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2 (FORM 2 - Publie filing) <br />TOWNSHIP (write number and check direction) T _ North [D South E�.I <br />RANGE (write number and check direction) R75 East West <br />QUARTER SECTION (check one):_. -0_NENW SE SW <br />QUARTER/QUARTER SECTION (check one): ENE NW SE CSW <br />GENERAL DESCRIPTION: (the number of miles and direction to the nearest town and the approximate elevation): <br />9 miles southwest of Georgetown, CO Elev. 12,500 feet <br />NOTE: Supply longitude and latitude or UTM coordinates if lands have not been surveyed or as supplemental information to <br />this NO[. GPS measurements will be acceptable for this purpose: <br />39 Degrees 38'30" N1 105 Dggrees 46' 20" W <br />I. LAND O + RSHIP <br />Private _V/ Public Domain (BL National Forest (USFS) . <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 agreements 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 NO[ in order to minimize administrative <br />processing time and effort. <br />G. CLAIMANT: <br />Name: <br />Stephen E. Hilgers <br />Address: 6499 Plateau Drive <br />Englewood CO 80111 <br />Telephone: 303-770-0745 <br />Fax Number: 303-221-6148 <br />H. SITEICLAIM INFORMATION: <br />List names, serial numbers, and provide legal description to nearest quarter -quarter section of all sites or claims (attach <br />additional page, if necessary). <br />NAME SERIAL NUMBER LEGAL DESCRIPTION <br />Santiago !_ode Claim U S M' eral Survey No. 12903 <br />Santiago No. 1 Lode Claim, U. S. Mineral Survey NO 5558 <br />