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ROW GEOCH EXPND WRIGHT LAKE - Ontario€¦ · 52007Sff5001 W9003-00261 WRIGHT LAKE 010 ern...
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52007Sff5001 W9003-00261 WRIGHT LAKE 010 ern Development and Mines Ontario DOCUMENT No. Mining Act Report of Work (Expenditures, Subsection 77(19)) Instructions ——— ————————— ————————- ——— ——- - Please type or print. - Refer to Subsection 77(19), the Mining Act for assessment work requirements and maximum credits allowed under this Subsection. - Technical Reports, maps and proof of expenditures in duplicate should be submitted to Mining Lands Section, Mineral Development and Lands Branch. Work Performed By W ri Name and Address of Author (of Submission) Date When Work was Performed From: To: Afl the work was performed on Mining Claimfs): Indicate no. of days performed on each claim. 'See Note No. 1 on reverse side Mining Claim No. d Days Mining Claim No. of Days Wining Claim ,No. of Days Mining Claim No. of Days Mining Claim ( No. of Days j Mining Claim No. of Days Mining Claim No. of Days Mining Claim ex.' No. of Days Mining Claim L No. of Days Mining Claim No. of Days Mining Claim No. of Days Mining Claim No. of Days Mining Claim No, of Days O ( Mining Claim No. of Days Mining Claim No. of Days Mining Claim No. of Days Instructions Total days credits may be'distributed at claim holder's choice. Enter number of days credits per claim in the expenditure days credit column (below).______________________ Calculation of Expenditure Days Credits Total Expenditures^^^^^ . o© Total Days Credits Total Number of Mining Claims Covered by this Report of Work Mining Claims (List in numerical sequence). If space is insufficient, attach schedules with required information Mining Claim Prefix | Number Expend. Days Cr. Mining Claim Prefix Number Expend. Days Cr. Mining Claim Prefix Number Expend. Days Cr. Mining Claim Prefix Number Expend. Days Cr. ASSESS? . 1ENT F SURVEY LES uo Ur-FtCE liJ99f) P t~ i fc—*Tr~i o Total Number of Days Performed Total Number of Days Claimed Total Number of Days to be Claimed at a Future Date ;eniTication or benenciai interest bee Note NO. 2 on revgrse siae l hereby certify that, at the time the work was performed, the claims covered in this report of work were recorded in the current recorded holder's name or held under a beneficial interest by the current recorded holder. ^^ Date [Recorded Holder or Agent (Signature) Certification Verifying-Report of Work l hereby certify that l 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 Address of Person Certifying For Office Use Only Total Days Date Recorded Cr. Recorded l ! Date Aoproved as Recorded Mining Record- ager, Min Recerved Stam
Transcript of ROW GEOCH EXPND WRIGHT LAKE - Ontario€¦ · 52007Sff5001 W9003-00261 WRIGHT LAKE 010 ern...
52007Sff5001 W9003-00261 WRIGHT LAKE010
ern Development and Mines
Ontario
DOCUMENT No.
Mining ActReport of Work(Expenditures, Subsection 77(19))
Instructions ——— ————————— ————————- ——— ——-
- Please type or print.- Refer to Subsection 77(19), the Mining Act for assessment work
requirements and maximum credits allowed under this Subsection.- Technical Reports, maps and proof of expenditures in duplicate
should be submitted to Mining Lands Section, Mineral Development and Lands Branch.
Work Performed By
W riName and Address of Author (of Submission) Date When Work was Performed
From: To:
Afl the work was performed on Mining Claimfs): Indicate no. of days performed on each claim. 'See Note No. 1 on reverse side
Mining Claim No. d Days Mining Claim No. of Days Wining Claim ,No. of Days Mining Claim No. of Days
Mining Claim ( No. of Days j Mining Claim No. of Days Mining Claim No. of Days Mining Claim
ex.'No. of Days Mining Claim L No. of Days Mining Claim No. of Days
Mining Claim No. of Days Mining Claim No. of Days Mining Claim No, of Days
O (
Mining Claim No. of Days Mining Claim No. of Days Mining Claim No. of Days
InstructionsTotal days credits may be'distributed at claim holder's choice. Enter number of days credits per claim in the expenditure days credit column (below).______________________
Calculation of Expenditure Days Credits Total Expenditures^^^^^
. o©Total
Days CreditsTotal Number of Mining Claims Covered by this Report of Work
Mining Claims (List in numerical sequence). If space is insufficient, attach schedules with required informationMining Claim
Prefix | NumberExpend. Days Cr.
Mining ClaimPrefix Number
Expend. Days Cr.
Mining ClaimPrefix Number
Expend. Days Cr.
Mining ClaimPrefix Number
Expend. Days Cr.
ASSESS? .1ENT F
SURVEY LES
uoUr-FtCE
liJ99f)
P t~ i fc—*Tr~i
o
Total Number of Days Performed Total Number of Days Claimed Total Number of Days to be Claimed at a Future Date
;eniTication or benenciai interest bee Note NO. 2 on revgrse siael hereby certify that, at the time the work was performed, the claims covered in this report of work were recorded in the current recorded holder's name or held under a beneficial interest by the current recorded holder. ^^
Date [Recorded Holder or Agent (Signature)
Certification Verifying-Report of Workl hereby certify that l 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 Address of Person Certifying
For Office Use OnlyTotal Days Date Recorded
Cr. Recorded l
! Date Aoproved as Recorded
Mining Record-
ager, Min
Recerved Stam
SCHEDULE "A"
USING CREDITS BANKED FROM W 9003.219
USING CREDITS BANKED FROM W 9003.214
TOTAL AVAILABLE TOTAL USED
DAYS BANKED
4.00
130.40
134.40/lo.
