Post on 24-Jul-2020
*DIAMOND DRILLING
52C18NEee68 27 BAD VERMILION LAKE
A Ted I Bad Vermilion Lake Report No: 2 1
WORK PERFORMED FOR: P. i. R. P. Holdings me.
RECORDED HOLDER: SAME As ABOVE [x l
: OTHER [ l
CLAIM No,K 532134
HOLE No.3636-85-12 3636-85-13
FOOTAGE
418.6406.6
DATE
July/85 July/85
(1) (1)
010
NOTES: #23-86
David R. Bell Geological Services Inc.DIAMOND DRILL HOLE RECORD Project 6 36 .
Company Clevo Resourrps Tnr
LOCATION
TWP. " Bad Vermillion Lake
CLAIM NO. K532 134
NTS 52C/10E UTM
( LSP7S(?/^*:*:' 1 ^P ' p— ————————————————— HnloWn ^filfi-R^-TJ
FOOTAGE U
?nn
DIP TEST
RECORDING-SO
3LE CORRECTED
... -48-45
LEVEL
ELEVATION
LATITUDE L26E
DEPARTURE 6+OON
DIAMOND DRILL HOLfc LOCAIIUN SKblCHhS DIAMOND DRILL HOLE LOCATION CLAIM MAP scale: i inch to v, m ile WITH RESPECT TO CLAIM BOUNDARIES
Scale: 1 inch to 400 feet
COMPONENT 280
VERTICAL COMPONENT 311
BEARING 3 1 5
LENGTH 418.6
CORE ,. , , r - n ———————————LOCATION K44632 coj/e shack
Cirtna+itvA f V l/ i ~
DATESTARTED July 18, 1985DATEFINISHED July 19, 1985LOGGED BY M. Simunovic
PURPOSE i .p.. AnomalyTOT. RECOVERY Q Q "t•;. J-
N A
3LD
Q -
David R. Bell Geological Services inc.DIAMOND DRILL HOLE LOG PRO.iFrr ^fi A i
r.mpany Cleyo Resources Inc. HOLE
FOOTAGE
FROM
0
8.9
TO
8.9
141.2
ROCK TYPE AND DESCRIPTION (alteration, structure, mineralization)
Casing - overburden- casing left in hole
Conglomerate
- matrix of conglomerate is dark green and foliated- very chloritic and pyroxene rich- some rounded grains of qz can be noted- (matrix has the composition of a wacke)- foliation 23'- initially very little qz-carb veining- contains less than 1 7, py some cpy- great variety of fragments are present (quartz, chert,
jasper, also mafic volcanic detritus)- also present are fragments of magnetite, all fragments
have been elongated to some extent- many of the mofe felsic fragments are carbonatized V
(this may be the cause of the resistivity high throughthe area)
- at 10 feet .5 inch qz-carb stringer irregular- fragments range in size from a 10th of an inch to
several inches in diameter
Sample 3636-384 36-39- .at. 37 feet qz vein, extentsto 38 . 1
- brown carb and ankerite oncontact
- tr cpy- upper contact- lower contact
- some limonitic staining on fractures 42 feet- 45' foliation— as hole deepens qz-carb stringers and fragments become
more abundant
vt wUl UJ 7
8|o
45"
100360
43 0
*SULPHIDES
•4-1
tr
No * fi™ S^-1? P,OP 1
SAMPLE
NUMBER
3636- 384
FROM
t "i aii
1
i i*-—~"
36
TO
T'^*3 CE-'"•v/wjc-G.;-R-o1 -/;...;
^ ,tr Q' *-i! :- -y ,d
S fc^
"' ' !*^ll II
39
X
7 r- -"ITc ""i"'
'' ' V.' B
5 -C-.:
M/n— - — - .
3
of 6
Au Cu ANALYTICAL RESULTSppb
---.....
- ' rro
1 - 1--.-:
•5
D"" —
li
•••••^••B
ppm
— -- -/ST f
||l1
l•J
152
^~
.
l. -^ v :.-
T" :':
i . .
[••-..- ••"
l^.l
\'Kp^^*i"-. -'^^- i V- '":
l -.';",f :'.-tf-?{"^H"^"^"L i'i'^-'-i't^^^r"--.. .-.]..'.---'
h^vl^fSTrr^-1k-^"^t^S^P^^tT- " *~ 'f • ••" - ' '".
