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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 this NOI form is true and correct. <br /> SIGNATURES MUST BE IN BLUE INK <br /> Signed and dated this 5 A-V'day of m <br /> (date) (month) (year) <br /> Signature of NOI holder or person authorized to sign: /14( <br /> a 1% M <br /> Name (typed or printed): <br /> Title/Position: c' ES ae,V\t <br /> M:\min\oss\slb\MineralsForms\ProspectForm2 <br /> 30 Aug 2017 <br /> Form 2—Public File Page 14 of 14 <br />