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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 DESCRIPTION <br /> Reis 4 1o'M � AL <br /> t':�'MI�181 <br /> R+o�is 5 0o 1a 3mood <br /> RoWe 7 CO 10137WO <br /> Rpgilg 9 CO 101NOW2 <br /> Rosie 13 Co 101376976 <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 holes,trench <br /> locations, etc.) staked on the ground? Yes Fv] No ❑ <br /> E. Specify the Land Management Agency,Address and Telephone Number: <br /> Agency BLM Royal Gorge Field Office <br /> Address 3028 East Main Street <br /> City, State, zip Canyon City, CO 81212 <br /> Telephone (719 ) 2698500 <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 /> 10 Evidence of notification is attached to this NOI for BLM Land <br /> ID-1 Evidence 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 Confidential File Page 4 of 14 <br />