m^:^s^a^^mm^m^. :.&m ,-^-u€¦ · copper assays w.o.tf 891419 cert.tf 24976 total. 2.00 00 00....

IRASSAY LABORATORIES LTD.-' V"*CHART¥lfcD CHEMISTS, ASSAYERS, ANALYTICAL CONSULTANTS , ; , *;>>v.

^ " >86x604,-S Industrial Dr., Kirkland Lake , i'•:• ^ \: ;̂ ('t>< ^> *'''"J|| Ontario, Canada P2N 3J5 . - x |**« ,r', :"':"*"lP •'••. v. •'••••'• ' •'•'•"-"' — L ----

TEL.: (706) 667-6343

Cdaty Bumbu

m^:^s^a^^mm^m^. :.&m ,-^-u '-•••,TERMS.net 30. days, ;^. 0% ' ^V '-fl&"fe^^^

" • . • - •- • ;\-::: :^--:c'lSr::f'^vl;,:'^^%|^^

RASSAY LA&ORATORIES LTD.D CHEMISTS, ASSAYERS, ANALYTICAUGONSUUTA^TS

Box$04, 3 Industrial Dr., KirUantf Lake - ' :' Ontario, Canada P2NlJ£ : \ .•

\URASSAY LABORATORIES LTD.

CHEMISTS, ASSAYERS, ANALYTiCAL CONSULTANTS•ial Dr., KirWand Lake ' :' •

P2N 3J5..• . .

•

TEL.: (706) 567-6343 - FAX: (705) 668-8368

BumbiJ :lRie3eew

, Thun'der Bay, Pr»tafAo'..... 1 - ,

^W^^W^V^^^^^

LABORATORIES LTD.

Bucnbu '.,;.; 2816 Ridgeway A yBhue'Ea*

TERMS . ' - .' :• ' ' ...',.-. 'net 30 days, 12.

.': *^ ^:^^'-'; ;V. ^- l

-<3:6l'cO BatoDlCopper,

:£to»»Sfrv >»4,V.* ':M% t-"" . K^'-j,*mn*!*.-,.," '*•' r.i'i-*>*i^ —' '

•- ,i" ;"- -. "' • ', •''<'"*#„ - =j>4 "> i'r - ifc 1 ,* !* ' v"'"" ' -'• ¥ ••••' t ""V ' 'i ? - '

M' ̂ f

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«r«i't^^ifil"felS"iM^i*

t''^V- ;^''.'"'

• V"-*1 •' " - -V' Mv^-

£5^-iH;-

l'W^€•S>':f*i«

»S1

VT,;* ,« ., i . T ,.t*;*. -vlj -.ffi

/• v - >^;'.//j

^v,%*?'' / : ^C'. ; - V;

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•':' '"''•'.-''••.••• : ;*'VK' "'' :i-.'. •' ''''f^^-v*'^-''- .'«4's' '.-, ' • :.: :'.'. > UJVi,"- : '- .. -'. , ,?'••>'<• '••''s.i'WV-fl'-i*?-

, :, i ji .'rSiVl/Vtili. ... • .;.•.:/ ',ii:",r .i^W'SfiS' 1 >'' '."'^

«ae^*' : ''' l -'--'''- ''"^' 1 '-'*'-'"

ICCJJRASSAY LABORATORIES _,D CHEMISTS, ASSAYERS, ANALYTICAL CONSUUTANtSox 604, 3 Industrial Or., Kirklahd Lakff'

Ontario, Canada P2N 3J5

r t706) 667,6343 ^ FAX? (706) 508-8§68''' ' "f Buffibu ,

2816 Ridgeway Avenue •Thunder Bay/ Onfcario P7E-5K3 ' •-..•!• >

TERMS, 30.'•>': ••'' •• • ''• >«: .,"---.;.*^S;:'''''L:*i'-4r'i^fyj3'*

.l?P*ft sp^lPtp^W^^ -' ^\.. >;^ •i/i-w\& *^&;fet'f«wti-."./>-*i?K.^i C.t5*,'fc /. ; • ;' ;'t; -: Xt

