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Drill Hole Completion Form <br />o0 <br />BLACK RANGE <br />MINERALS <br />Hole Number: 14N ,0DO0ot <br />Completion Date: 0511--i <br />Total Depth: - in1 .9 <br />Drilling Company: ,A s„,„itt, a�v.11� <br />Head Driller: •-„„),) , A , <br />Instructed By Geologist To <br />Cement From (ft): <br />Geologist's Signature: <br />Head Driller Signature: <br />Cement To (ft): C) <br />Total Plug Gel <br />Instructed: 3, too 1h) 10, al , <br />Actual Use: 10� I hr 6� f <br />Total Cement <br />Instructed: c 8 <br />Actual Use: G p /Do 16r ba <br />/00 /bs c. ) <br />