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OntarioTHE MINING ACT REPORT OF WORK

BALMER

Typo vi w vi* tv w recorded.

010

To the Recorder of .

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name of Recorded Holder

.................^.Mmin8 Division

* r* ••(r* t ***^r* * *(^B* ••••••••••••••••••••e '

Prospector's Licence

Post Office Address do hereby report the performance of ..........CAP..................... days of

not before reported to be opplied on the following contiguous claims

Claim No. Days Claim No. Days

type of work

ABBESSODMD(

T FI LEES - OFFICE Z

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AH the work was performed on Mining Claim (s).,, , .,, mn n. m m(In the cose of geological and/or geophysical survey (s) where more than 18 claims ore involved attach a schedule)

READ CAREFULLY; THE FOLLOWING INFORMATION is REQUIRED BY THE, MINING RECORPER.,,

For Manual Work, Stripping or Opening up of Mines, Sinking Shafts or Other Actual Mining Operations Names andaddresses of the men who performed the work and the dates and hours of their employment.For Diamond and other Core Drilling - Footage, No. ond angle of holes and diameter of cor*. Name and address ofowner or operator of drill. Dates when drilling was done. Signed core log ond sketch in duplicate. For Compressed Air or Other Power Driven or Mechanical EquipmentType of drill or equipment. Names and addretses of men engaged in operating equipment and the dates and hours of their employment.For Power Stripping - Type of equipment. Name and address of owner or operator. Amount expended. Dates on which work was done. Proof of actual cost must be Submitted within 30 days of recording.With each of the above types of work sketches ore required to show the location ond extent of the work in relation to the nearest claim post. In the case of diamond or other core drilling the sketch must be submitted in duplicate. For Geophysical, Geological, Geochemicol Surveys and Expenditure Credits - the name of author of report. Covering dates of survey (linecutting o\ office). Type of instrument used. Total amount of expenditure. Technical reports, mops,expendjture breakdown, receipts must be filed in duplicate with the Minister within 60 day f of recording. For Land Survey - the name and address of Ontario Land surveyor. : .

The Required Information i* osjigljows: (Attach a list if this space is insufficient)

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.AS Q^s- f.^^X^vA-^.^w^^rt-f/rri...^.........................Signature of Recorded Holder or Agent

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The Mining Act Certificate Verifying Report of Work

(Post Office Address)hereby certify:

1. That l have o personal ond intimate knowledge of the facts set forth in the report of work annexed here to, having performed the work or witnessed same during and/or after its completion.

2. That the annexed report is true.

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BALMER

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l /?ECEIVED ^m S2,'A//*?/:**! S j /C-'KW i -

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By: C.W. PETERSON, BALMER TWP.

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June 8June 10June 11-12June 13 -- 14June 14June 15June 17June 17June 18, 19, 20June 21, 22June 24, 25December 13, 14June 26June 27December 2, 3, 4,5,November 28, 29, 30,November 25, 26November 21November 19, 20, 21November 18,November 16,November 16, . !November 15,November 15,November 14,November 12, 13, 14November 9,November 8,November 7,

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