13
52E16SW8843 21 JAFFRAY 010 DIAMOND DRILLING TOWNSHIP: JAFFRAY WORK PERFORMED FOR: SCRAMBLE MINING COMPANY RECORDED HOLDER: SAME AS ABOVE [ x] : OTHER [ ] CLAIM NO. K729380 HOLE NO. S-42-86 FOOTAGE 142.39 M REPORT NO: 21 DATE NOV/86 NOTE (1) NOTES: ( 1 j*W9110.068, FILED NOV/91

REPORT NO: 21 WORK PERFORMED FOR: SCRAMBLE MINING …

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Page 1: REPORT NO: 21 WORK PERFORMED FOR: SCRAMBLE MINING …

52E16SW8843 21 JAFFRAY 010

DIAMOND DRILLING

TOWNSHIP: JAFFRAY

WORK PERFORMED FOR: SCRAMBLE MINING COMPANY

RECORDED HOLDER: SAME AS ABOVE [x]

: OTHER [ ]

CLAIM NO.

K729380

HOLE NO.

S-42-86

FOOTAGE

142.39 M

REPORT NO: 21

DATE

NOV/86

NOTE

(1)

NOTES: ( 1 j*W9110.068, FILED NOV/91

Page 2: REPORT NO: 21 WORK PERFORMED FOR: SCRAMBLE MINING …

V V

DIA

MO

ND

DR

ILL

RE

CO

RD

MM

C

or

rao

»M

Tv

SC

RA

HB

LE

__________________

no

. S

-47

-- fl£_

__

_

I.CM

CTH

I4

7..3

B

nrt_

______

C4.C

VATIO

M

T-_

TC

*

*-,.^..-r^F

IHIS

HC

O

-45

*

eterage

OC

O.Ift

!«.*»

DIP

-fse

"f*

-4|f«

AZ

MU

TH

raoTAoc

DIP

AZ

MU

TM

MttJ

N

IICU

AK

K*

MT

EJU

fiED

CtC

KIP

TIO

Hf

A

M

P

L I

NO

.T

O

TO

TA

Coz/tn

nO

I/TO

»

OVC

KK

UftteN

C

AS

ma fc

I8.3O rrt.

20.3

ba<

fbw

We

20. S7

ZJ.2S

_2.of

21.04

40.55

su_»

.K?

-2D

.i7

Sheared- "to c«lr5c-^rftin«d.

Unrrtrvti

Conferred .V

ery m

ino

r o

Jdh

c. ar>d q

u.«rti

veirilcK

( *-1 mm

). LocA.1 Zones

wrW

i d

ark. 4rb>wn

Mo*H

y -frate Tij>e-5Tained _ dt^seyninKfed

py

rrho

Mt, bui"

~31.44 Mecium

-OTrtined

rw»«*vt

fc Som

ewrjai- O

TnsdATIorial nifc

sheared vaoe^es

dbbvfc an

d

be.low/excep

t-£r trofcen A

nd

. -4

^

wfttl

KE

!O

R<

\

MA

Y/M

8 li 91 MU

;

78

91

01

11

21

23

45

6

Page 3: REPORT NO: 21 WORK PERFORMED FOR: SCRAMBLE MINING …

NAME

OF

PRO

PERTY

_

SCRAHBLE

DTA

HO

HD

MT

L1

. K

KC

QB

PH

OLE

HO

.SH

EE

TO

F _

3_

D1 PTHPRO

M(m

)TO

(m)

DE

SCR

IPT

ION

NO

.%

SOL

-1 P

RID

ES

SAM

PL

E

rnonJJE

PT

HTO

I

TOTA

IJPDb

AuO

I/ton

Al

I.TS

i:S

40.35

40.41

43.45

. LOCA)1 m

mbut HO te

z. on

. In fcoftewi (.*t>k>f.

' '

,—.^. /emmq

vtinlets , mc»ny

-. ...... ^^.,

™ .-

— —... ,., __.-..,

5 m. are

IOCA) paJdhes («y fc IS on.) erf <iu*f4t.-

fcunrtvnli»ie (-cAlo-fe -pyrrhdffe) wrfh m»rto»" Wrm

Alirie-

nch vewilcls

panxllefl fe schrifcsrfy and •Subparo.lld •b core axrs . f^iT?> -fi^e-or«inec<

d»«cniin*fel pyfrhoW

e . "Zs^e •*> w

eAky -fe m

odcmW

y rvMane^c.