Development ,nes
[DOCUMENT NO. W9003* 2.1.4
Report of WorkAct (Expenditures, Subsection 77(19))
Instructions- Please type or print.- Refer to Subsection 77(19), the Mining Act for assessment work
requirements and maximum credits allowed under this Subsection.- Technical Reports, maps and proof of expenditures in duplicate
should be submitted to Mining Lands Section, Mineral Development and Lands Branch. ' .'
Type of Work Performed
Recorded Holder '
^o/vJA CouvAddress
iioo-^?JD '-fr&i
Mining Division Township or Area
; - - . -- Prospector'si'uiKtj'cence No.'
-. — '
. ' - , Telephone No.
Work Performed By ' . ' ', , '. ' - :. - . - , -J -- - . . ,. f , - . : .-.- . -, ,. . . -. - -
Name and Address of Author (of Submission) ., ,-, , — ,. : . . . tJ -i 'j - ,i * irA4,s:.-fe' Date When Work was Performed . ,. . . ; - .^.. .....- , : -.--.. . .... -.. - ,. : - , . ,.-. -- , -, .-,-~ - , :- From:?. : : "^ Tor --'o^
^jQv C. ' ' O '7X3 (~yv C ̂ ' " ' ' Day' 1 Mo. 1 Yr. Day Mo. '| Yr. .
All the work was performed on Mining Claim(s): Indicate no. of days performed on each claim. *|? 'See Note No. 1 on reverse side l O. -
Mining Claim . No. of Days
Mining Claim No. of Days
Mining Claim
Mining Claim
No. of Days
No. of Days
InstructionsTotal days credits may be distributed at claim holder's choice. Enter number of days credits per claim in the expenditure days credit column (below).
Mining Claim No. of Days Mining Claim No. of Days Mining Claim ~
Mining Claim , No. of Days Mining Claim No. of Days Mining Claim
Mining Claim No. of Days Mining Claim No. of Days Mining Claim
Calculation of Expenditure Days Credits yota | Total Expenditures Days Credits
S l^S^.OO * 15 a ' TSO. 1-!-
No. of Days
No. of Days
No. of Days
Total Num by this Ref
fining Claim
vlining Claim
Wining Claim
No. of Days
No. of Days
No. of Days
3er of Mining Claims Covered jortof.Work v ~-* '
Z;Mining Claims (List in numerical sequence). If space is insufficient, attach schedules with required information
Mining ClaimPrefix Number
Expend. Days Cr.
Mining ClaimPrefix Number
Expend. Days Cr.
Total Number of Days Performed Total Number of Days Claimed
lertification of Beneficial Interest *See Note No. 2 on reverse sidel hereby certify that, at the time the work was performed, the claims covered in this report of work were recorded in the current recorded holder's name or held under a beneficial interest by the current recorded holder.
Date Recorded Holder or Agent (Signature)
AAlf•ertification Verifying Report of Workhereby certify that l 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
luring and/or after its completion and the annexed report is true.*lame and Address of Person Certifying
^} A o /OOP/0 //OO-ZO ST ^ '.Telephone No. Certified By (Signature)
)U
or Office Use Only
Provincial Manager, Mining Lands
868972 86897/3 , 868974X868975
Ministry oihern Development",-^ Mines
)ntario
Mining ActReport of Work(Expenditures, Subsection 77(19))
Instructions- Please type or print. .- Refer to Subsection 77(19), the Mining Act for assessment work
requirements and maximum credits allowed under this Subsection.-Technical Reports, maps and proof of expenditures in duplicate
should be submitted to Mining Lands Section, Mineral Development-and i
Type of Work Performed Mining Division
PfiTK-lCtftTownship or Area (^/g (Q NT/
ct) iev f HQ-mPes a 779 tooProspector's Licence No. ,Recorded Holder
Q OC //ve.Address Telephone No., -.
Work Performed By
Name and Address of Author (of .Submission) Date When Work was PerformedFrom:. .v-, To: ~-, -'.
Day | Mo. | ''-r Yr. Day | Mo. |
All the work was performed on Mining Claim(s): Indicate no. of days performed on each claim. * See Note No. 1 on reverse side ._— - j-:--
Mining Claim . No. of Days Mining Claim No. of Days Mining Claim No. of Days Mining Claim No. of Days
alining Claim No, of Days Mining Claim No. of Days Mining Claim No. of Days Mining Claim No. of Days Mining Claim No. of Days Mining Claim No. of Days
dining Claim No. of Days Mining Claim No. of Days Mining Claim No. of Days Mining Claim No. of Days Mining Claim No. of days Mining Claim No. of Days
InstructionsTotal days credits may be distributed at claim holder's choice. Enter number of days credits per claim in the expenditure days credit column (below). ___ -
Calculation of Expenditure Days Credits Total Expenditures______
sTotal
Days CreditsTola! Number of Mining Claims Covered by this Report of Work . ... -
/lining Claims (List in numerical sequence). If space is insufficient, attach schedules with required information
Total Number of Days Performed
4-Total Number of Days Claimed* Total Number oTDays to be Claimed at a Future Date
H-.OCertification of Beneficial Interest "See Note No. 2 on reverse side
l hereby certify that, at the time the work was performed, the claims covered in this report of work were recorded in the current recorded holder's name or held under a beneficial interest
Recorded Holder or Agent (S4gnature)
i 790 iby the current recorded holder.
Certification Verifying Report of Workl hereby certify that l 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 Address of Person Certifying
/91/xcWCertified By (Signature)
•or Office Use Only
Provincial Manager, Mining USoos
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