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 5 day of 0 , ()).4 <br /> (date) (month) (year) <br /> Signature of NOI holder or person authorized to sign: 0 1A . <br /> Name (typed or printed): <br /> Cci.--)..s. E U Ck.vAS <br /> Title/Position: \'( 0.--n(k.Ce-C. /Vv-o ? , <br /> M:\min\oss\s1b\MineralsForms\ProspectForm2 <br /> 30 Aug 2017 <br /> Form 2—Public File Page 14 of 14 <br />