1.44-4o.?S -Shedrcd frt«fe*iWvt>, 6am

t AS ZixH-^S

.Urtl.

Mnrter fc> m

ode«cfc fljoft vw

iilets (^1-5

mm

) •fo

Schi-UMiry . LocAjy tu> te lo"% d^rk.

We.

v«r/ fine.-jjirAincd . I _.,..,7 ^

..J.1——

..,——

—..

white -fcJcftp-ir phertocrysrs (<. i m

m) . M

irvrr wHrk* q

u*^

\feirilcrs n/> "to S mm

.

_ _ ML KxfufBcl

rted- bdst of ._ _

as narrow (<_i m

m.-Z «n) veinleis

te

2oi«n

A> -fewnr«]ine.

AS-hoh5 <*r«l vem

teK (wrfh pyrtiw

We) Abundanh o^lcrfe

te <»u«rfi vei*l and fc hwhly chbri^zed.

-'

3

ww

.it VE

INF

ine-orAirteet

milky -w

hrfe

., nrvw

snt quar^T

. Ve

in. fV

1od«r«Wy

frttcW

rW. d

lcrte

. occurs

as M

#llirt4

s Alone fttc

-fwrc

s

' AS p

atch

es

loCA

lly H

>fDW

5H«»aK)5

cc1lo

/p co

nta

ins

et

M^TC

+5.450.4C

Page 4: REPORT NO: 21 WORK PERFORMED FOR: SCRAMBLE MINING …

NAME

OP

PRO

PBRTT

SCRAMBLE

DTA

HO

MP

D

RT

TJ.

BK

fnRT>

HO

LE W

O.

V4grflC

SH

EET HO

. JL

OF

DE

PT

HFR

OM

TO

(m)

DE

SCR

IPTIO

NN

O.

% SU

L

PHID

E

SAM

PLE

FRO

MJJE

PT

HT

O

TO

TA

IW

*AuO

Z/

ton

AH

M.T

SK

S

43.4544,00

44.06

44.2450.0*

3o 0*1. Tone <jf K»Jf -ttw. zone (conker1 w

rfh te

cort AVI* ) df hich cW

onfrzid , bucvein

bwcr

, rr»der»-Wy

and UW>rt»>c-liokj

Ufiper loon. hi^^°carfcorvth2«|

occurs in

iMM

oP cafeife^dilonfic ^earnj (i n»rn- J 0*1.) . M

inor vwn* (<

l mm

-1 cm

) in btffn&

and A5 nunar &

d'

44:0 m -«

°

SILL

ney to creamy-w

Mt, very ^nt-afaw

wel, *!'<

7o very ^Tne-w»in«d f>irffrfe m *$KX\C*> . LoJ

<i mm

wtotah

elonqdfoal^/elol^iflr phenocry*^. Very minor

p k

. _

_

. *

•fourmsJinc veirtleh parallel

to •5cHt4tovfy. Very nm

ior

45.S m -39*; 47.6 wl -5

t* ^ 4^.0 nl -51*

(<lm

m.) dfftd

»%ol veiril

SO.O

m -47°

4- mm

)M

inor

Page 5: REPORT NO: 21 WORK PERFORMED FOR: SCRAMBLE MINING …

NAME O

f PR

OPEFTT

. SCRAMBLE

DIA

HO

BD

D

RT

TJ.

MtgO

BD

HOLE NO.

.Sd

GL

flt SHE

ET

H

0..4__ Of

3

PROM DE

PT

HTO

(m)D

ESCRIPTION

NO.%

SD

L-

PH

IDB

f

SA

MP

LE

PROM

DE

PT

HTO

TO

TA

l P

I* -fa

02

/ton

J&

J-TS

KS

•50.CQ

sf.at6.X.17

<ame AS 44.00-4^.24. M

mor fcurrvnjJirte-pyrrft-^Martt

winters wp to C m

m. M

pper corttact" ^KpWy fo m

odereiWy

•sKeAncd over- zo cyn. Loowly poV^ium

-^wd^xitH

iiZed. SlraM* bn>wni5H ^^5^ ^M

C fc minor (xtf~ wide/spread s«nc/ft(;

Hich/v

s

carbonate -

aHrred

mafic, rock. .

