Laserfiche WebLink
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 16 day of e <br /> • ( te) (m th) ear) <br /> Signature of NOI holder or person authorized to sign: <br /> Name(typed or printed): <br /> Title/Position: <br /> M:\min\oss\slb\MineraisForms\ProspectForm2 <br /> 30 Aug 2017 <br /> Form 2—Public File Page 14 oj14 <br />