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 /> I Sp1-e li '"4- <br /> Signed and dated this lb day of �' �� <br /> (date) (month) (year) <br /> Signature of NOI holder or person authorized to sign: <br /> Name(typed or printed): Alatt4W1 ild67 <br /> Title/Position: <br /> MR.AIAR Ike /ENS:N <br /> M:\min\oss\slb\MineralsForms\prospectForm2 <br /> 30 Aug 2017 <br /> Form 2-Public File Page 14 of 14 <br />