rte -cained . FKJx»W •sheared

WfcTI

w> fc S mi^r

<rAbbro above. 2o/i cajcifc. m irrccjuiar

1-3 mm

VeiriltH. Irregular teorrmlinc pW

xhes •fine-fe m

edium -qrftm

ed«3

44.00-4^.24-m

LocalKf 4eno+tr«d _!(y appureirt^ on frnc'ture pla*>e^ A

ko local im

>'-feU4pa#ii2cd(?) t*K

>ti. (2are. pynfe.fjt /\

Jb

* tO

*; irr.O

m ^^^,

if-54.83fc

modefzifely

•schisfoic'^frorn ^«)wc *i/l aJbo*t

chloriTic and bioftfic _ M

oc/emcfc. am

oujif- •Seams

(I mm

- 2. on) , m

osf- irrfeiWc neA

r-fefnc *'illI

i*

• -

• i

'

rally <-!

cm) jO

nJ pinleN

(irr«y

jar) and

i

CfJdbe. -icflms a

Mtry m

inor auArl7

Mrwcfioi'K oP

<L.® 55.0 m -4

6*

^7.0 m -57*

SJ.CI

5Z..03

Page 6: REPORT NO: 21 WORK PERFORMED FOR: SCRAMBLE MINING …

iFROM

(m) DE

PTH

65.17

6.4.251

CC.OS

TO

(m)

CC.05

DIAMOND DRILL RECORD

NAME OF

PROPERTY SCRAMBLE

BOLE MO.

8HBBT PO..5L OF

DESCRIPTION

58.01-63.11 Ma/*«vie: |y*K«JJ>rt>. Coarie-teviery c«*rsc.-

crained ? locAlty slwfmy ^cW

stese. fe> HieMy sheared arvJ com

mm

ufad .'very minor fcurw

whie.(-<»iw

rft) and

cAlcrh- veJrtltts.fc

w '^

^

Very m

inor

loAfeT .

(7 en,.')

/Tut- -fc -firit-orAined . M

ediuin io dark- cA

tite \*onld5 (i-l m

nvanol chlorrficdar-qn-crl .

marked

(<l nnw). U

fper Corriurhvon

o.S-l«n

banokd

?ch»^b6e )Viery flne-crrtuncd cW

ortfic marfenW

. Minbr

l»ncl^ near- bd«e .'-W

cderaft fe Abvm

dATtf* cAJcife pfl<7l1le|

fc ^tJiisfevfy (especially in btoK^c..iL

I •

'm_f^

fcA

*/jfc I

wrrHs). U

epeT a

*ifcix

"MARC TUFF"<£.O

S-66.75

__

.

mort w

ell-l>drW«d, m

ore v-^.p^,,,. .

JamifVK . M

inor -fo moderafe narrow

^ 5ome,,.^-.

irrwiJa

ir cAlcrft

^seams' . A

rhphibok.-^Mar+i.-chlorrft-

b»m

«

-sdirif. ^1.® C

7.0 m -',.

Trace very •fine-mA

med di^crfltO

Aied pyrrhohfe. LPCA|

i f*

U« ^

^

•b unrf- above. U

t" wtosHy btoW

ic pdtfcncSW

yrf-iourm

Alinc.. Eflrt <Ldrt2.

1 mrn

NO

.% SDL-l PHIDE

SAHPLBFROM

PgP

TB

TO TOTAI

ppb M

loz/ton

AJUIfiBS.

Page 7: REPORT NO: 21 WORK PERFORMED FOR: SCRAMBLE MINING …

DIA

HO

HP DRTT.T.

BKC

OPP

NAME OP PROPERTY

SCRAMBLE

HOLE NO.SH

EET WO. _£_ OP

PEJPTHFROM

TO

DESC

RIPTIO

NNO

.t

SUL PH

IDES

SAM

PLE

PROM

DEPTH

TOTOTAI

ppb Au

oil

ton

AM L.TSBS

71.51

71.51

C8.is-7o.7fl Similar te afcewe

buf much m

sne bwhrhc fadd*h- WfiBo

brown colour to rodL). Moderate, te abw

n«Unf<.|-7.in>ti CAlcift

-seams (s-25*70; one a on CAltite. (-tm

arti.- •feum

iojirte) vein para.Hel fe ^chri-bwfy.LocAj ,.

'urtAHered' mefftbasaH- pftfcheS. M

inor bluish, irww

jar^•..*j4*>

J^yiril^ y*5ftftfVt'^ ***•*• A

* i—jt*ll.

