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?., o6q, C? <br />RECEIVED <br />FEB 0 ? 2009 <br />Division of Reclamation, <br />Minha and sa <br />Form 2 (Public File) <br />NOTICE OF INTENT TO CONDUCT PROSPECTING OPERATIONS <br />FOR HARD ROCK/METAL MINES <br />Cj ECK ONE, There is an NOI Number Already Assigned to this Operation <br />NOI # P- (Please reference the file number assigned to this operation) <br />,g_New NOI <br />Modiflcation to an Existing NOI <br />NOW P- - (Provide for.Modifications to an existing NOI) <br />GENERAL OPERATION INNTORMATION <br />Type or print clearly, in the space provided, ALL information described below. <br />I. GENERAL INFORMATION <br />1. DATE NOT RECEIVED BY THE DIVISION: (office use on10 <br />2. PROJECT NAMEā€¢ <br />3. PROSPECTOR: PERSON WAS SHOULD CONTACT: <br />Name: .Toe Avis Name: Dav <br />Title: owner Title: owner <br />Company Name: _ Company Name: `.._ <br />Street: - Street: <br />P.O. Box: P.Q. Box: <br />City: City: <br />State: State: <br />Zip Code: <br />Telephone Number: <br />Fax Number: <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. LOCA1..CQN INFORMATION: <br />County: gatLMig-uel- <br />PRIINC'IPAL MERIDAP (cheek one) <br />SECTION (write number): <br />? 6sz (Colorado) _106' (New Mexico) (Ute) <br />S13 & 24 & 19