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11 <br />-ri0 <br />2 (FORM 2 - Public filing) <br />RANGE (write number and check direction) R East West <br />n <br />QUARTER SECTION (check one): 1 J NE NW SE SW <br />QUARTER/QUARTER SECTION (check one): �. NE NW SE U SW <br />GENERAL DESCRIPTION: (the number of miles and direction to the nearest town and the approximate elevation): <br />u i <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 />O vL ` S r' <br />e, 141 P.G(.S 0 heYrt eAk4 S' <br />LAND 0 i► I RSHIP <br />Private ■ Public Domain (BL National Forest (USFS) DK1 <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 />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 />G CLAIMANT: ff /fin <br />Name: -- 71/1") rrin,S 4 . / "I IIk <br />Address: S C -OI.h t' -i a <br />A r . \./a cXc, C c-I' rrxdP WhCYDD, <br />Telephone: <br />S <br />Fax Number: 3 () 2 - 1- f a0— 3 G, <br />H. SITE /CLAIM INFORMATION: <br />_ .r.. $ i7 44' <br />3c a lc/ vr)7 ° /V <br />fhco 35I54 °mil <br />- 11, 17 -4, e ';.c,A. <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 />NAME SERIAL NUMBER LEGAL DESCRIPTION <br />P. t` fd z 1-:J\ <br />�a 2b°) ,And, ) 7 <br />GI�1<. �82.as 1 E �n n l rr+ �1� Ght'nw(' 1 ) Sh - 1� \ e4 <br />AJnr- ( no) -�ri� X10»44,..4 co, ) n.75 co .Ze ioil. g� <br />SC� i l.. <br />- - f ' L , ( - �� 'h,vIt° � AJr". � 0 0 � - Gbr ruoi- i.ro A) r <br />‘00 �h. -PG c rno.r If I rt+ '�IA2 ��n l r 1\e 1 A)c,r14I.PC,g+ <br />