DIAMOND41111 010

TOWNSHIP: BALFOUR TWP. REPORT NO: 12

WORK PERFORMED FOR: Falconbridge Limited, Exploration

RECORDED HOLDER: SAME AS ABOVE (zz)

: OTHER ( )

CLAIM NO.

S 995683

HOLE NO.

BA-12-01 BA-12-02 BA-12-03

FOOTAGE

i i o

DATE NOTE

Nov/89 (1)Nov/89 (1)

Nov-Dec/89 (1)

NOTES: (1) JW9007.053, filed Mar/90

DR

ILL

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LE N

UM

BE

R

i .

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ct Na

me:

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oject

Num

ber:

Claim

Num

ber

Loca

tion:

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J.O

T/Q

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ON

BR

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E L

TD.

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(F/M

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Sta

rted

(MM

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YY):

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plete

d (M

M/D

D/YY

):

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ed B

y:

Com

men

ts:

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ges

At:

91

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ting

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ds

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: —

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th:.—

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t: ^

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lev:

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id As

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r Dip:

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5

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ords

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MMstry of

DOCUMENT NO*Tt

76 and 77. tie Mrtnq Aa for i •nd tfw rawBrett flhto of MB tonn tar tabto of i

Mining Act Report of WorkPTOBpodof* Uo8nc0 No.

A Q

8OTobpnonB No.

flrxTT PfDH f SOSummary of Distribution of Credte and Work Performara

*Typo of Woric PvfoniMd

.-.Shot SHdng OriMng or U Lateral Work

Dfmnfenum cfadk dowBd - 100 (tay* K3-m) ^^

[QOiMnond or atw Core

ncora Spednwns

Total NO. of Days to be domed el a

From: , l ^cJ 19 M l Ta fe

Al the work was performedon Mining CtainXs): IndKBte no. of days pertonned on each dafeii. * (See note No. 1 on reverse side)

Required Information eg. type of equipment. Names. Addresses, etc. (See Table on If space below to Insufficient, attach schedules wNh required biformalfe

fill

sk l) ASSESSMENT FILES OFFICE

MAR 16 1990

RECEIVED

RECORDED

MAR 1 4

PISP M.

,3,4,5,9

/f t J.Certnication of BeneficiaJ Interest * (See Note No. 2 on reverse side)

l laBaVoy o0rtNy wHat, flt VMI Hnw Hw wont VMS o4wc^Mrerecordedbi tie cwrant recorded he by tie current recorded holder.

larhridundiralRaconHd HoWer

Certification Verifying Report of Workthat l have a personal and Inornate

or witnessed same during andtor afiar Ra completionknowledge of Ae fads set forth In the Report of Work annexed hereto, having pertonned the work

and the annexed report la true. __________

Tetaphone No.

7. maFor Office Use Only

Woric ASBJQIIfllOfltB f Stamp

^RECEIVED1990

P.M. 7,8,9,10,11,12, l |2j3|4,5|6

••••••••••••••••••••••••••^••••••••••••••Bi