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 7��� day of T ebrglr <br /> (date) (month)/ (year) <br /> Signature of NOI holder or person authorized to sign: t <br /> Name(typed or printed): <br /> ii-y10 ( A ���aea-i <br /> Title/Position: <br /> a, .S, 69t,E,7 4-7 ✓l?a��Q <br /> y� <br /> M:\min\oss\slb\MineralsForms\ProspectForm2 <br /> 30 Aug 2017 <br /> Form 2—Public File Page 14 of 14 <br />