^..-4* L«.« ***\f A»

^T>*^«

ver,

oa/c/fc . pyrrho-W

t. "

FB

3IC

5IUL

ftilecrrey >vfeiy •fine-Qfauned ^

ihtiy

^dn

ifcsc. Blofc *ttervi«cl

Wtfll

Ioc*l°<i1icrfied zones. M

inor c*lcH«

KO&I

pyrrhotife

TUfF"

Ti.sr-vr.'JC «wc AS <

7I.9C-TS.I2- S

imilar te C

C.O

S-CS.iS.

epid<*Nr. Also IOCA)rn«M

\fokan»c. Bandc^fiTorifcd . M

inor foM

inor qn«<^7o5e pentthtt «nd

m*fic

wee?te

. (c i

T5.lZd-7C.2JR

Hncly

ichlorrfe. -ichfer w

rHi IOCA! «jptdofe Um

trvie. Minor

cAlo-fe searn^ , mosHy < I m

rn bur wp te 2. c*n wi'fh teurrM

Afme . "SuJphides : ^1*5^ w

«y fine-^Ttiinebl Pyrrhoftht. ^3ai chalcofyritc..

-chlonht-ncK w

rfh num

ereu^ oA

Jcift *«avias A

nd bcaf

<p*arti-o»/cil« lenses .G

ilcite-biciW* -nch

C1.86•Jb.76

7I.5I

71.51 71.1C

T5L

IZ

75.IJL

Tt.Zfc

74.26

77.W

0.*)

0.73

0.4S1.58I.S6

IXI.SO

Page 8: REPORT NO: 21 WORK PERFORMED FOR: SCRAMBLE MINING …

HAME OP PROPERTY

SCRAMBLE

DT

AIH

MD

I>BTT.T.

BOLE WO.

S~43L-ftl SH

EETOF

DEPTH

FROMTO

(m)D

ESCR

IPTION

DO

.%

SOL

- PH

IDE

i

SAMPLE

FROMD

EPTHTO

TOTAI

PJ* Au

oz/ton

AI

78.91T9.8I

7J.8I61.2ft

loc*Hy hitfhly onterKd . Sulphides "• 4t|7« very fine- to

f>

i ^j j

| •

• ^||

f | _ .

i -

• I

Tine-crftirrea dKiejmindtPsj

MTTAKy Arvi ^rnnoe/"

pyfrrotte. Carr

pyntr

•schr^oie, unH&rm

(ncnd tartwdy7cA

Jcfte (ryi^nor) ssem

iriA-hoiis w"1 bwinfhc (rrsu/hn* in

._.—_). M

inor d«Arf%osc (V

y**c lands)r .—

._-Jly Sirw

ilar fc -shcdTd

rtfeisuxtUttD uflff hefcw.

Sw/phidc^

:<x»7o very fne-<rnAirKcl

^sem

irwW

fr4jL

__A

L

>

•-

- -'--r

ll^—

'0*^

-

XJ^

i^

STTCdXy pyrrnorTnt..

rvlrt pynnc. •

"fl fl

rfM

CC

*yj A

^MK

^yfcQ

*j^

'^

_„•

j^^>

^^

a ^j.

13

*.

SHEAR

ED. M

ET^GABRRO

Schi*fc«e , over 2o-V

)Zones

in

Vtoy-fine-

Minor

narrow (<. \ m

m- 5

>*wi) o

iltrfei

' i *

- i ^ i

• S* t

• i

i-^cy$p»r roe*.,

loafed

Shar TUFF"- "exmuiE"

wrfh. FJne-

ftH/e. brew*! , bw

fiW-quarts. -Sehi-sf- W

rHl

IOCA! Ze ,.,...._

fc {xdW

t-^pzclded* unrt- ah

77.70-"W.91. A

/so AxAJ -fcJsvc ba<^ds 0

cnl-io

ovi) arid IOCA/ 5K

edr«d m

A/lc. reck.. Local

crtlcifr knob* <v*4

b*d

«, a

i Well of, num

en>u^

*- pynfc. Cant

cMt-o

jyrflfc

77.780.01

T8.9*

1.22.aoi

71.81ftf.2

*1.4-7

Page 9: REPORT NO: 21 WORK PERFORMED FOR: SCRAMBLE MINING …

NAME OP PROPERTY

SCRAMBLE

DE

PT

HFR

OM

<«)

tt.fe

01.6

0

-eijor?

K*.Z.7

TO

(m)

ei .Co

61.07

tef.17

to7.S8

DIA

MO

ND

DR

TT.I. R

EC

OR

D

DE

SC

RIP

TION

SHEAC

Eb M

eT*G/W

5Bto S

ame A

S

7B.9-N

79.01 . No bw

Me. . «

-l7» •f?nt-«nJM

rKD

ldi-M

ennnalccf pyrrnofrft. °

FEL54C-9LU

tele qney-browrl , uniform

^.2/%

> cHonrV

. Stw

Wfy schfsfcrfe. .

