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B. SITE/CLAIM INFORMATION: <br /> List names, serial numbers and provide legal description to nearest quarter-quarter <br /> section of all sites or claims (attach additional page, if necessary). <br /> NAME SERIAL NUMBER LEGAL DESCRIPTION <br /> �#Y,5 dA&ZZ&55 423 6VkAl 6/7O &ff-/ <br /> 4'k #Aal (AL VSX7 :�_3 eO�N D/7/.0 01 <br /> C. LOCATION MAP: Attach a USGS 7.S minute quad, or similar map of adequate scale,which <br /> locates the prospecting site(s). <br /> D. Are prospect sites (e.g.,drill holes, trench <br /> locations, etc.) staked on the ground? Yes No <br /> E. Specify the Land Management Agency, Address and Telephone Number: <br /> Agency Bureau of Land Management, Uncompahgre Field Office <br /> Address 2465 S Townsend Ave. <br /> City, State, Zip Montrose, CO 81401 <br /> Telephone (970 )240-5300 <br /> F. The prospector is required to document that the NOI has been sent to the BLM or the <br /> USFS. Processing of the NOI will not begin until the prospector has submitted evidence <br /> acceptable to the Division that the NOI was sent to the BLM or USFS. Check one: <br /> Evidence of notification is attached to this NOI for BLM Land <br /> Evidence of notification is attached to this NOI for USFS Land. <br /> 1:71 Other proof of notice is attached to this NOI <br /> Form 2- hiblie Nile Pine 4 ol'14 <br />