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Your text here. <br /> 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 DESCRIPTIONAII cairns are in T22s, R72w <br /> Rosie 20 CIVIC 285020 SEC 8 NWA NWA <br /> Rosie 36 CIVIC 285036 SEC 8 SWA SEA <br /> CIVIC 285038 <br /> Rosie 38 SEC 8 SEA SEA <br /> Rosie 39 CIVIC 285039 SEC 8 SEA SEA <br /> Rosie 72 CIVIC 285072 SEC 16 NWA NW/4 <br /> C. LOCATION MAP: Attach a USGS 7.5 minute quad,or similar map of adequate scale,which <br /> locates the prospecting site(s). <br /> D. Are prospect sites(e.g.,drill Boles,trench D <br /> locations,etc.)staked on the ground? Yes No <br /> E. Specify the Land Management Agency,Address and Telephone Number: <br /> Agency BLM Royal Gorge Field Office <br /> Address <br /> 3028 East Main Street <br /> City,Mate,zip Canyon City, CO 81212 <br /> Telephone ( 719 ) 269-8500 <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 /> XEvidence of notification is attached to this NOI for USFS Land. <br /> ® Other proof of notice is attached to this NOI <br /> Form I—DRMS Use and Confrden"File Page 4 of 14 <br />