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2 (Fotrn <br /> _ a a <br /> TOWNSHIP(write number and check direction TjA<North <br /> RAN9E(write number and check dire ) R East est <br /> QUARTER SECTION(check one): LJ NE NW SE 1� SW <br /> QUARTER/QUARTER SECTION(check one): NE NW SE-DSW <br /> GENERAL DESCRIPTIONnn:(the number of Writes and direction to the nearest town and the approximate elevation): <br /> rg' C b l a FAD A-&ft R� <br /> NOTE: Supply longitude and latitude or UTM coordinates if lands have not been surveyed or assupplemental information to <br /> this NOi. GPS.measurements will be acceptable for this purpose: <br /> 4-r-i- f5w i/� crF -rum p rr ( Sc <br /> !f I T60PSW P a.: 5 RA10 se ct Lj j t- P.tn. <br /> 6. LAND O ERSHIP <br /> Private Public Domain(BLMI M 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 H Maps&Drawings <br /> 7. PROSPECTING ON BUREAU OF LAND MANAGEMENT(BLM LAND AND U.S.FOREST SERVICE(USFS1 <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 NOI in order to minimize administrative <br /> processing time and effort. <br /> A. CLAIMANT: <br /> Name: ��1L <br /> Address: Paxt <br /> Telephone:�p <br /> Fax Number: <br /> B. 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,if necessary). <br /> NAME SERIAL NUMBER LEGAL DESCRIPTION <br />