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2 m :'. -' ONTARIO TE MINING ACT REPORT OF WORK A sepe'ete fr it required t each typt writ t k T the Recrder f...^^..^.^m/^./...,...mining Divisin name f Recrded der...t,...^fr...^??f^.^...c.^..vft^.\f^^ Miner's Licence...{..C,.V?~.'..?.'.i-..'..V...'..., Pst fice A'(y'^ 1f''""""""""""""""""""'"" """ '" d hereby reprt the perfrmance f...tc.fn... days f, d),if.?.as,tm3.k,,,,,,'b.'fia?.f,.'.{ffn..,. type f wrk nt befre reprted t be appied n the fwing cntiguus caims Caim N. Days "I Caim N. Day Cim N. Days 3&&7J..(\ "7 Df O W ^-", ' W- J " AU the wrk wi perfrmed n Mining Cim (s),.^.^.^/^.,...^^..^...^ (In the COM f gegica nd/. gephysica survey (s) where mre than 18 caims re invved attach, schedue) READ CAREFULLY; TE FOLLOWING INFORMATION 15 REQUIR^P py TE )IN)NO RECORDER. Fr Manua Wrk, Stripping r Opening up f Mines, Sinking Shafts r Other Actua Mining Operatins - Names nd addresses f the men wh perfrmed the wrk nd the dates nd hurs f their empyment. Fr pimnd nd ther Cre Driing - Ftage, N. nd ange f hes nd diameter f cre. Nme and address f wner r peratr f dri. Dates when driing was dne. Signed cre g nd sketch in dupicate. Fr Cmpressed Air r Other Pwer Driven r Mechanica Equipment Type f dri r equipment. Names nd addresses f men engaged in perating equipment nd the dates nd hurs f their empyment. Fr Pwer Stripping - Typ f equipment. Name nd address f wn^r r peratr. Amunt epended. Dtes n which wrk was dne. Prf f actua cst must be submitted within 30 days f recrding. With each f the abve types f wrk sketches re required shw the catin and etent f the wrk in reatin t the nearest caim pst. In the case f diamnd r ther cre driing the sketch must be submitted in dupicate. Fr Gegica and Gephysica Survey - i; numes nd addresses f men empyed s we s dates. Type f instrument used in the cse f gephysica survey. Reprts nd maps in dupicate must be fied with the Minister within 60 days f recrding. Fr Lnd Survey - the nrm nd address f Ontari Land surveyr. The Required Infrmatin is s Fws; (Attach ist if this space is insufficient) "? j \ ignature r The Mining Act Certificate Verifying Reprt f Wrk /y. sz6st j.'j/i.'^t. $^± '"2/3 1, s-' y ft''~"'-"^'(' - (4Aiv Tt K/ T ST t t4aitti44 r if t ttrfeej st iittti ' (Pst OKice Address) hereby certify: 1. Tht hve a persna nd intimate knwedge f the facts set frth ir, the reprt f wrk anneed here t, having perfrmed the wrk r witnessed sme during and/r ft its cmpetin. 2. That the anneed reprt is true. 3.3

3 m] A ' TM. T the Recrder f...syj2r2w.?.vl..f, i,...e^.a?.r...,.j,...(^v.e^ n me f Recrded der...#l...frjafe.v...c#^ ONTARIO OV TE MINING ACT (REPORT OF WORK j? 17- A teprte frm required fr ech. type f wrk b recrded....mining Divisin Miner's Licence Pst fice Address, d hereby reprt the perfrmnce f.../p.o../... dys f..//jww.^.../^.^^/..^... type f wrk nt befre reprted t be ppied n the fwing cntiguus caims Caim N. Days Caim N. Days Cim N. Dys...S.. 6 ''' f 47/Ui 6.J... S A the wrk was perfrmed n Mining Caim (s) Y;.M(^^.te.'.(^ (In the case f gegica and/t gephysica survey (s) were mre than IB caims re invved attach schedue)...a. READ CAREFULLY: TE FOLLCMING INFORMATION IS REQUIRED BY TE MINING RECORDER. Fr Manua Wrk, Stripping r Opening up f Mines, Sinking Shafts r Other Actua Mining Operatins - Names and addresses f the men wh perfrmed the wrk and the dates and hurs f their empyment. Fr Diamnd and ther Cre Driing - Ftge, N. and nge f hes and diameter f cre. Name and address f wner r peratr f dri. Dates when driing was dne. Signed cre g and sketch in dupicate. FC nipjressed Air r Oher Pwer Driven r Mechanica Equipment Type f dri r equipment. mes and addresses f men engaged in perating equipment and the dtes and hurs f their empyment. Fr Pwer Stripping - Type f equipment. Nme and address f wner r peratr. Amunt epended. Dtes n which wrk was dne. Prf f actua cst must be submitted within 30 dys f recrding. _ f With ech f the abve types f wrk sketches re required t shw the catin and etent jt t the nearest caim pst. In the cse f diamnd r ther cre driing the sketch must pifituj Fr Gephysica, Gegica, Gechemici Surveys and Ependiture Credits - the name ' dtes f survey {inecuiting 8. ffice). Type f instrument used. Tt amunt f epesii:furce^ rficvnvcib VVpbrts mps,ependiture breakdwn, receipts must be fied in dupicate with the Minister wi hin 60 Fr Land Survey - the name and address f Ontari Land surveyr. U s K a i O ~ U u UL U U z The Required^hJ[inmtin is s Fws; (Attach ist if this space i ( Sc?e AM MINING DIVISION RfcCE I V i D 4 NOV O 19/7 z U suj Dte Signature f Recrded der r Agent hereby certify: The Mining Act Certificate Verifying Reprt f Wrk ^ "(p'0 j, 'fice Address) 1. That hve a persna and intimate knwedge f the facts set frth in the reprt f wrk anneed here t, having perfumed the wrk r witnessed sme during nd/r ffer its cmpetin. 2. That the anneed reprt is true. b U. iq. U is..,,:dm:...,.,,j9.u...~^ ignturv

