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\ ENVmwiwvtii;} LABORATOR1(DIVISION OF ASSAYERS CORP.)
SPECIALISTS INCHEMISTS ' ARSA
ENV LAB*(DIVISION Ol
II52B10SE0010 2.14545 BURCHELL LAKE 010
Coipany: TOD SANDERSProject! TB 1697flttn: TOD SANDERS
He hereby certify the fol] submitted AUG-28-91 by.T.E
y. -m J c ml
Company: TOD SANDERSProject: TB 1697Attn: TOD SANDERS
He hereby certify the followi submitted AUG-28-91 by T,SANI
Coipany: TOD SANDERSProject: TB 1697Attns .TOD SANDERS
h^r9by certify the fol3 Bubmitted AUG-28-91 by T.J
section #9240.0069Mining RecorderMinistry of Northern" Developmentand Mines435 James Street SouthP. O. Box 5000Thunder Bay, OntarioP7C 5G6
Dear Sir/Madam:
Subject: APPROVAL OF ASSESSMENT WORK SUBMITTED ON MINING CLAIMS TB938974 ET AL. IN BURCHELL LAKE AREA
The assessment work credits for Assays filed under Section 17 of the Mining Act Regulations have been approved as originally filed.
The approval date is July 3, 1992.
Please indicate this approval on your records.
Yours sincerely,
Ron C. GashinskiSenior Manager, Mining LandsMines and Minerals Division
Ij/jl
cc: Resident GeologistThunder Bay, Ontario
Assessment Files Library 'j Toronto, Ontario
Ministry ofNorthern Developmentan* Mine* -'f'
Transaction NumberReport of Work Conducted After Recording Claim
Mining Act*ersonal Information collected on this form Is obtained under the authority of the Mining Act. This Information will be used for correspondence. Questions about his collection should bs directed to the Provincial Manager, Mining Lands, Ministry of Northern Development and Mines, Fourth Floor, 159 Cedar Street, Sudbury, Ontario, P3E 6A5, telephone (706) 670-7264.
instructions: - Please type or print and submit in duplicate.- Refer to the Mining Act and Regulations for requirements of filing assessment work or consult the Mining
: Recorder. - '- •\•&S- ' . - A separate copy of this form must be completed for each Work Group.•?v . Technical reports and maps must accompany this form in duplicate.
- A sketch, showing the claims the work is assigned to, must accompany this form.
n a on erf a firtvoofUOQ Client No.
j" /psff^"Township/Area
Telephone No.
M or Q Plan No.
X psrt.,.
Work Performed (Check One Work Group Only)
^
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•••f- '
-~'-
'*
K
^WorkGroup ,-f
geotechnical Survey
lEifift'S^I^MK*Klltt*4tMik '!l ' ' ' - 1 *'\
Other Authorized t Work:- -p/^'H*" * . f8 *Assays . 1,^4'^e*j) , , "' - - 1 * p-*---?jyp ?v
' Assignment tntnft^-JReserve--':-? "^
x r Type
V-.\ 1 -'.j RECEIVED
IS ^ UAV 1 - 1QQO•r : - t M AY i ~ iyyc
MINING LANDS BRANCH- /fer*^ '. -s
"-* c - -- , Total Assessment Work Claimed on the Attached Statement of Costs S
: The Minister rnay reject for assessment work credit all or part of the assessment work submitted If the recorded holder cannot verify expenditures claimed In the statement of costs within 30 days of a request for verification.
. 'ersona and Survey Company Who Performed the Work (Give Name and Address of Author of Report)
Name Address
f
attach a schedule H necessary)..4i*... , !.,.-......^-.,
truncation of Beneficial Interest ' See Note No. 1 on reveree side
l certify that at the time the work was performed, the claims covered in this work report were recorded In the current holder's name or held under a beneficial Interest by the current recorded holder. . ,
Date
f*?