^'^'^

.'-•'.'^ ;.Vj^i

' • H '^* : .;^^;T^r;' vl:fe¥^'v.-s:fii|l|is^?P;' •••\^^\-:r^^^;;^:i i----^v:.^.^v^^^^

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,!'%•< '''"'N1 • " '

;S^^

«W5fiURASSAV LABORATORIES LTD.CHA^TB«0 CHEMISTS, ASSAYERS, ANALYTICAL CONSULTANTS

604, 3 Industrial Dr., KWcland '.Ontario, Caneida . R2N 3J5-

|EL: (706) SB7-6343 - FAX; (705).-','* " " • ' . • j "..".

Costy Bumfcu

:i Bay^

%,f^$$*W-m^tMm.m**<<m^m

f»K:|S«l

• : •• :••• i j:~ ••{ •• •:> .?;•-'•laViV''.w^T^-v/ra ^,,'' : * ..-'.->'•.• "'-;•; ^|»t.;«^'V-ff-•- > * . , ' «• ' •• ••;••'.'.*: .%'-•<.! K ':* ™«r'?-i- l H*"''•.,'*.-•* '--I:..;-;-.; -', . .•:},%$ • ;&:zM$&*e&:itf&

• :j :v/;^vV :^^^\;<;0ntjR%J, :•>• •••••,•!'• V'^1 ' 1-'- •' -V*''"'? 1* *<••> ^""-ifV-i.-^

:/^V';:f^W^^Sglili?ii- ;..Y-' -,. ; v...-£i/A:i,fe-' t^; :^;'m

•S^?^ ,-.''^<; -^'1

'Siii»>^, '•i&'ixw'-'j', -A

TO

AQCURASSAY LABORATORIES LTD.CHEMISTS, ASSAYERS, ANALYTICAL CONSULTANTS

, Box 604, 3 Industrial Dr., Kirkland Lake Ontario, Canada P2N 3J5

TEL.: (705) 667-6343 - FAX: (705) 568-8368

Costy Bumbu2816 Ridgeway Avenue EastThunder Bay, OntarioP7E-5K3

TERMS net 30 days, 2.0% per month on overdue accounts.

April 21, 1989

Gold AssaysSample Prep. cert.#24434Silver Analysis cert.#24447

Total

7.503.501.50

731

12

505050

50

LF-1297

BELL-WHITE ANALYTICAL LABORATORIES LTD.P.O. Box 187, 374 Browning St., Halleybury, Ontario

(705)672-3107POJ1KO

SOLD TO:

Coety Bumbu 2816 Ridgeway E. Thunder Bay, Ontario P7E 5K3

SHIP TO:

Same

INVOICE

NO 34037

DATE: 0 4-14-89

PAGE 1 of 1

8.5002.0001.0002.500Sample Preparation

COMMENTS:

Net 30 Days

ACCURASSAY LABORATORIES LTD.CHARTERED CHEMISTS, ASSAYERS, ANALYTICAL CONSULTANTS

' • Box 604, 3 Industrial Dr., Kirkland Lake Ontario, Canada P2N 3J5 # 790127

TEL.: (705) 567-6343 - FAX: (705) 568-8368ro .Costy Bumbu2816 Ridgeway Avenue East Thunder Bay, OntarioDTT? G.V "3

• •

r °ATE April 25, 1989CUSTOMER ORDER N°

WORK ORDER N» T890093

DATE SUBMITTED

net 30 days, 2.0% per month on overdue accounts.

2321

Gold assaysSample Prep. cert. #24451Silver, Nickel Analyses cert. #24448Copper Analysis

Total. .................

