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NON CONFIDENTIAL <br />Form 2 (Public File) <br />NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATIONS <br />FOR HARD ROCKJMETAI, MINES <br />CHECK ONE: There is an NOI Number Already Assigned to this Operation <br />NOI # P-A uog .-.06.1 (Please reference the file number assigned to this operation) <br />--&_New NOI <br />Modification to an Existing NOI <br />NOW P- - (Provide for IVIodifieations to an existing NOD <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL information described helow <br />1. GENERAL INFORMATION <br />(office use only) <br />3. PROSPECTOR: <br />Name: <br />Title:. y(°l9! D ?1? <br />Company Name: <br />?d??, Ii'!C <br />Street: ?/??'? ??n ?i?!,,??; <br />PERSON MLRB SHOULD CONTACT: <br />Name: e <br />Title: 6&-"! L4q _ k 47Z? <br />Company Name: <br />Street: <br />P.O. Box: <br />City: /. ?a- <br />State: <br />Zip Code: <br />Telephone Number: <br />Fax Number: <br />P.O. Box: <br />City <br />State: _...?Q? <br />Zip Code: <br />Telephone Number: <br />Fax Number:, <br />4. APPLICATION FEE: $86. (NOls require a $86 fee which must accompany this notice or it cannot be processed by the <br />Division). <br />5. LOCATION INFORMATION: <br />County: <br />PRINCIPAL MERIDAN.(check one) .__6th (Colorado) ____ Iq6' (New Mexico) (Ute) <br />SECTION (write number): S