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RECEIVED
O,". — i jr^ -1-~-. - ,'~: l, M 3 L,u
r (-.SSESSMENT
tSSS^n-^noa-nt Declaration off AsMMmtnt Worknonntfn Ufjvapjoprrwni . e*.. . * ^and Mines Performed on Mining Land
Act. NO) Md N0), K.S.O. ItW
l MJbMcUona 65(2) and 66(3) of ttw Mining Act. Under eection 6 of the r*vl*w tht cnMMnenl work end correspond wtth th* rnMng land holder. Recorder, Ministry of Northern Development and Mine*. 8th Floor,
42A08NE2004 2.18921 COOK 900
Instructions: - For work performed on Crown Lands before recording a claim, use form 0240. - Please type or print in ink.
1. Recorded holder(s) (Attach a list if necessary) 2.18921Name
AddressJ? r. L l Tn.
Client Number
Telephone
Fax Number
Name
Address
Client Number
Telephone Number
Fax Number
2. Type of work performed: Check ( ^ ) and report on only ONE of the following groups for this declaration.
D Geotechnical: prospecting, surveys, assays and work under section 18 (regs)
Physical: drilling, stripping, trenching and associated assays [ 1 Rehabilitation
Work Type ^ ̂ y. ] tiaihl* Qir r 7
Dates Work . — - Perlormed Ffom J , 8 1 111
Dly t Month | YMIGlobal Positioning System Data (il available)
*J frctfe^W
y -Day j Month | Ycnr
Township/Area
M or G-Pmn Number
Office Use — -
Commodity
-Tiqlall Value ot WorFpJalmed ^5 CO -^t^
NTS Reference y — /V
LMining Division ^ m J ̂ rT^a k e^
Resident {Geologist Dlsklct cj^'r^i^^ -K/xA-^' '
Please remember to: - obtain a work permit from the Ministry of Natural Resources as required; \- provide proper notice to surface rights holders before starling work;- complete and attach a Statement of Costs, form 0212;- provide a map showing contiguous mining lands that are linked for assigning work;- include two copies of your technical report.
3. Person or companies who prepared the technical report (Attach a list if necessary)Name y j/ '
Q ha ci e- ? f^Amf/A t^Address ,
7 *2 y/t^'C" ^i^eeT Api" (Z f~*^Nanw f T. ^*M^rtm'4ts 0**.-f~
Addioss
Name
A"*', J:.
4. Certification by Recorded Holder or Agent
1, .04 cry /c J /^ff/f S fa C- 1 .do hereby certify that
Telephone Number
f0.T- 7 jy - jyt*3?Fax Number
Telephone Number
Fax Number
Telephone Number
Kax Number f^iClOitri V l— t*
OCT 1 9 F^p -GEOSCIENCE ^SESSM^T
1 have oersonal knowledoe of the facts setm _(Print Name)forth in this Declaration of Assessment Work having caused the work to be performed or witnessed the same during or after its completion and, to the best of my knowledge, the annexed report Is true.
Signature ol Recorded Holder or Agent
Agent's Address
3 5 ^Si"-NumberZ^^^^^^ear^*^ T1^ — ^^..
(Telephone Num
^,: ̂ _ if o r- f j v
Dale
QcioLej-JJeFax Number
the mining land where work was performed, at the time work was performed. A map showing the contiguous Hnk mu* accompany IN* form.
Mining CWm Number. Or Nwork was done on other eligible mining land, show to this column the location number Indicated on the claim map.
eg
eg
eg
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
TB 7827
1234567
1234568
*8A9iO |
L i 05811J 20 X 012
'
Number of CWm UnNs. For othermining land, list hectares.
16 ha
12
2
y
f 147\ liftt-nifs
4fcUv^
Column Totals
Value of work
claim or other mining land.
S26, 825
0
S 8, 892
.j - 5r^uf3~.~?ob,,
Value of work spotted lo this daim.
2.N/A
524,000
S 4,000
41 a Gff@Jf 3 i Ji/ y
&I.600
t
13200
Value of work assigned to other mining claims.
