 8, 230 DM 1, 3 IAM 4.1 and Muskogee Area

Addendum 9901 to 3 IAM 4 issued June 22, 1999.

File Typetext/rtf
File TitleMODIFICATION
AuthorIndian Affairs User
Last Modified BySYSTEM
File Modified2018-07-31
File Created2018-07-31

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