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G. CLAIMANT: <br />Name: <br />Address: <br />H. SITE /CLAIM INFORMATION: <br />NAME <br />2 (FORM 2 - Public filing) <br />RANGE (write number and check direction) R 1 East West <br />QUARTER SECTION (check one): F <br />'NE NW SE U SW <br />QUARTER/QUARTER SECTION (check one) NE __ NW !1 SE l SW <br />GENERAL DESCRIPTION: (the number of miles and direction to the nearest town and the approximate elevation): <br />As Are <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 />11. LAND O ERSHIP <br />Private Public Domain (BL I� National Forest (USFS) <br />State _ J L State Sovereign Lands _J LOther (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 />12. 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 allow them to coordinate the review of the NOI in order to minimize administrative <br />processing time and effort. <br />Telephone: <br />Fax Number: <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 />SERIAL NUMBER LEGAL DESCRIPTION <br />