V \-— U^j**f*r*mm ~~

S^ J V I) ^\«/O f*J~ "O**&

7.503.503.001.50

1510

61

33

00500050

00

LF-1297

ACCURASSAY LABORATORIES LTD.CHARTERED CHEMISTS, ASSAYERS, ANALYTICAL CONSULTANTS

' , Box 604, 3 Industrial Dr., Kirkland Lake Ontario, Canada P2N 3J5 # 790130

TEL.: (705) 567-6343 - FAX: (705) 568-8368


DATE April 28, 1989CUSTOMER ORDER N°

WORK ORDER N°T890100

DATE SUBMITTED

TERMSnet 30 days, 2.0% per month on overdue accounts.

Gold AssaysSample Prep. cert.# 24464Copper,Zinc analysesNickel analyses cert.# 24467

Total

7.503.503.001.50

31 1'i;

6'

00500050

00

LF-1297

^cui

ACCURASSAY LABORATORIES LTD.1 , CHARTERED CHEMISTS, ASSAYERS, ANALYTICAL CONSULTANTS

Box 604, 3 Industrial Dr., Kirkland Lake rio, Canada P2N 3J5 790130

TEL.: (705) 567-6343 - FAX: (705) 568-8368TO .


• •

DATE April 28, 1989CUSTOMER ORDER N°


DATE SUBMITTED

>. ^

TERMS n e £ 20 days, 2.0% per month on overdue accounts.

4445

Gold AssaysSample Prep. cert. 8 24464Copper, Zinc analysesNickel analyses cert.# 24467

Total. .................

fl.L'^ 4^H^ ji^1fir •'**£+

***^s

;

3f

• /I V>***<N

+*^/(J/?\ \Jbfy'

7,503.503.001.50

301412

7

63

00000050

50

LF-1297

<y<wi

ACCURASSAY LABORATORIES LTD.'. CHARTERED CHEMISTS, ASSAYERS, ANALYTICAL CONSULTANTS

Box 604, 3 Industrial Dr., Kirkland Lake rio, Canada P2N 3J5 790141

TOTEL.: (705) 567-6343 - FAX: (705) 668-8368


DATE May IB, 1989

CUSTOMER ORDER N°

WORK ORDER N° 8 91276

DATE SUBMITTED


Gold AssaysGold, Platinum, Palladium AssaysSample Prep. cert.fl 24493

Total

e^ff ac,a

7.5012.00

3.50

00

LF-1297

' ACCURASSAY LABORATORIES LTD._, 'CHARTERED CHEMISTS, ASSAYERS, ANALYTICAL CONSULTANTS

Box 604, 3 Industrial Dr., Kirkland Lake Ontario, Canada P2N 3J5 tt 790147

TEL.: (705) 567-6343 - FAX: (705) 568-8368


OATE May 24, 1989CUSTOMER ORDER N°

WORKORDERN'

DATE SUBMITTED


Silver analysis cert.# 24501

Total

1.50 1 50

50

LF-1297

<ycut

ACCURASSAY LABORATORIES LTD.. CHARTERED CHEMISTS, ASSAYERS, ANALYTICAL CONSULTANTS

»*. * Box 604, 3 Industrial Dr., Kirkland Lake Ontario, Canada P2N 3J5

*

2) D ©890738

TO .TEL.: (705) 567-6343 - FAX: (705) 568-8368 DATE

Mr. Costy Bumbu 2816 Ridgeway Avenue East Thunder Bay, Ontario P7E 5K3

TERMS

May 30, 1989CUSTOMER ORDER N°

WORK ORDER N°

VariousDATE SUBMITTED


6 Gold Assays W.O. #8913786 Sample Prep, cert.tt 246961 Gold Assays W.O. #8913791 Sample Prep, cert.tt 24700

Total

7.503.957.503.95

4523

80

00705095

15

LM297

tsnawK <y<w,i

_fRASSAY LABORATORIES LTD.CHARTERED CHEMISTS, ASSAYERS, ANALYTICAL CONSULTANTS

Box 604, 3 Industrial Dr., Kirkland Lake Ontario, Canada P2N 3J5

TEL.: (705) 567-6343 - FAX: (705) 568-8368


890761

DATE

June 1, 1989CUSTOMER ORDER N°

WORK ORDER N°Various

DATE SUBMITTED


331

Copper Analysis W.O.tf 891378 cert.tf 24761 Copper, Nickel & Zinc Analysis Silver & Copper Analysis W.O.tf 891379

