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2. Type of labor and improvements (specify what was done and give the total value for that labor and <br /> improvement to show at least$100 for each claim). If a geological,geochemical,or geophysical survey was <br /> performed, as per 30 U.S.C.28-1,reference the title of the report of survey,give cost and date of the survey <br /> and report,and indicate it was filed with the County Recorder: <br /> Value of Work Date Work Was <br /> Description of Work Performed Performed Performed <br /> Restoration of prior mining efforts. Filled holes. Leveling. Reseeding $225 Various- <br /> Between April and <br /> September 2019 <br /> 3. Name and mailing address of each person who performed the labor and improvements: <br /> Name(please print) Current Maili� Address(please print) <br /> Robert Berry 3871 Black Feather Trail <br /> Castle Rock, CO 80-14 <br /> 4. Name and mailing address of each person who holds and claims the subject mining claim(s)for the valuable <br /> minerals contained therein. Be sure to indicate if there is a change of address: <br /> Name(please print) Current Mailing Address(please print) <br /> Robert Berry 3871 Black Feather Trail, <br /> Lauren Berry Castle Rock, CO 80104 �� a <br /> y, <br /> 7.1 <br /> 5. The undersigned testifies that on the date of April 15th , 2016, all monuments <br /> required by law were erected upon the subject claim(s), and all notices required by law were posted on the <br /> subject claim(s) or copies thereof were in place, and at said date, each corner monument bore or contained <br /> (Continued on page 3) (Corm 3830-4,page 2) <br />