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(FORM 2 - Puhlie filing) <br />RANGE (write number and check direction) R East West Lnj <br />QUARTER SECTION (check one): NE NW SE IX SW <br />QUARTER/QUARTE:RSECTION (check one): NE NW SEE]_SW <br />GENERAL DESCRIPTION: (the number of miles and direction to the nearest town and the approximate elevation): <br />' /' - 2 Allj os wE57- 0 F Cie C-90/2 COZ J. 9FF /fiAv -ARs GR. /2a, <br />NOTE: Supply longitude and latitude or UT M coordinates if lands have not been surveyed or as supplemental intormation to <br />this NOI. CIPS measurements will be acceptable for this purpose:_ -1 7 a -5-0 , 6S-r / A > <br />/ d 6 °7. 6 2,0 <br />lot/ <br />11. LAND O ERSHIP <br />Private Public Domain (BL National Forest (USES) <br />State State Sovereign Lands Other (please describe): <br />If prospecting is located on BLM or USFS land the remaining section must be completed, <br />otherwise go to section II Maps & Drawings <br />12. PROSPECTING ON BUREAU OF LAND MANAGEMENT (BLM) LAND AND U.S. FOREST SERVICE (USFS) <br />LAND <br />The Division and the BLM/USFS have entered into cooperative ag{eements that eliminate the need for a prospector to post a <br />financial warranty with each agency and allow them to coordinate the review of the NOI in order to minimize administrative <br />processing time and effort. <br />G. CLAIMANT: <br />Name: )W AR K CAPE <br />Address: SO 1 I Al Ls 2 3 reel Rh 46 <br />r i 6-HT ff 0j4& S P0, Al-r� jp�G. 7-3o 6 y <br />Telephone: 2 3 rj / y L/ y y H <br />Fax Number: -�--U3 7 9 O I <br />H. SITE /CLAIM INFORMATION: <br />List names. serial numbers and provide legal description to nearest quarter - quarter section of all sites or claims (attach <br />additional page. ifnecessary). <br />NAME SERIALNUMBER LEGAL DESCRIPTION <br />G 0 l� R #0 0 Inz X/i Al 6� 6 N7E K P Ri S �' S �% �/ S', � � 8 <br />