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<br />2 <br />TOWNSHIP (write number and check direction) T p North South <br />RANGE (write number and check direction) R-77 2 East _ West <br />QUARTER SECTION (check one): NE NW SE SW <br />QUARTER/QUARTER SECTION(check one): NE --.__._NW _--SE ____--SW <br />GENERAL DESCRIPTION: (the umber of miles and direction to then est town and the approximate elevation): <br />[mg - c? roc <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 for this purpose:_____` <br />6. LAND OWNERSHIP <br />Private Public Domain (BLM) National Forest (USFS) <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. PROSPECTING 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 allows them to coordinate the review of the NOI in order to minimize administrative <br />processing time and effort. <br />A. CLA? IMAN7 <br />Name: ee-VL L c?tn//?2n C?? <br />``Z Z /j? <br />Address: co <br />P cvl rf S/ t ?_ g?ff`6L <br />Telephone: -I2y - !7Y- <br />Far Number: <br />B. SITE/CLAIM INFORMATIOK: <br />List names, serial numbers and provide legal description to nearest quarter-quarter section of all sites or claims (attach <br />additional page, if necessary). <br />NA <br />N1F SERIAL NUMBER LEGAL DESCRIPTION <br />14/ <br />4j -&-5 7 -9- 9-3 <br />Tff <br />rh <br />A. ?r?c 2?2 g2 <br />73 32