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G. CL <br />Name: Michael J. Bergmann <br />Address :11086 Golf View Drive <br />Galena, IL 61036 <br />2 (FORM 2 - Public filing) <br />RANGE (write number and check direction) 1 East West <br />QUARTER SECTION (check one): El NE NW SE ✓ SW <br />QUARTER /QUARTER SECTION (check one): NE NW SE Y SW <br />GENERAL DESCRIPTION: (the number of miles and direction to the nearest town and the approximate elevation): <br />Approximately 6 miles west of the town of Alma at about 12,500 ft in elevation. <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 />Telephone: 815 -777 -1982 <br />Fax Number: <br />Public Domain (BL National Forest (USFS) <br />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 />H. SITE /CLAIM INFORMATION: <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 />N AME S RIAL NUMBER LEGAL DESCRIPTION <br />Sara Rose- CMC- 256219- SW1 /4, SW1 /4, Section 28, T8S, R78W, 6th PM, Park Cty <br />