Recorded HoMer or Agent^ignature)
^rthTcatlon of Work'Reportl certify that l have a personal knowledge of the facts set forth In this Work report, having performed the work or witnessed same during and/or after Its completion and annexed report is true.
Neme and Address of Pereon Certifying
Telepone No
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INNG
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1992
x ^
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ON p7
Value
Assigned
from
this
Claim
**
Cred
its yo
u ar
e ea
rnin
g In
this
repo
rfmay
be
cut b
ack.
|n or
der t
o m
inim
ize th
e ad
vers
e ef
fects
of s
uch
delet
ions,
pleas
e ind
icate
from
wh
ich c
ulm
a yo
u wi
sh lo
prio
rize
the
delet
ion o
f cre
dits.
Plea
se m
ark
{^)
one
of th
e fo
llowi
ng:
1. JZ
L Cre
dits
are?
tb b
e^cu
t bac
k sta
rting
with
the
claim
liste
d las
t, wo
rking
bac
kwar
ds.
2. '
D C
redit
s ar
e to
be
cut b
ack
equa
lly o
ver a
ll cla
ims
cont
ained
In th
is re
port
of w
ork.
3. "
D C
redit
s ar
a to
be
cut b
ack
aa p
riorlz
ed o
n th
e at
tach
ed a
ppen
dix.
5" "'.-
r '"' r
-. XJ
t'spe
cHW
d-yo
ur c
hoic
e of
prio
rity,
optio
n on
e wi
ll be
Im
plem
ente
d..
.In
tha a
vant
that
tfff
f-*
-
lot*
1 :
Exam
ple*
of b
anaf
leta
l Int
erea
t ara
unr
ecor
ded
trans
fers
, opt
ion
agre
emen
ts, m
emor
andu
m o
f agr
eem
ents
, etc
. , w
ith re
spec
t ^
il ,
to th
a m
lnln
gjel
alm
a.
lota
2;
If w
ork
hae
been
per
form
ed o
n pa
tent
ed o
r lea
sed
land
, ple
ase
com
plet
e th
e fo
llow
ing:
1 m •
'•Ji
ta\ t
fei
ia
ifa
a
B*
n n
m^m
rt
n n
lrtM
ff h
A*t
m ^m
n^M
tttm
l tn
tmrm
mt
lik e
eV
* n
mtm
ttt^
jt
or le
ased
land
st t
he tt
me th
e wo
rk w
as p
erfor
med.
Sign
atur
eDa
te
Ontario
Ministry ofNorthern Developmentand Mines
ament du Nord et des mines
Statement of Costs for Assessment Credit
ttat des coQts aux fins du credit devaluation
Mining Act/Lol sur les mines
Transaction NO./N* de transaction
Personal Information collected on this form Is obtained under the authority of the Mining Act. This Information will be used to maintain a record and ongoing status of the mining clalm(s). Questions about this collection should be directed to the Provincial Manager, Minings Lands, Ministry of Northern Development and Mines, 4th Floor. 159 Cedar Street, Sudbury, Ontario P3E 6A5, telephone (705) 670-7264.
Les renselgnements personnels contenus dans la presente formule sont recueillla en vertu de la Lot sur toe mines et servlront a tenlr a jour un registre des concessions minieres. Adresser toute question sur la collece de ces renseignements ad chef provincial des terrains mlnlers, ministers du Developpement du Nord et des Mines, 159. rue Cedar, 4* etage, Sudbury (Ontario) P3E 6A5, telephone (705) 670-7264.
1. Direct Costs/CoQts directs
Type
Wages Salalres
Contractor's ami Consultant's Fees Droitsde I'entrepreneur et de ('expert- ooneell
Supplies Used FoumKures utilise**)
Equipment Rental Location de mat*rtel
Description
Labour Main-d'oeuvreField Supervision Supervision sur le terrain
pj55A*yC—r
Type
Type
Amount Montant
bttZti
Total Direct Costs Total des coots directs
Totals Total global
/f*7-Z
'
"f"' 1 V'l . ' ' . J
^s#?