-S . 'r '''~.-''':;;-' f- ' -" . ' "
; -^ - - '.;;•. '" - r
*i-
^:"':'-X^
i;-:." : ~r-i :, , ; Xp^-j^f
," .;- ' .-.;--
David R. Bell Geological Services Inc.DIAMOND DRILL HOLE LOG PROJECT 3636
-* E|pnmpflny -"""^^ inc. HOi.P w* 3636~85-12 pao* 2 Of ^
FOOTAfSFFOOTAGE
FROM
141.2
TO
164.4
ROCK TYPE AND DESCRIPTION (alteration, structure, mineralization)
- fragments of magnetite appear to be more rounded thanother types
Samples 3636-385 58-61- section of congl. with qz-carb
stringers- J^ 1 7, cpy in congl.
- conglomerate contains *ssl7. py + cpy, probably slightlyless
- occurs as disseminations and small stringers- 70' carb, pods exist- sulphides also occur as blobs, appear in fragments, or
represent fragments themselves- examples 82.1 feet blob of py- some (what looks like lucoxene) is present in places as
well- -^85* tiny magnetite crystals can be noted as well- 93' foliation 52 0- some sulphide assoc. with qz-carb stringers as well- 111.25 inch qz-carb stringer; blobs of py + cpy
Sample 3636-386 110-112- qz-carb stringer py -f- cpy- also py in congl.
Sample 3636-387 86-87-6" irregular qz-vein- minor carb, t r py
Granodioritic Plug
- fine grained, pink in colour,- rich in alkali feldspar and quartz- contains tiny crystals of magnetite- also blobs of py- slightly sericitic on fractures
CO CO Ut UJ v
go5 0 52
52 0
I
ft SULPHIDES
1
tr
SAMPLE
NUMBER
3636-7C "^ JOJ
3636- tonJoo
3636-1Q~JJo/
FROM
58
.
110
86
TO
61
112
87
S
3
2
l
Au Cu ANALYTICAL RESULTSppb
8
3
3
ppm
148
160
66
l'-;,~^
} . ' -
r '.-'
i-.-v-y*-'~'---~--' .r*-'-'..-.'---,'-
fe* ---: - -t
H--S':
JSIt-',v;-~.-V-. f-j.*'^~-t - t- - '.-
^^P:^""; -
k.;x.-,;';l-'^'.-eK?-V'-''il'-'i'---'-f * j. -' ~ ife::li'-ir-,-t~. f ' /.Vp'r^Kfes^PtS, ?-'.-i'; '^
^ 1"" '.-.
V/'r--.
fe^?l
K- :-S-;:7t^w^t-.vfff!
I/'.'V"
David R. Bell Geological Services Inc.DIAMOND DRILL HOLE LOG PROJECT
Company Clevo Resources Inc. HOIFN^ 3636-85-12 p^ 3 of WFOOTAGEFOO-
FROM
164.4
182
PAGE
TO
182
418.6
nrir*K" TVPP AMD HPcr'RiPTinwnV/V^rV t T r C rAIHL^ I-*CO vxrfc 1 r 1 1 Wl *
(alteration, structure, mineralization)
- upper contact 42 0- some epidote in fractures as well- 147 some qz-carb veining- lower contact
Greywacke
- rounded detritus of quartz and feldspar in a chloriticmatrix
- tr^py- slight carb.- contact 20 0, appears somewhat graded
Conglomerate
- same as described 8.9-141.2- carb alteration begins to increase- more carb rich fragments also, matrix is also more
carb rich
Sample 3636-388 182-185- carb rich conglomerate-ZA7, py (cubes )
Sample 3636-389 189-191- slightly carb congl.- pods of py- tr cpy
- core now appears to be full of fine disseminated magnetit
Sample 3636-390 201-206 slight carb congl.- 1/S py, cpy, magnetite
Sample 3636-391 216-218- same as 389
Vi Viu* wu t?SciS"52
42 0
77 o
mUJO
if xOL
i
tr
1
tr
1
SAMPLE
NUMBER
3636-388
3636-389
3636-390
3636- 391
FROM
-
182
189
201
216
TO
185
191
206
218
^
3
2
5
2
Au Cu ANALYTICAL RESULTSppb
8
10
5
7
ppm
280
120
58
42
MHfv;-*.-^^^--^'-:-—--f^1^ -;J.I-'
David R. Bell Geological Services Inc,DIAMOND DRILL HOLE LOG PROJECT 3636
Company Inc. HOLE No. 3636-RS-1? -Page -ofFOOTAGE
FROM TOROCK TYPE AND DESCRIPTION (alteration, structure, mineralization)
- many narrow units of greywacke exist, and these unitscontain a great deal of disseminated magnetite
Sample 3636-392 229-231- slightly carb, congl.-^.'17, py, cpy- minor qz-carb stringers
Sample 3636-393 234-237- same as 392
Sample 3636-394 237-241- same as 392
Sample 3636-395 244-246- same as 392
Sample 3636-396 250-252- same as 392
- Sample 3636-397 252-256- same as 392
Sample 3636-398 266-271- carb alt congl.- O. Z py + cpy- high magnetite content assoc
with carb alt
Sample 3636-399 279-280- 279.5 irregular 1 inch quartz-
carb stringer- IZ py + cpy
Sample 3636-400 284-289- same as 392
w to
go?u ? s K SULPHIDES
a
li
SAMPLE
NUMBER
Oi I fLjooo
392
3636- 393
3636- 394
3636- 395
3636- 396
3636- 397
3636-^OQjyo
3636- 399
3636- 400
FROM
229
234
237
244
250
252
266
279
284
TO
231
237
241
246
252
256
271
280
289
S
2
3
4
2
2
4
5
1
5
Au Cu ANALYTICAL RESULTSppb
5
7
5
4
5
7
li
11
29
ppm
48
52
124
74
76
11-6
48
200
114
SS^B ^^
David R . Bell Geological Services Inc.