1892124.000
0
0
r
' N
Bank. Value 61 wor to be distributed •Hi tutur^ date.
f52,825
0
14,892
^jQ
If 100i. Mt**MA L L
(Print Full Name), do hereby certify that the above work credits are eligible unde
subsection 7 (1) of the Assessment Work Regulation 6/96 for assignment to contiguous claims or for application to
the claim where the work was done.Signature of Recorded Holder or Agenl Authorized in Writing
6. Instructions for cutting back credits that are not approved.
Some of the credits claimed in this declaration may be cut back. Please check ( ^ ) in the boxes below to show howyou wish to prioritize the deletion of credits:
D 1. Credits are to be cut back from the Bank first, followed by option 2 or 3 or 4 as indicated. D 2. Credits are to be cut back starting with the claims listed last, workiTig backwards; or D 3. Credits are to be cut back equally over all claims listed in this declaration; or C2- 4 Credits are to be cut back as prioritized on the attached appendix or as follows (describe):
J20 fg 72.
Note: If you have not indicated how your credits are to be deleted, credits will be cut back from the Bank first, followed by option number 2 if necessary.
For Office Use Only_____________Received Stamp Deemed Approved Data
0241 (02/96)
Dale Approved
Date Notification Sent
Total Value of Credit Approved
Approved lor Recording by Mining Recorder (Signature)
Ontario Ministry ofNorthern DevelopmentandMnes
Statement of Costs for Assessment Credit
Transaction Number (office use)
Personal information collected on this form is obtained under the authority of subsection 6 (1) of the Assessment Work Regulation 6/96. Under section 8 of the Mining Act, this information is a public record. This information will be used to review the assessment work and correspond with the mining land holder. Questions about this collection should be directed to a Provincial Mining Recorder, Ministry of Northern Development and Mines, 3rd Floor, 933 Ramsey Lake Road, Sudbury, Ontario, P3E 6B5. 2.
Work Type
f rv. |!^ l^^r T™ \^ \ ^^^ ^i~^^
Units of workDepending on the type of work, list the number of hours/day worked, metres of drilling, kilometres of grid line, number of samples, etc.
J/ Jay^ y: 3. m^12 Vr\ dftv/ 6Y
Dinptfi'nqr ^r '//•fi-Tf'dA/'Tv^'^
,
Associated Costs (e.g. supplies, mobilization and demobilization).
Transportation Costs
Food and Lodging Costs
— •""""cTx/FDl
Cost Per Unit of work
4s"fr.^0 XI Iday
to T^ aa to
^ i ̂ 0. ^
^r V^. *^
1 Total Value of Assessment WorkOCT 1 9 '.323
Calculations of Filing Discounts: REOSCIEMCF * C SESSM^NT0! h .^Ji——— — ~— — '
Total Cost
?* j *3 ^ ̂f
3?^
y 3 Q
f W 60.
1. Work filed within two years of performance is claimed at 1000Xo of the above Total Value of Assessment Work.2. If work is filed after two years and up to five years after performance, it can only be claimed at 500Xo of the Total
Value of Assessment Work. If this situation applies to your claims, use the calculation below:
TOTAL VALUE OF ASSESSMENT WORK x 0.50 - Total S value of worked claimed.
Note:- Work older than 5 years is not eligible for credit.- A recorded holder may be required to verify expenditures claimed in this statement of costs within 45 days of a request for verification and/or correction/clarification. If verification and/or correction/clarification is not made, the Minister may reject all or part of the assessment work submitted.
Certification verifying costs:
l, (^Atscri-e. s M&/L s H* (~ ^ do hereby certify, that the amounts shown are as accurate as may reasonably(please print full name)
be determined and the costs were incurred while conducting assessment work on the lands indicated on the accompanying
Declaration of Work form as ^ D/X&C.T&fc(recorded holder, agent, or state company position with signing authority)
l am authorized to make this certification.
