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2 (Form 2- Public) <br />TOWNSHIP (write number and check direction) 'r 4Z North ? South <br />RANGE (write number and check direction) R I East -West X <br />QUTARTER SECTION (check one):, NE NW SE X 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 />4ke- -6,,. vX C*44Ae .4yj rvi sodxk mw Ma;N a. 4 6te D..,er 1 + t <br />u felt . 1. $ twti;. ++ 'f?.t t?l~lrsu os. 144???1 M:r?t Cws?G M 4v -It•n A-A+ Lees."-, <br />¢ -n,u•, n?,?}t,,,,l t? r•,:. ?v 1.f. 34 it zC -hw J-+ ove...• <br />NCh: Supply longitude a la 'rude or UI:M coordina es if lands have not been surveyed or as supplemental information to <br />this NOI. GPS measurements will be acceptable for this purpose: LAS: 97 066* $S" A Lof4 <br />/trot bow-As ofesc+•;r?fi`or. •- ?_ <br />6. LAND OWNERSHIP <br />Private Public Domain (BLIM) National Forest (USFS) X <br />State State Sovereign Lands -_Other (please describe): <br />If prospecting is located on BLM or USFS land the remaining section must be completed, <br />otherwise go to section II Maps & Drawings <br />7. PROSPEcrING ON BUREAU OF LAND ,MANAGEMENT (BLM) LAND AND U.S. FOREST SERVICE (USFS) <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: M <br />Name: <br />Address: S 8 ?.' f tnH v. G 1?G? " <br />LAs VvaAS NV 8913o <br />u- <br />Telephone: _ ?-7 4Z _ 34.1- SIA .1_ <br />Fax `umber. ( -GS <br />B. SITE/CIA NI f FORMATION: <br />List names, serial numbers and provide legal description to nearest quarter-quarter section of all sites or claims (attach <br />additional page, ifnccessan,). <br />NAM SERIAL NUlvlB[ R LEGAL DESCRIPTION <br />See- 19,e h+ 64 A PS P ?GIro___ ??--'! 661 r Lew I