row mechanical work blithfield - ontario · 31f07sw5030 w8609-00007 blithfield 010 ... jan 3 i iqpr...
TRANSCRIPT
JMjnistry of Natural '
purees
Report of Work
* l
Ontario H -65The Mi,..,,a ..
31F07SW5030 W8609-00007 BLITHFIELD 010
Name and Postal Address of Recorded Holder Prospector's Licence No,
A-"Bo
ox. i oSummary of Work Performance and Distribution of CreditsTotal Work Days Gr. claimed
for Performance of the following work. (Check one only)
Manual Work
Shaft Sinking Drifting or other Lateral Work.
{Compressed Air, other Power driven or mechanical equip.
| | Power Stripping
Diamond or other Core drilling
Q Land Survey
Mining ClaimPrefix Number
tt at* sr t
Work Days Cr.
C) c
6, o
Mining ClaimPrefix Number
3
Work Days Cr.
AOC- r,
C-06 c
Mining ClaimPrefix Number
Work Days Gr,
60
(r* O
r,
All the work was performed on Mining Claim(s) :
Required Information eg: type of equipment, Names, Addresses, etc. (See Table Below)
C - (L
- XO/UK.
E:O M (CJ^TARiO GEOLOGICAL SU?/
ASSESSMENT FiLFS RESEARCH OXFiCH
JAN 3 i IQpRj v^ *J\J
R G C E i V E D
MINING RECORDS OFFICE -TORONTO
Jj E G E 1 V fi- j])J AM 2 a 1986 U
EJaT e^bf " Report-' Recorded Holder or
Certification Verifying Report of Work (7
1 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 its completion and the annexed report is true.
Name and Postal Address of Person Certifying
Date Certified
^Certified by (Signature)
Table of Information l Attachments Required by the Mining Recorder
Type of Work
ManuaJ Work
Shaft Sinking, Drifting or other Lateral Work
Compressed air, other power driven or mechanical equip, .
Power Stripping
Diamond or other core drilling
Land Survey
Specific information per type
Nil
Type of equipment
Type of equipment and amount expended, Note: Proof of actual cost must be submitted within 30 days of recording.
Signed core iog showing; footage, diameter of core, number and angles of holes.
Name and address of Ontario land surveyer.
Other information (Common to 2 or more types)
Names and addresses of men who performed manual work/operated equipment, together with dates and hours of employment.
Names and addresses of owner or operator together with dates when drilling/stripping done.
Nil
Attachments
Work Sketch: these are required to show the location and extent of work in relation to the nearest claim post.
Work Sketch (as above) in duplicate
Nil
768 (81/3)
Ministry of ' Report ^ Instructions Supply required data on a separate form for each Nat^jfc x {A/ \ , type o^ wol"k tQ be recorded (see table below). RessBies O '"" 'rK For Geo-technical work use form no. 1362 "Report
Ontario o^ Work (Geological, Geophysical, Geochemical and The Mining Act Expenditures)".
Name and Postal Address of Recorded Holder Prospector's Licence No.
|(*~ -tfff
Summary of Work Performance and Distribution of CreditsTotal Work Days Cr. claimed Mining Claim Wor
O i L/ /"''i Prefix Number Days^ ' vow -zr~,. — ~ ; for Performance of the following /"^ ( ) ^ *\ i-rk fc 7*3 (i"i{
Q Manual Work i- "".""^ tO-JCxCa / ' O f
[~~] Shaft Sinking Drifting or -3^) a\(a / -J v^ 0other Lateral Work. j ^Si'* '~~ f .-i _ T/ x
[|7f Compressed Air, other : J; " ? I~eP-3 C*VO /x3 t CPower driven or ;i -i?1-""- ^, mechanical equip. " ~ ^ .Q 1)"*3 fc "7 7 (r\^4
Q] Power Stripping " .'-^-. jCj^-^l —7 O /" ^.
[~| Diamond or other Core ./*V-;; ;: - t , , drilling ~ '"" ^ j!) tXrf V 7 GO
QJ Land Survey "J 1.:-^*;. -/*V"^ o i/ '1 ^ x
k Mining Claim WorkCr. Prefix Numbar Days Cr,
^ ^~3^YJ (^\ \^S3#^S' k G
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' fit •i J C\(J If f V. f
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Mining ClaimPrefix Number
S ^~" "^ i'<"-'
•eJ *J OfO^C'
— "•'. rli,
-,,,.,,W :J
: "" '
1 -j-
. ,:* :
WorkDays Cr.
L (oC
All the work was performed on Mining Claim(s); ..^"V*) *"\*'*\ ^. JP"^X' ^
Required Information eg: type of equipment, Names, Addresses, etc. (See Table Below)
~ A^ P^.-C^^L-/
Certification Verifying Report of Work
'^^MINING RECOKDS OFFICE -TORONTO
. g E Q E I V E |]jJ AH 2 B 1986 U
AM p,,,
Date of Report
A O') i P/ '- lAry-N - f-ifj. j 'T t)
Recorded Holder or A,aer\t ( Signature)
r; ' ' " ' ~ rf1 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 its completion and the annexed report is true.
Name and Postal Address of Person Certifying
Brt* /^ ^A/oufOjE 0*in ATdTDate Certified
V7~t) ^ (.Vrv. - S 1 ) ? (
Certified by (Signature) j
Table.-of Information/Attachments Required by the Mining Recorder \J
Type of Work
Manual Work
Shaft Sinking, Drifting or other Lateral Work
Compressed air, other power driven or mechanical equip.
Power Stripping
Diamond or other core drilling
Land Survey
Specific information per type
M ,
Type of equipment
Type of equipment and amount expended. Note: Proof of actual cost must ba submitted within 30 days of recording,
Signed core log showing; footage, diameter of core, number and angles of holes,
Name and address of Ontario land surveyer.
Othsr information (Common to 2 or more types)
Names and addresses of men who performed manual work/operated equipment, together with dates and hours of employment.
Names and addresses of owner or operator together with dates when drilling/stripping done.
Nil
Attachments
Work Sketch: these are required to show the location and extent of work in relation to the nearest claim post.
Work Sketch (as above) in duplicate
Nil
768 (81/3)
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