0212 (03/97)
Signature Date
tt//*??-
Ministry of Ministere duNorthern Development DeVeloppement du Nordand Mines et des Mines Ontario
Geoscience Assessment Office 933 Ramsey Lake Road
November 26, 1998 6th FloorSudbury, Ontario
Charles Marshall P3E 6B5MAR-LAND MINERALS LTD.382 VINE STREET Telephone: (888) 415-9846APT 615 Fax: (877)670-1555ST. CATHARINES, ONTARIOL2M 4T7 Visit our website at:
www.gov.on.ca/MNDM/MINES/LANDS/mlsmnpge.htm
Dear Sir or Madam: Submission Number: 2.18921
Status Subject: Transaction Number(s): W9880.00669 Approval After Notice
We have reviewed your Assessment Work submission with the above noted Transaction Number(s). The attached summary page(s) indicate the results of the review. WE RECOMMEND YOU READ THIS SUMMARY FOR THE DETAILS PERTAINING TO YOUR ASSESSMENT WORK.
If the status for a transaction is a 45 Day Notice, the summary will outline the reasons for the notice, and any steps you can take to remedy deficiencies. The 90-day deemed approval provision, subsection 6(7) of the Assessment Work Regulation, will no longer be in effect for assessment work which has received a 45 Day Notice. Allowable changes to your credit distribution can be made by contacting the Geoscience Assessment Office within this 45 Day period, otherwise assessment credit will be cut back and distributed as outlined in Section #6 of the Declaration of Assessment work form.
Please note any revisions must be submitted in DUPLICATE to the Geoscience Assessment Office, by the response date on the summary.
If you have any questions regarding this correspondence, please contact Lucille Jerome by e-mail at [email protected] or by telephone at (705) 670-5858.
Yours sincerely,
ORIGINAL SIGNED BYBlair KiteSupervisor, Geoscience Assessment OfficeMining Lands Section
Correspondence ID: 13117
Copy for: Assessment Library
Work Report Assessment Results
Submission Number: 2.18921
Date Correspondence Sent: November 26,1998____________________Assessor: Lucille Jerome^^^^^^^^^^^^^^^^^^^
Transaction First ClaimNumber Number Township(s); Area(s) Status Approval Date
W9880.00669 843121 COOK Approval After Notice November 25, 1998
Section:10 Physical PSTRIP
The revisions outlined in the Notice dated November 10, 1998, have been corrected. Accordingly, assessment work credit has been approved as outlined on the original Declaration of Assessment Work Form accompanying this submission.
Correspondence to: Recorded Holder(s) and/or Agent(s):Resident Geologist Charles Marshall Kirkland Lake, ON MAR-LAND MINERALS LTD.
ST. CATHARINES, ONTARIO Assessment Files Library Sudbury, ON
Page: 1Correspondence ID: 13117
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THE TOWNSHIP OF
COOKDISTRICT OF COCHRANE
LARDER LAKE MINING -DIVISION
SCALE' 1-INCH* 40 CHAINS
LEGENDPATENTED LANDCHOWN LAND SALELEASESLOCATED LANDLICENSE OF OCCUPATIONMINING RIGHTS ONLYSURFACE RIGHTS ONLYROADSIMPROVED ROADSKING'S HIGHWAYSRAILWAYSPOWER LINES .MARSH OR MUSKEGMINES
or C.S.(D
Loc.L.O.
M.R.O.
CGe?X'
NOTESArea Withdrawn From Staking Under Act, 5 AprtPl99l Clouie (d) Stctton
Gravel Reserve Shown Thut: gr400' Surface rights reservation around all lakes A. rivers.
Surlm KjM* WHMrvtn urn*w AM. 36.
Th* Mpinf Act RS.O. I98d. OADERof W*y *nd *iff*r
Z*MpwtiMlar*4QJflrMt*norl32ft. on- , ,.,' M* of emir* Mn o? right of tay)
NOTICE OF FORESTRY ACTIVITY*TOWNSHP l AREA FALL* W1THW THE
WATABEAG MANAGEMENT UNIT
trMjeciTToTHE MMR UNT FORESTER FOR T*IS AREA CAWCONTACTED AT: P.O. BOX 129
SWASTIKA, ONT.* * POK ITO r l 709-642-3222 ^
PLAN NO.- M.339. ONTARIO
MINISTRY OF NATURAL RESOURCESSURVEYS AND MAPPING BRANCH
COPY OF TWS MYLAR ARCHIVED SEPT 30, 1991
ARCHIVED ON JUNP OI/95
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