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2 <br />(Form 2- Public) <br />TOWNSHIP (write number and check direction) T 50 North. South. <br />RANGE (write number and check direction) R ) ?$ .-East.-_-.-.West <br />QUARTER SECTION (check one):__._ NE X -NAG _ SE _ SW <br />QUARTER/QUARTER SECTION (check one): NE _-._NW ----,,,,SE SW <br />GENERAL DESCRIPTION: (the number of miles and direction to the nearest town and the approximate elevation): <br />h M, le s SE .4- G,-? Co 6 00' <br />NOTE: Supply longitude and latitude or UTM coordinates if lands have not been surveyed or as supplemental information to <br />this NOI. GPS measurements. will be acceptable fo this purpose: A a4.W..._. <br />V <br />--Nk?n%._- k b.Sb I S 0 <br />41-7 4 X500 <br />6. LAND OWNERSHIP. <br />Private Public Domain (BUM) National Forest (USES) <br />State rv ___. State Sovereign, Lands _. _- Other (please describe): _ <br />If prospecting is located on BLM ar USFS land the remaining section.. must be completed, <br />otherwise go to section II Maps & Drawings <br />7. PROSPECTING ON BUREAU OF LAND MA??tAGEMFNT (BLhl) LAND AND U.S. FOREST SERVICE fUSFS) <br />LAND <br />The Division. and the BLM/USFS.have entered into cooperative agreements that eliminate the.need'for a prospector.to post a <br />financial warranty with each agency and allow them to coordinate the review of the NOI in order.to minimize administrative <br />processing time and effort. <br />A. CLAIMANT: <br />Name: A X-`14- ? S Ape CSLS <br />N %&A C-0 ?wtiay <br />Telephone: <br />Fax Number: d ?a y ` 7 b <br />B. SITE/CLAIM INFORMATION: <br />I,ist names, serial numbers and provide legal <br />additional page, if necessary). <br />NAME SERIAL-N.1 MBER <br />Ml- cML?b3?l 05 <br />HC. ?S m..CMC 04_i?...... <br />.VYL--*2k CMC U3418 <br />iption to nearest quarter-quarter section of all sites or claims (attach <br />LEGAL DESCRIPTION <br />i 5 N tJ Iy o_ Y4 <br />.._.. <br />?? S Nf `li _ a N w ` 4_ <br /> Ws"A