4 ^ ONTARIO ' TE MINING ACT REPORT T(he Recrder f...njm.u'&sksc'.y... ij.. M...JEiSr4;sj5...J;^ nme f Recrded der MIKU C C s Se e- r, Pst fice Address d hereby reprt the perfrmance f.../.wr?,...,..,... dys f nt befre reprted t be appied n the fwing cntigu,- caims f ri ^^^^^^^^^^^MMBMBBMMOIMI ^ ,^.. ^ f Am M 10 ttprt frm I Uqurtd (r tch typ f wrk t b recrded Mining Divisin...C.?.ae.^...^... Miner's Licence type f wrk "8 y Cim N. Days Caim N. Dys Caim N. Dys 4-fifeit '3 4 1ILZ2 / / 474.c7 /-i 4T/623 // 4- "J.'k # /"A 47 if, 2^ //- 4i, k, q /^ ^/.us /j 4"J,'^2P /^!~!L2i /3.,. ':J;.^i;:a EtertCh ODM.i-i-^-GBMENT FILES wvia^" RECEI ^/ei IMPRISONMENT BOT OR 41/111 A? 47/bZ? /. A the wrk was perfrmed n Mining Cim (s) Iftf/C/S/^//^^^ (In the case f gegica and/r gephysica survey (s) where mre than 18 caims re invved attach a schedue) h jj READ CAREFULLY: TE FOLLOWING INFORMATION IS REQUIRED OY TE MINING RECORDER. Fr Manua Wrk, Stripping r Opening up f Mines, Sinking Shafts r Other Actua Mining Operatins Names ne addresses f the men wh perfrmed the wrk and the dtes and hurs f their emp yment, Fr Diamnd and ther Cre Driing - Ftage, N. nd ange f hes nd diameti f cre. Nme and address wner r peratr c' dri. Dates when driing was dre. Signed cre g nd sketch in dupicate. v\ Fr Cmpressed Air r Other Pwer Driven r Mechanica Equipment i Type f dri r equipment. Names and addresses f men engaged in perating equip men! nd the dtes nd hurs their empyment. Fr Pwer Stripping -Type f equipment. Nme nd address f wner r peratr. Anunt epended. Dates n which c wrk was dne. Prf f actua cst must be submitted within 30 dys f recrding. With each f the abve types f wrk sketches re required t shw the catin r id etent f the wrk in reatin t the nearest caim pst. In the cse f diamnd r ther cre driing the sketch must be submitted in dupicate u Fr Gephysica, Gegica, Gechemica Surveys nd Ependiture Credits - the na me f authr f reprt, Cverin g eg dtes f survey (inecuting & ffice). Type f instrument used. Tta amunt f ependiture. Technica reprt! f S^ mps,ependiture breakdwn, receipts must be fied in dupicate with the Minister w ithin 60 dys f recrding, Q Fr Land Survey - the name nd address f Ontari Land surveyr. Z 1- The Required Infrmatin is s Fjws: (Attach ist if this space is insuffi fctcft) a f) f\i T j i /i ^ -f"/ "Jrj i "1 7 T T I a. ff\f}if^ i ffj PJ \s\s ' 1 -" f f f 4 V - ^" VV. 1 1 f \^ f i ti f O r C- L-1 i t'i ^ f m, iu f u kcur^cw IK. i,. ^ p r,c3. r\. ww M C) -f"r A v S ' (/i) vv i v i-ijci ii- : ff? i t-pv j c r\du hl S b P ^. 0,, ^ 1V SION y, S 1 Lft Date Jc-MO fx'1. 1^/77 T Kkj.V/77 ^4 0/^vi ci /C ^i f^'? O / The Mining Act Certificate Verifying Reprt f Wrk Signature f Recrded der r Agent IU W S w u. <,...,.../.v.(?.5...a^.a...^ hereby certify: (Pst fice Address) 1. That hve persna nd intimate knwedge f the facts set frth in the reprt f wrk anneed here t, having perfrmed the wrk r witnessed same during and/r after its cmpetin, 2. That the anneed reprt is true. Dated. id..,h^...ft...j9..2.7^ Vinrtntiirjh gnture tt u.. UJ

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