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JMjnistry of Natural ' purees Report of Work * l Ontario H -65 The Mi,..,, a .. 31F07SW5030 W8609-00007 BLITHFIELD 010 Name and Postal Address of Recorded Holder Prospector's Licence No, A- "Bo ox. i o Summary of Work Performance and Distribution of Credits Total 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 Claim Prefix Number tt at* sr t Work Days Cr. C) c 6, o Mining Claim Prefix Number 3 Work Days Cr. AO C- r, C-0 6 c Mining Claim Prefix 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 - X O/UK. E:O M (CJ^TARiO GEOLOGICAL SU?/ ASSESSMENT FiLFS RESEARCH OXFiCH JAN 3 i IQpR j 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)

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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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\ r ~ 3 3 3.8 *T4 (o C' 'T"-*r" *T ip i/ci /' /"i

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Mining ClaimPrefix Number

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1 -j-

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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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