Cert.tt 24772

Total

1.504.503.00

13

21

505000

00

UF-1297

ACCURASSAY LABORATORIES LTD./CHARTERED CHEMISTS, ASSAYERS, ANALYTICAL CONSULTANTS • - 4Box 604, 3 Industrial Dr,, Kirkland Lake

Ontario, Canada P2N 3J5

•--^ f Y;

^"V I 1 ::

890762

TO .TEL.: (705) 567-6343 - FAX: (705) 568-8368 "DATE


June 2, 1989CUSTOMER ORDER N°

WORK ORDER N°891419

DATE SUBMITTED


55

Gold Assays W.O. * 891419 Sample Prep. cert.tt 24793

Total 57

75

25

LF-1297

&URASSAY LABORATORIES LTD.5.CHEMISTS, ASSAYERS, ANALYTICAL CONSULTANTS


TEL.: (706) 567-6343 - FAX: (705) 568-8368'•

f :Mr. Costy Bumbu .,: .2616 Ridgevray Avenue East 1 Thunder Bay, Ontario

P7E 5K3. » •'

»"» . i" :-

TERMS

w*;^ : i.^«^:/î|!A^:v.-;;f|•IS-:' ,.v. •i/vî-te-^fcXiîJf.&as:,,-. • V... 1 .1 .•:€^lta».ii*jg',v:a'fe-:/: .;i •;.

net 30 days', 2.0% per ro^nth.

091419 ;\;.'- 1 ' ».^ . .'*|; J-'p^'.<> ̂

|-: :ft'r!l: ;

i§-

. ., -. - .^KSi'*.' -. .-'--i-.-'.J."I'^M-"-- '*&• si's? *••?**".;'-:$•*-fc?lpI^

1 •*,"',."i*J»«''">- "^ ' '"-'' v "'tl

;^l|p! l!l%iip!.:.i?;-v.4- */;; ^j:.».'{." •«".- "Q 1 •"', %1 *r".^.^ ' ' ''•'•?:•• ' -'•''•''

-; ' ;:\ vV •''.->. ^ •î1':^^: ''^/-.-v^fej^ r/^.-^^''^"3fS^'* . '. • . . .. • .. •'v 1 3*^->-^--^ ^'^!ft; .i:p^"^; j v\:^^

"• - • ".. \ , •,..:•.. iW'-T'c * '* s-\ ', •- --W' -"* ?--J #**? *• »'^ •".;*! f. : '-V'- •''i. '•','• ,:•-' ..î* .'^-4-; ' ,^|fii^|S;.fi*5WSir?4

.••,: ••*'•'•''•'•. ' "':-'^'r-'. ••'•'"" ^'^" :?â'Pli' ̂ ^? ! J»(f^

. ^Tî^^^^^^^^lJI^;^1^^^

S i1 " '"'^W^' •!•W^ffi*;---',;

^' : !i;|fl

'

i*tt :;fr-*•| '^.•. Jfr".:: 1 sv« -i'.^^vi-,,?; •/îii|pt43,f;,:^

*'•>-'••. '" '-: 'v nl'•-.^M

$&;'- v' :î•£>,V,?» '•;',!^-^:i.

SSi,, - .'

•",^V : :..

ACCURASSAY LABORATORIES LTD.A CHARTERED CHEMISTS, ASSAYERS, ANALYTICAL CONSULTANTS

Box 604, 3 Industrial Dr., Kirkland Lake rio, Canada P2N 3J5

II Ml VCQ) 0 €5

TO

890835

TEL.: (705) 567-6343 - FAX: (705) 568-8368


TERMS

DATEJune 16, 1989

CUSTOMER ORDER N°

WORK ORDER N°Various

DATE SUBMITTED


Copper Assays W.O.tf 891419 cert.tf 24976

Total.

