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I.the undersigned.being the NOI holder or the person authorized to sign on behalf of the NOI <br /> holder,declare that the information given in Ns NOI form is true and correct <br /> SIGNATURES MUST BE IN BLUE INK <br /> Signed and dated this r9 <br /> !;n �j day of o �F'�1 pf: 0 i 7 <br /> (date) (month) (year) <br /> Signature of NOI holder or person authorized to sign: <br /> Name(typed or printed): <br /> .MARK U-, 60,19AM 9 <br /> Title/Position: <br /> N:\mln\oss\slb\MineralsForms\ProspectForTnI <br /> 30 Aug 2017 <br /> Form I—DRMS Use and Confidential File Page 14 of 14 <br />