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I.the undersigned,being the NO!holder or the person authorized to sign on behalf of the N0I <br /> holder, declare that the information given in this N0I form is true and correct. <br /> SIGNATURES MUST BE IN BLUE INK <br /> Signed and dated this 31.( day of 1- • ( , 1-0 2 5_ <br /> (date) (thonthy (year) <br /> Signature of NOI holder or person authorized to sign: <br /> Name (typed or printed): ` o c N / <br /> Title/Position: s , . <br /> M:\min\oss\slb\MineralsForms\ProspectForm2 <br /> 30 Aug 2017 <br /> Form 2—Public File Page 14 of 14 <br />