2.00 00

00

AOqtlRASSAY LABORATORIES LTD.CHARTERED CHEMISTS, ASSAYERS, ANALYTICAL CONSULTANTS


I 790224

TOTEL.: (705) 567-6343 - FAX: (705) 568-8368

Costy Btmbu2816 Rldgevay Avenue BastThunder Bay, OntarioP7E-5K3

DATEJuly 5, 1989

CUSTOMER ORDER N°


DATE SUBMITTED

TERMSnet 30 days, 2.0% per Month on overdue accounts.

3321

Gold AssaysSample Prep. cert. I 28641 Silver Analyses cert. I 28646 Silver, Copper Analysis

Amount due by August 05, 1989...$41.85

After August 20, 1989 ...........$42.69

Total,

7.503.952.003.50

221143

50850050

41 85

LF-1297

<:r<w,i

JURASSAY LABORATORIES LTD.CHARTERED CHEMISTS, ASSAYERS, ANALYTICAL CONSULTANTS

' Box 604, 3 Industrial Dr., Kirkland Lake Ontario, Canada P2N 3J5 I 790234

TEL.: (705) 567-6343 - FAX: (705) 568-8368TO .

Costy Bumbu2816 Ridge way Avenue Bast Thunder Bay, OntarioP7E-5K3

• *

DATE July 12, 1589CUSTOMER ORDER N°


DATE SUBMITTED

TERMS net 30 days, 2.0% per month on overdue accounts.B^-lgMgllJlRi*^^

1

1

1

Oold Assays cert. 1 28682Silver, Copper, Nickel AnalysisSample Prep. cert. 1 28675

•

Amount due by, August 12, 1989..... $l«

After August 27, 1989. ......... ...I

Total.. ..............

I/'

16

.45

.78

•

7.505.003.95

*itf *

1C

500095

1 45w ^r

i.F-1297

_ __IURASSAYisJttîBwfyiP CHEMISTS, A:

«|;^--,^BOX.W;WssâF-iiv-'^dLf'

''- •

li'S;^ /- Tirana* jc pay,^•'•^'- '$i&&& v ' : '|j&,l^.>-'-".i*r fJV-W«,J.,,, ':'•-•• . •..,:' -j.C- , i": • >;. / .If, %j^^•^•-•^v-v.'-rvo:.^^^tVu-->.'-••••• ;!',^' ;•.,,,!''•-•••'•' "• •-..••<• :';•-•. •<••;.;*•.>"';:-."'-<Si*,*,- ; u .,,'.'.," •.-TBBMSii-.-'iii.'.-An; •A.ii.-'BW'S'^' -W»->i,£i3,pâ»^fil^î

KS1 -'*.aa*

pp^^Kvi;fvr'M;

life

?i*:'«i *3

*&

/••V', •.•/,.".!» :»«^»«*:VJ. ^ '•''"••W-'^-^^WJî

-•fSte^fcî ^•S'i^.-?a•>*•*.;.;' ' J •-*>.' iiS'f,inIjL-i1*,.

*-34»J

•: • \.; .*v •• .; •;•..•;^r:^;- .iî-; , •: • "i

iW'Wiil?*'«*lHfrw; .KKî'^Wf^-w^'WI^SlftfFSi*fc8i(••S^';- A ;'''-V^-'?''??'; i:Sf'flf:\ :il v r: v;.'-V''' i;-'^" ;; -'-v';j


I 790267

TOTEL.: (705) 567-6343 - FAX: (705) 568-8368

Costy Bumbu2816 Ridgevay Avenue EastThunder Bay, OntarioP7E-5K3

'DATEJuly 28, 1989

CUSTOMER ORDER N°


DATE SUBMITTED


1

1

1

Gold AssaysSample Prep. cert.l 28742Silver, Nickel, Zinc Analysis cert. I 28752

Amount due by August 27, 1989

After September 11, 1989 pay.

