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<br />_2_ <br />6. Does <br />confidentialY <br />the request. <br />the prospector wish this report to be considered <br />(See Rule 2.02.7(2)). NO If yes, attach a justification for <br />7. Additional Comments: <br />I, the undersigned, hereby certify that the exploration activities for which I <br />posted bond are completed, and that, to the best of my knowledge, all <br />applicable reclamation requirementrs have been met. <br />ROBBIE WILLSON <br />Title: GEOLOGIST <br />Authorized Operator <br />Representati ve <br />The foregoing instrument was acknowledged before me this a~ day of <br />~~ by ,~~.G~, f ~~, //5~,.) as <br />-eol~',S'~- ofa~i ~~s~st <br />_ ~ <br />- \/J4~T <br />_~ <br />'l <br />'~~ -_ . <br />My Commission Expires: <br />Doc. No. 2949 <br />Operator. <br />r' <br />Notary Public <br />~ /~' S~ <br />(Rev. 5/83) <br />