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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 16 day of Sop i'e vthe 3.24 <br /> (date) (month) (year) <br /> Signature of NOI holder or person authorized to sign: <br /> Name(typed or printed): /16- ,���1/:,1 �Gr /i <br /> Title/Position: <br /> RtAIAR.i I J/ENS:ty <br /> M:\min\oss\slb\MineralsForms\ProspectForm2 <br /> 30 Aug 2017 <br /> Form 2-Public File Page 14 of 14 <br />