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SUITE 3970 COMMERCE COURT WEST. -P.O. BOX.9.1, TORONTO, ONTARIO MSL 1C?|bet* of Survey (from ft to) Tfbtel Mile* of line CutSurvey Company
ASSAYS PERFORMED BY: METRICLAB ..C198Q) INC. ^Sumy (from ft to) (Total
Mo. j Yr. j .Oey J MoJ^ Yr^J___Name and Addr*M of Author (of Oeo-Tachnlcel report)
P. O. BOX 460. 3388 CHEMIN OKA. STE. MARTHE sur-le-LAC. QUEBEC JON 1POCredits Requested per Each Claim in Columns at rightSpecial Provisions
For first survey:
Enter 40 days. (This includes lin* cutting)
For each additional survey: using the same grid:
Enter 20 days (for each)
Men Day*
Complete reverse side and enter total(s) here
( RECEIV1AM 92 18
- Electromagnetic
- Magnetometer
- Radiometric
•Other
Geological
Geochemical
Geophysical
- Electromagnetic
- Magnetometer
- Radiometric
EOT-Geological
fi
Airborne Credits
^iinkMfisscredits do not apply to Airborne Surveys.
electromagnetic
•VrlelQrWtOfTWt+f
Radiometric
Days per Oaim
Days per Claim
Days per Oaim
Mining Claims Traversed (List in numerical sequence)
Expenditures (excludes power stripping)Type of Work r^rforrr-d
Performed on CUim(s)
Calculation of Expenditure Days Credits Total Expenditures
Aft*; o/.
Total Days Credits
InetructionsTotal Days Credits may be apportioned at the claim holder's choice. Enter number of days credits par claim selected i columns at right.
Mining OeimPrefix
K
and
and
Number
629431
62943362966?
f -..I..-
HfeH
;n ~ r r
Expand. Day* O.
32.5
52.5
12.73
Mining ClaimPrefix Number
Expend. Days O.
Total number of mining claim* covered by this
I Oat* DECEMBER 22.19t
Recordjd Holder or Agent i Signature)
7 'r--*—ification Verifying Report of Work
l hereby certify that l have a personal and intimate knowledge of the factt 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
FRANK BALINT c/o MTNNOVA Tnr. 2606 VICTORIA FAST.
THUNDER BAY, ONTARIO P7C IE7l Data Certifiedl Certified by
l DECEMBER 22,1987
MINNOVA
LICENCE T-556
FILING OF ASSAY AND GEOCHEMICAL RESULTS FOR EXPENDITURE CREDITS
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