7.503.955.00

16

16

509500

45

78

LF-1297

<JnawK

,ACCURASSAY LABORATORIES LTD.„ CHARTiREB CHEMISTS, ASSAYERS, ANALYTICAL CONSULTANTS

Box 604, 3 Industrial Dr., Kirkland Lake ^^ Ontario, Canada P2N 3J5

I 790385

TEL: (705) 567-6343 - FAX: (705) 568-8368 'DATE ,-,«.-, ^ro . . September 14, 1989CUSTOMER ORDER N°

Costy Bumbu2816 Ridge way Avenue East WORK ORDER N°Thunder Bay, Ontario T890313f / H» DI\J DATE SUBMITTED

* •


666

Gold AssaysSample Prep. cert.* 29018Copper Analyses cert. I 29063

Amount due before October 14, 1989. .........Please note: Accounts more than 45 days past dt

will lose any price discounts

A ,W" ^- \T

\W\

7.503.952.00

e

452312

80

007000

70

LF-1297

ACCURASSAY LABORATORIES LTD.i" 'CHARTERED CHEMISTS, ASSAYERS, ANALYTICAL CONSULTANTS

Box 604, 3 Industrial Dr., Kirkland Lake ' Ontario, Canada P2N 3J5

TO

w (())[. cc;• 790421

TEL.: (705) 667-6343 - FAX: (705) 668-8368

Goaty Buabu2816 Rldgevay Avenue EastThunder Bay, OntarioP7E-5K3

DATE September 26, 1969CUSTOMER ORDER N°

WORK ORDER N° T890338DATE SUBMITTED

TERMS net 30 days, 2.0% per Month on overdue accounts.

Gold Assay Sample Prep. Copper Analysis

W.O. IT890338 cert.I 29081 cert.» 29189

Amount due before October 26, 1989

Please note: Accounts more than 45 days past < will lose any price discounts

7.503.952.00

uei;

509500

45

LF-1297

. ACCURASSAY LABORATORIES LTD.•CHARTERED CHEMISTS, ASSAYERS, ANALYTICAL CONSULTANTS

' • 'Box 604, 3 Industrial Dr., Kirkland Lake Ontario, Canada P2N 3J5

TOTEL.: (705) 567-6343 - FAX: (705) 668-8368

Costy Bumbu2816 Ridgeway Avenue BastThunder Bay, OntarioP7E-5K3

I 790446

DATE September 29, 1989CUSTOMER ORDER N°



333

Gold AssaysSample Prep.Silver, Copper Analyses

cert.i 29211 cert.I 29230

Amount due before October 29, 1989

Please note: Accounts more than 45 days past d will lose any price discounts

7.503.953.50

,.

221110

44

508550

85

LF-1297

AC€URASSAY LABORATORIES LTD.'CHARTERED CHEMISTS, ASSAYERS, ANALYTICAL CONSULTANTS

-•' 'Box 604, 3 Industrial Dr., Kirkland Lake Ontario, Canada P2N 3J5

I 790448

TEL.: (705) 567-6343 - FAX: (705) 568-8368 TO . .

Costy Bumbu2816 Ridgevay Avenue EastThunder Bay, OntarioD*71?— RV ^ r I d 3 l*iO

•

°ATE October 5, 1989CUSTOMER ORDER N°


DATE SUBMITTED


22

Gold AssaysSample Prep. cert. ft

i^jM^^^^^^^mHBHi29264

'jlSfS^SSi^K^^^liif^^^^t^^^i^^^K

Please note: Accounts more than 45 days past dvwill lose any price discounts

0 'kty 'Y(\P^ u1 /j-2^

J&'\ j

v++-

7.503.95

e

157

22

0090

90

LF-1297

t^out

^CCURASSAY LABORATORIES LTD./CHARTERED CHEMISTS, ASSAYERS, ANALYTICAL CONSULTANTS


* 790503

TOTEL.: (705) 567-6343 - FAX: (705) 568-8368


TERMSnet 30 days, 2.0% per month

DATE October 25, 1989CUSTOMER ORDER N°


overdue accounts,

332

Gold Assays Sample Prep. Copper Analyses

cert.# 31017 cert.# 31031

Amount due before November 24, 1989.