Very "minor <•! m

m

cakifr. vtinle^s.

"

MC

TTS^SSKOR

ne-gnwnecl ( m

»Hy tn^ssnc. (>«try fairiH

y schistose) ,rriechMtft

TO cMrt onoen

To C

3.W m

, •fernewfvrf- more -Schtsfesc w

rtti loc*l finer*-tfrainoct , koM

ic Tones (kHtntlron p«W

»e*) WfH

cAlerf*.. K

it/dfe Wim

nir -fhn>uaKotd~ ve^ minor and rMosHy <.[~T-rw

\y o«c«p^- -for on*

to cW? handed vnrt Ah «IC.TS m

. ^fery mintfr

<l m

m

cJl/erthc -frtLcfuiTSio3.zo-iO

4.l7 Cock. »5 S

omew

hat bfeAeheol tn pro»m

ffy fo -feuH

- Tone, below. M

osHy ^ce

Very -fme -<f«inecl

dis^emiriaTCcI

pvrrhdhft . Local O>nceirfw

(hon5 of

pyrrhuMt. on tnw

dure. planes anJ irl -slwIiW

y fcnacoafecl C

AfcHt

V«ihlefe. '

3

7

FAU

LT ZONE

Hiahfy br*kejn Zone wrfn

unfcfcken Tones up fc 4oon. C

Mtect tcfw

ten m

c*Ag*U>ro above and mcM

basdH- btloWoccurs

in -ftiis 2one f*5»irf-

to^.eom.?) .irf«

r>«l

cKsfacfenzicd

J>y Abunda»rr cA

lcrfe nef-v&n»ior and breccia

•Twcfufc* and chloH

hc frAcK

ines which

atfcaP fe posf--

dafe oslcife vrrninQ

. Mo^r iri-fr/vse.

zone o

f tx^ocii-hoVl(ioS

.eo-(ot.«»o m)°conW

4 o

f locdlfy -subfoundod

fcangular -rrAm

YienH o

f m

cMb<»«J-f- and

oMcrfe

in A.

HO

L8 NO

. S

-42

.-fl£ 8H

BB

T BO

.^L. O

F t

SA

MP

LE

Al

NO

.

MO

fO

MC«»I

% SU

L P

HID

E!

4C.|7o

5?

o?

DE

PT

I .P

RO

M

ei.20

io5.eo

TO

ei.to

KX

.80

TOTA

I

0.52.

1.00

ppb Au

.

oz/ton

4r

f*-

LliTS S

Page 10: REPORT NO: 21 WORK PERFORMED FOR: SCRAMBLE MINING …

DIA

MQ

UD

DR

TTJ. K

KC

OB

D

NAME OP PROPERTY

^SCRABBLE

HOLE NO.

SHEET H

O.

3

Of

<*

DEPTHFROM

TO

(m)

DESC

RIPTIO

NNO

.%PH

IDE

SAM

PLE

PROMTO

TOTAIppb Au

oz/ton

AN

ALY

SE

S

107.58

chlorrhc rwfnx. These. breooA Zones

<jf •fine-gowned pyrrHoMt (

O •'

to7.58- WJ.ci Sam

e A* bek*v , bu+ mm

e/BusCAlcHt

Veirifeb. loeAlly nei-vfem

«l 4rvi breccki oF c^lcffe-

rrhoWt A

* vunlefs <*nd iniensenvchori^ AS w

ell As Aaqneqafes in o«.i-te. br«

7.) ^

»^

-HC.S7 M

frMne. fe

*^t1''y •'chiifcsbands

mdrcs

<l m

m

up te m

irwr

irrwR*J«r

H5.&

7- 122.53 Similar" fc above. t but" pate gpecii fc

creenisH-^ty due fe> AW

nctont- ca/cjlg r mosMy

up te 7 cwi A

nd nK

fffff/ CmoSTfy <.| n.-..,—

--^ .ijj—

— "--yikV

GO

cHt 4»feo occurs

As n>u.nd«d(^1-2. m

m-) •fM

f' appear fe be a ._.

