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B. SITE/CLAIM INFORMATION: <br /> List names, serial numbers and provide legal description to nearest quarter-quarter <br /> section of all sites or claims (attach additional page, if necessary). <br /> NAME SERIAL NUMBER LEGAL DESCRIPTION <br /> A141/o ok x'3 qk Co!dl%`*3S7 NEJq* SZ.9.4 TSF?N, 12/8 W <br /> l4-*/1oCJL -*3r GD!al548.3 JV9/+ A(914 SZV-,fTq-714vR_f8W <br /> 1 41/ems C0lb/S207gc7 IM14, WW .133A 7"1107M., KJ7ty <br /> �Se� A�Q t,lrc�t Lr'sf o�F Ga.•ys �Mao <br /> C. LOCATION MAP: Attach a USGS 7.5 minute quad,or similar map of adequate scale,which <br /> locates the prospecting site(s). <br /> D. Are prospect sites (e.g.,drill holes,trench ` <br /> locations, etc.) staked on the ground? Yes LJ No 0 <br /> E. Specify the Land Management Agency,Address and Telephone Number: <br /> Agency <br /> UaGoh dal+4v� Fie/ D��i ce <br /> Address <br /> Z 7" <br /> City, State, Zip <br /> Al*j.l yore GO 8/4_O <br /> Telephone 9 7A ) Zip o — S'3 o o <br /> F. The prospector is required to document that the NOI has been sent to the BLM or the <br /> USFS. Processing of the NOI will not begin until the prospector has submitted evidence <br /> acceptable to the Division that the NOI was sent to the BLM or USFS. Check one: <br /> 0 Evidence of notification is attached to this NOI for BLM Land <br /> FE] Evidence of notification is attached to this NOI for USFS Land. <br /> F030ther proof of notice is attached to this NOI <br /> Form 2 Page 4 of 14 <br />