Please note: Accounts more than 45 days past die will lose any price discounts

7.503.952.00

2211

4

38

508500

35

LF-1297

, ACCyRASSAY LABORATORIES LTD., 'CHARTERED CHEMISTS, ASSAYERS, ANALYTICAL CONSULTANTS'' 'Box 604, 3 Industrial Dr., Kirkland Lake

Ontario, Canada P2N 3J5I 790529

TOTEL.: (705) 567-6343 - FAX: (705) 568-8368


DATENovember 1, 1989

CUSTOMER ORDER N°

WORK ORDER N °T890496

DATE SUBMITTED


2211

Gold AssaysSample Prep.Silver, Nickel, Zinc AnalysisSilver Analysis

cert. I 31090 cert. I 31126

Amount due before December 1, 1989

Please note: Accounts more than 45 days past d will lose any price discounts

lie

7.503.955.002.00

15752

29

00900000

90

LF-1297

Ministry ofNorthern Developmentand Mines

DOCUMENT N

OntarioReport of Work

,ng Act (Expenditures, Subsection 77(19)) /j/f»f2.13863 HAY LAKE 900

Type of Work Performed Mining Division Township or Area

Recorded Holder 'Prospector's Licence No.

Address TelephoraNo.62Z-/2?/

Work Performed^

Name and Address of ALrthor (of Submission} Date When Work was PerformedW./-../W* /^Pay I Mo. I Yr. I Pay I Mo. | tf.

I All the work was performed on Mining Claim(s): I Indicate no. of days performed on each claim. I 'See Note No. 1 on reverse side________

Mining Claim No. of Days Mining Culm No. of Daya Mining Culm No, of Days Mining Ctolm No. of Days

I Mining Claim No. of Days Mining Claim .No. of Days Mining Claim No. of Days Mining Claim No. ofOayt Mining Claim NaofOayt Mining Claim No. of Oayt

,M«iing Claim No. of Oayi Mining Claim Mining Claim No. of Dayt Mjjnlng Claim No. of Days Mining Claim No. of Day* Mining Claim No. of Dayi

'' Instruction* ' Total days credits may be distributed at claim j holder's choice. Enter number of days credits per j claim In the expenditure days credit column

(below)._____________________

Calculation of Expenditure Days Credits Total Expenditures ^*

Total Number of Mining Claims Covered by this Report of Work

Mining Claims (List In numerical sequence). If space Is Insufficient, attach schedules with required InformationMining Claim

Prefix NumberExpend. Days Cr.

Mining ClaimPrefix Number

Expend. Days Cr.

Mining ClaimPrefix Number

Expend. DaysCr.

Mining ClaimPrefifi Number

Expend. DaysCr.

3;

-W-J" 0} o

- / ASS: :-fV ENT FILES

r COr ro

R i-l C E \ V ETotal Number of Days Performed Total Number of Days Claimed r of Days to be Claimed at a Future Date

Certification of Beneficial Interest 'See Note No. 2 on reverse side1 hereby certify that, at the time the work was performed, the claims covered In this report of work were recorded in the current recorded holder's name or held under a beneficial interest by the current recorded holder.

Uate,

. Jt/90Recorded rfolder or Agent (Signature)

Certification Verifying Report o( Work1 hereby certify that 1 have a personal and Intimate knowledge of the facts set forth In the Report of Work annexed hereto, having performed the work or witnessed same during and/or after Us completion and the anpexed report Is true.Name and Address of Person Certifying /

, ' /̂Q^CfA^. j£C

'

For Office Use Onlyi Total Days j Cr. Recorded

i

Dale Recorded

Date Approved as Recorded

78(89/06) ' ' \fl

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