j
^^M
niAMOND DRILL HOLE LOR PROJPCT 3636 A
rnmpany Clevo Resources Inc. HOI p Mn 3636-85-12 ~- . * -FOG
FROM
TAGE
TOROCK TYPE AND DESCRIPTION (alteration, structure, mineralization)
Sample 3636-306 289-294- same as 392
Sample 3636-307 301-305 - same as 392
Sample 3636-308 305-309- same as 392- less carb
Sample 3636-309 317-321- same as 392
Sample 3636-310 327-331- same as 392
Sample .3636-311 337-339 - same as 392
Sample 3636-312 348-352 - same as 392
-^366-369 qz-carb vein- contains traces of py 4- cpy- ankerite on contacts (irregular contacts)
Sample 3636-313 363-366- same as 392
Sample 3636-314 366-369 - qz-carb vein, (ankerite)- tr py, cpy
Sample 3636-315 369-371- same as 392
eft WUl UJ S
S^2 "52
V)w Q
# xo. 1 D in
tr
tr
SAMPLE
NUMBER
3636- 306
3636- 307
3636- 308
3636- 309
3636- 310
3636- 311
3636- 312
3636- 313
3636- 314
3636- 315
FROM
289
301
305
317
327
337
348
-
363
366
369
TO
294
305
309
321
331
339
352
366
369
371
s5
4
4
4
4
2
4
3
3
2
- - -- 1~a9p -1 ot t1
Au Cu ANALYTICAL RESULTSppb
5
'1-5
21
15
36'
27
10
7
12
15
ppm
106
11'4
58
148
116
58
146
76
10
160
^MMH^^H M^- ;s^tm i
-
David R. Bell Geological Services Inc.DIAMOND DRILL HOLE RECORD
Company ^ —— Clevo Resourrps Inr.
LOCATION
Aof Bad Vermillion Lake
ciAiMNo. K53213A
NTS 52C/10E "™
DIP TEST
FOOTAGE
u20U400
ANGLERECORDING-so
CORRECTED
-49-bf*
LEVEL
ELEVATION
LATITUDE L 23E
DEPARTURE 3 4. QQjj
HORIZONTAL - /. -, COMPONENT ZO X
VERTICAL COMPONENT 306
BEARING 315"
LENGTH 406.6
CORELOCATION K 44632 core shack
STARTED July 18, 1985
BN^HEO July 19, 1985LOGGED BY M. Simunovic
PURPOSE Investigate "A" VeinTOT. RECOVERY 95"
DIAMOND DRILL HOLE LOCATION SKETCHES CLAIM MAP Scale 1 inch to Vi mile
DIAMOND DRILL HOLE LOCATION WITH RESPECT TO CLAIM BOUNDARIESScale: 1 inch to 400 feet Signature
N A
3LD
David R. Bell Geological Services Inc.DIAMOND DRILL HOLE LOG PROJECT 3636
r.nmPany Clevo Resources Inc. HOiPNn 3636-8*5-13 P--,^ 1 nf Jg~pnOTAftfTFOOTAGE
FROM
0
12
TO
12
74
ROCK TYPE AND DESCRIPTION (alteration, structure, mineralization)
Overburden - casing left in hole
Conglomerate
- dark, green, fine grained matrix which is. probably awacke in composition
- composed predominantly of chlorite (and clay mineralswith fine round qz and feldspar)
- fragments are composed of a variety, rock types, chert,jasper, quartz, granite, and mafic volcanic detritus aswell; from lOths of an inch to several inches
- also present are fragments of magnetite (rounded)- 28 feet foliation 45 0- very little qz-carb veining initially- at first some limonite on fractures— some carb, rich fragments-27.1 2" pod massive py with carb.
