Work Days Cr, Prefix Number

Transcription

1 !l *Northern Development : ;and Mnes AalA : ' -.' "" ' " DOCUMENT No. 410eNW5e01 W9106-0*034 GREENLAW 010 ' : -, \ V : ' -: ' ; ' f-k-r -: -' ' ;' ;' ; v -. ; - J^'-Cj-.''tf'. (v;?!?".: ' :c.v'!mlhlng'?xct^ J r fjame.and Address of Recorded Holder Report of Work Expendtures. - Refer to Sectons 76 and 77, the Mnng Act for assessment work requrements and the reverse sde of ths form for table of Informaton. Prospector's Lcence No. Telephone No. Summary of Dstrbuton of Credts and Work Performance Mjjlna Dvson Mnng Clam Prefx Number Townshp or Area Work Days Cr, Prefx Mnng Clam Number Work Days Cr. Mnng Clam Prefx Number Work Days Cr.,. l Type of WjSrPerfo (Check on* lw- Q Manual Work f. Shaft Snkng Drftng or other LJLateral.Work;t Q Mechancal ^ylpment : r-jhjwerstrlpdofl other than Manual,, ''^axlmum'credrl allowed -100 days V r" ' percl8jrn);^'f;^,^v?sp^ '''f:;; :;K':': ' ;[v]dtomondjor;otherf Core'drllng' l! v.;-' : ' : "''/.-; f..?q'c*t ^^ "Acore'Speclrnens^^^^'r::;; :. Dates when work was performed To: ( q Q Total No. of Days Performed Total No, ol Days Clamed Total No. of Days to be Clamed at a Future Date All the work was performed on Mnng Clalm(s): Mnng Clam No. ol Days Mnng Clam No. ol Days Mnng Clam No. ol Days Mnng Clam No. ol Days m Indcate no. of days performed on each clam. * (See note No, 1 on reverse sde)- - - ^ Mnng Clam No. o* Days Mnng Clam No. ol Daya Mnng Clam No. ol Days Mnng Clam No. ol Days Mnng Clam No. of Days Mnng Clam No. ol Days -ft Requred Informaton eg. type of equpment, Names, Addresses, etc. (See Table on reverse sde) If space below Is nsuffcent, attach schedules wth requred nformaton and locaton sketches "' 'Vf ' ' ' ZQ otpfert r-.. '.1', 13 -/g, o M T/?/?/o f? c^do /von 4 /-/~ \*"' ^';: Certfcaton of Benefcal Interest * (See Note No. 2 on reverse sde) l hereby certfy that, at the tme the work was performed, the clams covered In ths report of work were recorded In the current recorded holder's name or held under a benefcal nterest by the current recorded holder. ^^^^ Certfcaton Verfyng Report of Work l hereby certfy that l have a personal and ntmate knowledge of the facts set forth n the Report of Work annexed hereto, havng performed the work or wtnessed same durng and/or after ts completon and the annexed report Is true. Name and Address of P Certfyng Telephone No, Da Certfed By (Slgnatur) L for Offce Use Only work Assgnments RECORDED Hecevea btamp ' 1 :'..' l' 1991 ""S9/06)

2 02/12/51 S l lb bc HL F HH Q K H F H I C 5 FROM'-M.R, PORCUPINE MIN.DIU. Mnstry of ' -,. ffc.- 1,.'..," t.. - "'.. (v'v ^utao'jo^tvw Sft'HC' S. '^.' j Vl ' J I'-N V? l'^i/.ll. l.lluv'.h l, ^ ' ',.., Report of Work "TO: l 416 6B7 81B6 FEB 12, AM P.02 Intruptlon * Weee type or prm,. For eeeh lyp* Of work performed, e **p*'*l* Report of Work houw. b* corrpl*l*d, Fw OeMtOhnloel w*, Ml* form no, 1M2 "Report el Work (Ootooc*!, OlPPhy*teal. Ooohemteal") and form no. 6/6 for Expendture*.. R*l*r lo Secton* T* and rr, the MlAlftp Act tor atmumenl work r^*m*r,utvllh*rtwm*d*olthl*lomterublftoltntom1*loo. L^fb1p{olor'*llo*fte* No, TewpfwoeNp. Summary of DlMfTbulon ol OredHs and W&fk P^tlormanoe Mnng Cl*lm townshp or Aw*. ~ Number Work Dtyt DI, ' Pnllx Mnng Olalm Numbt Wark fly* Cr. Mnng Ctalm PdflX Number Dy Or ;W75 K LLStA73. k* 'tt Qoanwrdw ou*,co{9.lrllllnj); -; ; m (*\; A^-WJ guktrtvdkv^3;-v Ltf^J. c\\ f&* / s ' Requred Informaton e(j. typo ot equlpmenl, Nahes, AdoosBee, etc. (890 Tablo on revrlt elde) II tpuch below l* Insuffcent, attach aehedules wth requred Informaton and locaton ekelches xxw/ -/3t *w) cennmatton of B^netkltl IntareBt * (See Note No. nertby cattly tn*, * th* mf KM work WH p*normto, (no eum tovttt) m tnly r*pon ot work wen reoordad In th* taxr*ftt rweftjtd fwtder't nant* or nald Urvter a b*n*y*l Wtret by tht pufrenl recorded h6m*r. CertHlcaton Vflflryhfl fteport of Work l hereby certly (hat l have a ptronal and Intlmata knowledge of the fact* eet forth In the Report of Work annexed hereto, havng performed the work or whnemd Mm* dwlnfl tftd^f after Itt oomplellon and the annexed report It true. Telephone No. For OHoe Use Only Work Awlflnments nvoelva^ Stamp

