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<br /> <br />M~-~i <br />!~u~ ~ ~ zoos <br />- aoo8-o0~ <br />®1HlSIOPI 04 o~C'C~c,iYlatlC:'r t/ <br />PJiir~rng end S~i`e3y <br />Form 2 (Public Filej ND~1- Co~n~, <br />NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATIONS <br />FOR HARD ROCK/METAL MINES <br />CHECK ONE: There is an NOI Number Already Assigned to this Operation <br />NOI # P- - (Please reference the file number assigned to this operation) <br />New NOI <br />_~GModification to an Existing NOI / <br />NOI# P- ZC~c.?,~ ©rj (Provide for Modifications to an existing NOI) <br />'GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL information described below. <br />I. GENERAL INFORMATION ~~ <br />-'`' ~ 1. DATE NOI RECEIVED BY THE DIVISION: (otliee use only, <br />2. PROJECT NAME: l~ t'A,~ ,~'~.r9~,n ~"~ <br />3. PROSPECTOR: ~ PERSON MLR$ SHOULD CONTACT: <br />Name: ~` s!.~~ F~ ~i >/~ Nalne: __c~.?~.- ,fnsr./ai <br />Title: _~/l,,~Fi/-..>~ T ~ F~~nGSS /` Title: ~1~C»~z~9T. o.~ s t~l,~~ ~/~ff~ <br />Company Name: ~i/.?:1>r~s.~r-.x li~~~4~ Lim. Company Name: fJi,/aiyox~t-~~~~~) L.-i ~ <br />Sieet: -T,L~L~r- ~ -~~°t'Y<••~~ ,Q.r2iy'G- Street: //O~t /~ Si' ~ Y~•~'~- /~./r~~ <br />P.O. Box: P.O. Box: <br />City: Cil~"~i~~ <br />State: (~rl J~«r~i•~ <br />Zip Code: ~' 2 G> ~b <br />Telephone Number: <br />Fax Number. <br />City_ G„r~~i~'>6` <br />State: ~/,~r1..~G= _ <br />Zip Code: :~ °/p <br />Telephone Number. <br />Fax Number. <br />4. APPLICATION FEE: $86. (NOts require a $86 fee which must accompany this notice ortt cannot be processed by the <br />Division). <br />5. LOCATION INFORtlI(ATIQi~I: <br />1. <br />Pltl?:C`li`A!.:Y9FRIDA~I~' (check one) ~(Co[o~) It}a (New Ivlexico) (Ute)' <br />SEC?~iC`ti (urt=: ei:rtt~r): S ~~ <br />