Sample 3636-322 26.5-27.5— 27.1 massive pod of py, carb
assoc.
— only traces of py initially- fine grained magnetite present throughout
Sample 3636-323 36-39- brown carb alt. section- -Cis: PySample 3636-324 49-51- congl. ( 1 5S py 4- cpy- traces of carb. alt.
V* OUl UJ wg-^5"12 x SULPHIDES
<l
SAMPLE
NUMBER
3636-322
3636- 323
3636-j\r\ f324
FROM
26.5
.
36
49
TO
-
27.5
39
51
^^^^^^^^•M
S
1
3
2
SE
Au Cu ANALYTICAL RESULTSPpb
18
4
12
——
ppm
320
36
90
•a^Bi ^^^H
*
fe--'- 4'. :-:; r-r-V"'.--'•' . i ..:.-
w
- /"- '
i- '.••'•j*-. .Vt^^'jT;:so^V'-;--l. ^ '"jV-fx
-" - -.^
jr'.vi"." -/.i.- "T..;-; '':
i ' " '-"' -*" ~~'-'l
j;i-'i;-iv''i-- ''- : '.'',
• •^•l -:* : /.'I': ' ~'. .t -f :-:~^^f' ' -A'r\T-'- *v*"ti-^i/jDiWib--':-Tfe*-"J fri~,;.~**\'—f,y^'•r^V-vt". ;f." ' ^lt"'
'••••-' .\V- ,.v
r . -f -.''J, t-*
' ' - ' : '
* - . -* -- " .^• : ,;.-v ;- :*'-; '. ' " ' "-. ,- ' '
*.-J ,- - -- ^ '- ^
tsjc^ft, ' - -'" '" ' i
.
David R. Bell Geological Services Inc.DIAMOND DRILL HOLE LOG
Company Cleyo Resources Inc.PROJECT
HOLE No.
3636
3636-85-13 -PageFOOTAGE
FROM
74
93.1
TO
93.1
162.5
ROCK TYPE AND DESCRIPTION (alteration, structure, mineralization)
Granodioritic Plug
- fine grained pink in colour- composed of alkali feldspar, quartz and plagioclase- contains fine disseminated magetite- some narrow qz stringers with py 4- cpy magnetite also— epidote present as well- upper contact 90 0- lower contact 90 0
Conglomerate
- same as described 12-74
Sample 3636-325 99-102— some massive pods of py in
slightly carb, congl.- l% py + cpy throughout- pods of py may be fragments
Sample 3636-326 113-115- slightly carb, congl.- some qz-carb veining-Z.1% py 4- cpy
Sample 3636-327 133-135- slightly carb, congl.-Z^ py cpy
Sample 3636-328 142-146- slightly carb, congl.-JL17. py 4- cpy
- very little carb alt. around 150 .- 145-150, 2 large fragments of volcanic detrititus, both
contain abundunt magnetite
OTOT tu ui JJ
O Z Q
90 090"
1
* SULPHIDES
^1
^1
,O-
^
SAMPLE
NUMBER
1C.1C.JOJO325
3636-326
3636- "52 7•J 4* 1
3636-
FROM
-99
113 --
133
142
TO
102
115
135
146
f
3
2
2
4
^^^•MM
Au Cu ANALYTICAL RESULTSppb
10
12
3
5
i———
ppm
76
22
32
32
BSOM
\ ' - ,;
i-, r : /-" - ~
\sfS?:*': -
\.'.'^r.-:~'""
i: Vt'rl -.