3 92/12/ l S166 RLPHflGRRPH I CS 4 01 IA2ERGRAPHICS"1 * COPYING * PRINTING * FAX/ALPHAllNK Bphflgrophoa Prntshops Of The Future 1 " 4toeNws8B W9te6-eee34 GREENLAW 900 FAX NUMBER TO: FROM; T SUBJECT: ^ r*? S t ^ y 't** L4#u.s y?^.x 7/- If rrt&r? X 7 C :ZX THIS IS PAGE OF PAQE(S) AlphaGraphcs Prntshaps Of The Future/Canada W Nagara Street, 8t, Catharnes, Ontaro 12R4L2 Phone; (416) Fax; (416)

4 Z l RLPHHQRRPRTCS FROM'M.R. PORCUPINE M1N.DIV, TRACKS 6 WHEELS EQufSf NT SROKERS INC. P.O. Box 2092, Sttton A SUDBURY, ONTARIO P3A 4S9 TO! l 416 6B FEB :3ftM * v - P. 04 Tel: (709) B TO; 120 Aaalaeft Street W Suto 1800 TORONTO, Ontaro M5H IT1 6MIP TO; Greenhaw IDEA NO. rv. o**, orv. WIj SHIPPED OWDEft DATE Sap 12/90 ra- CUSTOMER NUMBER ITEM NUMBER SALtS PURCHASE PERSON...ft T ORDER NUMBER Lee Barker (TBM DESCRIPTION SHIP VIA SHIP OATB t Sep 12/90; due on nvoce UNIT PRICE AMOUNT CODE only! rental of Kutyta KH41 excavator g/n unt II 330 September 12 one wsek at 7 16, 1990 '0.00 per 700,00 Ref: contract * 0098 RENTAL ARE PAYABLE ON RECEIPT OF INVOICE SUB TOTV. Mse, CHARGES PROVINCIAL SALS8 TAX FfltlOHT CASH RECEIVED INVOICE 0ALANCB 800, , MI ' *ct MX ecurr - C^l MCJ UK - 'M t ** f OSWM t

5 02/12/ S l flphogrfrm ICS 4 03 t * FROM:M.R. PORCUPINE M1N.D1U. TO: l B186 FEB :l2ftM P.03 EQUIPMENT BROKERS INC, P.O. Box 25^2, Staton A SUDBURY, ONTARIO P3A 489 Tel: (705) J-KJ tf :; OCU CORONA QCfcPORATION 120 Adalftd* Street Hbyl, sute 1800 M5H 1T1 6HIP TO DER NO ORDER OAK CUfTOMEft (AIM ORDER NUMBER 6HIP VIA j SHIP OATE TERMS Sep 21/90 Tracks t- Wheels j Bep 21/90 due on Invoce rv. tfteo OTV. B.O. ITEM NUMBER ITEM DESCRIPTION wly rental of Joh, unt # G crawler 6/n September 21 one weak at 2 Oct 1/ per week (ncludng )a as per C. Houle' Ref contract # 0356 RE ARE PAYABLE ON RECEIPT OF INVOICE 503? c?, (W FEDEftA). IAIE9 TAX MHO, CHAMIt PROVINCIAL ta(, MX FREIGHT GASH neceveo INVOICE BAlANCk f. rtothal 1*111 tn p- MOv^HMtC*' t. f l) f 4 C l f n Mf l , :.j t,.,

6 :ORONA CORPORATION fffl.awu.l DETACH BEFOOL DEPOSITING OCT 30 HI FASE DF.TACH B6I-ORF DEPOSITING 120 ADELAIDE STnCtT WC.ST SUITE 1900 TORONTO, CANADA MSM?TI HANK O F COMMIMCF MAIN IIMASC.ll. ;OMUCHO COURT. ONIAKlO MM. lot f "" BAT? -'-j -' JSoUNT" L". l, :.0 -V O -B6'l. C PAY *''r "1 '"l'''' L-.-.yht Mut''r f' S x l: y Four,::..j '---/ICH' j T0 PlJtj-'EKfc INC, 1 Oht^n!'- f; - B OX 2: l ' 01 ElJDBUtY, f /N'TARXO Ay zoooo

7 *".1 - *\\ ( wmm l I 'Af.f 05^59 l AMOUNT " J - NOVU SO TT. 'RONA CORPORATION O3's(* Pl.fcASE DLTACH O ; r- kllase DETACH BFFORE DEPOSITING 120 ADLUlDt STHtCT WCST sun 1900 TORONTO, CANADA M5H 111 CANADIAN IMPERIAL DANK OF COMMERCE MAIN BRAN. commchct count UJKONIO. ONIAKlO MOl l Ut ""TIMT"""" "" T -' j;:-.y O 1;.' 'Vo CttfOUC NI/MWft AMOUNT PAY l'"c' TO THf or fjudbury, ^yj :0000

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