2. Indirect Costs/CoQts Indirects* * Note: When claiming Rehabilitation work Indirect costs are not
allowable as assessment work. Pour le remboursement des travaux de rehabilitation, les coots Indirects ne sont pas admlsslbles en tant que travaux d'evaluation.
Type
Transportation Transport
Food and Lodging Nourrlture et hebergementMobilization end Demobilization Mobilisation et demobilisation
DescriptionType
y/7 t/dvi r*
/
Amount Montant
iff -
Sub Total of Indirect Coste Total partial des couts Indirects
Amount Allowable (not greater than 20H of Direct Coste) Montant admissible (n'excedant pas 20 H des coOts directs)total Value of Assessment Credit Valeur totale du credit (Total of Direct and Allowable d'tvaluatlon Indirect eoiut (ToU dM MOU dr*et*
Totals Total global
*t Mlnwtt tdmlMMM
ote: The recorded holder will be required to verify expenditures pifeScfW C iNVteVtWulaire enreglstr* sera tenu de verifier les depenses demandees dans this statement of costs within 30 days of a request for verification. If le present etat des coots dans les 30 jours sulvant une demande a cet verification la not made, the Minister may reject for assessment work, -. m 100 *"et - ® la verification n'est pas effective, le minlstre pout rejeter tout all or part of the assessment work submitted. MAT -L '••''•'bu une partle des travaux d'evaluation presentes.
King Discounts MINING. Work filed within two years of completion is claimed at 100"M) of
the above Total Value of Assessment Credit.
lepot
1. Les travaux deposes dans les deux ans sulvant leur achevement sont rembourses a 100 M de la valeur totale susmentfonnee du credit d'evaluation.
. Work filed three, four or five years after completion Is claimed at 50"M) of the above Total Value of Assessment Credit. See calculations below:
otal Value of Assessment Credit Total Assesamant Claimedx 0.50
2 . Les travaux deposes trois, quatre ou cinq ans apres leur achevement sont rembourses a 60 V* de la valeur totale du credit devaluation susmenttonne. Volr les calculs ci-dessous.
Valeur totale du credit d'evaluationx 0,50
Evaluation totale demandee
silification Verifying Statement of Costs
tereby certify:at the amounts shown are as accurate as possible and these costs jre incurred while conducting assessment work on the lands shown i the accompanying Report of Work form.
at aa(Recorded Holder. Agent, Position
make this certification
j^^In Company)
Attestation de i'etat des couts
J'atteste par la presente :que les montants indiques sont le plus exact possible et que ces depenses-ont et6 engagees pour effectuer les travaux d'evaluation sur les terrains indiqute dans la formule de rapport de travail cl-joint.
l am authorized Et qu'a titre de je suis autorise(titulair* enregistre, reprisentant, po*W occup* dans la compagnle)
a faire cotte attestation.Oat*Signature
Nota : Dana cette formule, lorsqu'M deslgne des personnel, le masculln est utilise au aena neutre.
t*27 i l Bbii740 *62739 ' S62T3B965546 ! 965546 l 965947
[ "^ j 8^* . J
! 887956 ' 942409 9424H
94?009, 040743
M" . .'1142642 ' 114264. '
90*30*
t* 17 Y4RJ4ifl* jn tt * f *- *"- MOM* i i
REFfclFix status cf isloodi In
to M MR. r
/to* withdrew from of the Mining Act ;
Ffi* Oat*'earn
KC.M 04W4/M*
MTO SKHVICC MC,2QJMt L
i..THE INFORMATION THW APPEARS ON THIS MAP HAS BEEN COMPILED FROM VARIOUS SOURCES, AND ACCURACY 18 NOT GUARANTEED. THOSE WISHING TO STAKE MIN ING CLAIMS SHOULD CON SULT WITH THE MINING RECORDER, MINISTRY OF NORTHERN MENT AMD MIN DITIONAL INFORMATION ON THE STATUS OP THE LANDS SHOWN HERjQN.