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I,the undersigned.being the NOI holder or the person authorized to sign on behalf of the NO1 <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 19 f-� day of j 111 '2 Q <br /> �23- <br /> (date) (m nth) (year) <br /> Signature of NOI holder or person authorized to sign: I j ,(�) <br /> Name (typed or printed): Rodney A Blakest <br /> Title/Position: Consulting Geologist <br /> M:\min\oss\slb\Mineral sForms\ProspectForm2 <br /> 30 Aug 2017 <br /> Form 2—Public File Page 14 of 14 <br />