.,...-. ant pnjbAiify aHenSwwO pn^

occur m

zones <f~ most- nrkm

e cArb

cf^,,^,^.-.!Z2..23-i4l.?f? Typical

mcfobASAH-(AS fc«.Cl -»6.67 m

) Very /^

i /*

/i -j

* i^

m^*• ^

i ^^^

»^' Tine- TO tinc-opA

nKo ^CT/irti. to nicciiKm

$fftt\ .mdS1''"^

fc *JiohWy

•^ghis'fcse. Minor -lo

\oCA\ty fAodenaft

o»ltfT^ VcinirK? And pods <j^ oavjcrHi Ci^pte 15 o

n)

arnooWoieW

Zonts.w

n«fi -tract very

Page 11: REPORT NO: 21 WORK PERFORMED FOR: SCRAMBLE MINING …

X-

50 1OO metres

cp claim postpin survey pin (wooden]

Scramble Mining Ltd.

Location of Drillhole S42-86 JaFFray Township

Kenora Mining District

Page 12: REPORT NO: 21 WORK PERFORMED FOR: SCRAMBLE MINING …

K1O5BQO5 K7E938O KM282

S4E-86 -45 L10W/1+30N

amount of drilling on claim K729380, 47m or 154 Ft

0 10 20 30 40 50 metres

horizontal=vertical

fault zo*e.

Legend:

overburden

qv quartz vein;

fs felsic dyke/sill

bi biotitic, shearedmetabasalt or metagabbro

gb metagabbro

bs metabasalt

Scramble Mining Ltd.

Drillhole S42-8BJaffeay TowBsbip;:

Kenora Mining District

Cross-Section Looking Northeast

Page 13: REPORT NO: 21 WORK PERFORMED FOR: SCRAMBLE MINING …

Ministry ofNorthern Development

V J ̂ and Mines* Ontari/"

Mining Act

52E16SW8843 21 JAFFRAY 900- , v/i vi<>u-u>viiiii^ai woin, use Form no. laez "Heport of Worl

(Geological, Geophysical, Geochemical") and form no. 876 to Expenditures.

- Refer to Sections 76 and 77, the Mining Act for assessment wort requirements and the reverse side of this form for table of information

Report of WorkNafr

S

PL

SumMini

Tow

'Tota

Typ< (Chc

D'niDK

n[ rfDC

e and Address of Recorded Holder _£AHWf4Ufc (AlkJl(0(X CXWlfWH, f. 0. $OX 92 > , -STfc «Go^- *=3-*>-\\ft

fVZ-A ( «-vo ^i*»U *t.T v^JteS.~r , nCy€o*JTO , ONfT" MSrt S^ 7-

mary of Distribution of Credits and Work Performanceg Division Ki£VO#-Pkiship or Area

J>fcff2-rV(Assessment Credits Claimed

of Work Performed ck one only)

lanual Work

haft Sinking Drifting or other ateral Work

techanical equipment

ower Stripping other than Manual maximum credit allowed - 1 00 days «r claim) Jiamond or other Core drilling

;ore Specimens

Mining Claim

Prefix NumberWork

Days Cr.Mining Claim

Prefix Number

ProspiBctor's licence No. T <-Ks«\8

Telephone No. M-tlo ~ *><=0-4.H V

WorkDaysCr.

Mining ClaimPrefix Number

Wortc Days Cr.

Dates when work was performed From: rJoV i<\|?fe To: Kicw 2.1 ( Tfi*

Total No. of Days Performed Total No. of Days Claimed Total No. of Days to be Claimed at a Future Date «ij '

All the work was performed on Mining Claim(s): Indicate no. of days performed on each claim. * (See note No. 1 on reverse side)

Mining Claim No. of Days Mining Claim No. of Days

Mining Claim

^21380Mining Claim

No. of Days

ISM-No. of Days

Mining Claim

Mining Claim

No. of Days

No. of Days

Mining Claim

Mining Claim

No. ol Days

No. of Days

Mining Claim

Mining Claim

No. of Days ,

INo. of Days |

i

Required Information eg. type of equipment, Names, Addresses, etc. (See Table on reverse side) If space below is insufficient, attach schedules with required information and location sketches

Certification of Beneficial Interest * (See Note No. 2 on reverse side)I 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 Holder or Agent (Signature)

Certification Verifying Report of WorkI hereby certify that I 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

Telephone No. Date re)

For Office Use OnlyWork Assignments

>\V

ONTARIO GEOLOGICAL SURVEY GIS - ASSESSMENT FILES

RFCFrVPn

Rece ynrl Stamp

KENORAMINING DIV.

MAY 2 8 199 iAM n.i 7891011 12123456

|766 (89/06)