t^-^f
fl^
{-2^:^l^m^ks/Vv^^v&sfj
t'::;5^'v?;i'-.V " ~:*:'r^'-:V:r*~''"-'. V '- "
; ' "- " :
l";-"-Vj;.'.--: r
[P-Uj;-
^S-*^^.^'^f
• ••'-'. . -
-v—— '- l " - — - -- " ' . . . . . . v pt-.:-.'--.-..David R. Bell Geological Services Inc. ^
DIAMOND DRILL HOLE LOO PRO.lPrT ^fi^fi A
rnmpany Clevo Resources Inc. HOLE No 3636-85-13 Par,.. 3 nf 5FOOTAGE ~ ~"FOOTAGE
FROM
162.5
185.7
TO
185.7
303
ROCK TYPE AND DESCRIPTION(alteration, structure, mineralization)
Sample 3636-329 151-155- same as 328
Greywacke
- upper contact appears graded- dark greenish-grey fine grained matrix composed of
chlorite and clay minerals- angular and rounded clasts of quartz and feldspar- some larger .25 inch fragments as well- trpy- lower contact sharp
Conglomerate
- same as described 12-74- appears to be many more clasts now- sulphide content of core has gone up slightly, still ^ Ift
Sample 3636-330 186-189 - slightly carb, congl.-ai.% py
Sample 3636-331 193-197- slightly carb, congl-^1/2 py + cpy
Sample 3636-332 233-236- same as 331
Sample 3636-333 238-242- same as 331
- 240 .5 inch qz-carb vein brown carb
Sample 3636-334 257-261- same as 331
(O tfl UJ ut ya -"2fO O*0 ?2
^90"
28Z
tn w O"1oV)
tr
^1
1
1
SAMPLE
NUMBER
^f3CJoJb—329
3636-330
3636- 331
3636- *?32vJ*j4b
3636- 333
3636- 334
FROM
151
186
193
233
238
257
TO
155
189
197
236
242
261
X4
3
4
3
4
4
Au Cu ANALYTICAL RESULTSppb
4
12
8
15
18
11
ppm
38
182
130
170
152
150
f "-i -"'" '; •""•'ky^^-V'iy,,-' '-
\-y : ;i .-- . -'
t - ' ,. •'•"t
\-y~ry
yy'y-^^yyi^^aQp1^?^^-"-fti"7i-':''"\*
-" - -' ' ".j-jjAHs1!*'iii,V:^.,'. l-:•"•••V- 1-"''.'--^ t^H4v^K..--7.' ^'— .'.^t " ' ''V-iV^V*
rSs??Tvjyi--??*-*:-"--*i.-'V---'-.-'-'-'--
l?.':t-~-^~*-i-';\.^-f-
yy-yi.y]iyy(•^^r; •'••"'';'"' V': ' * ~.' '.- ' '
••"r"''''-':--':
; ' .-., :, -: -. - . • -..•,-/
r: .;;y~- v'.
1. -': - \-I " ••'.•-•'-!- i-.'-'-.'-.'v i -1fc-Pi'-^
i- .'/' -
David R. Bell Geological Services Inc.DIAMOND DRILL HOLE LOG PROJECT 3636
romp?r,y Clevo Resources Inc. HOI F NO 3636-85-13 p,^ 4 nf 5cr*mr*vf3cFOOTAGE
FROM
303
TO
406,6
ROCK TYPE AND DESCRIPTION (alteration, structure, mineralization)
Sample 3636-335 261-266- same as 331
Sample 3636-336 278-280- 278.7 2 fragments of qz-carb,
almost massive py + cpy
- after 280 clasts seem to die out- sulphides all but disappear- "303 contact is not evident- a sharp contact is not evident; appears almost graded,
location is based on disappearance of clasts
Basal t- Andesite
- grey-green, massive, fine grained- very soft— composed predominantly of chlorite and pyroxenes , some
p lag. evident- some barren qz-carb stringers are present throughout
(various angles)- 308.6 2" barren qz-carb stringer- some bleaching due to veining
Sample 3636-337 326-327- 3" qz-carb vein 326.4- magnetite present- tr py + cpy
Sample 3636-338 331-336- section of silicification
bleaching + qz-carb veinswith tr py 4- cpy
— minor carb alt.
— some minor tufaceous units present as well
o* tnUl tU wStZ 0 S2
36"
27"
enUlo
if XQ,J Z? WJ
tr
SAMPLE
NUMBER
3636-335
3636-Q "jrJJo
3636-337
1C. 1C.JO JO110J JO
FROM
261
278
r
-'
326
331
TO
266
280
327
336
^^^^^^^^^m
S5
2
1
5
All r,, ANALYTICAL RESULTSppb
11
'60
2
10
ppm
172
780
110
220
— a—
—
L— "~~ ^^1M ^^^m m^^m
' • :'~'.''"''."'*t
- -, h,. -.*c"
-\::'--'.: :~ :'-".. "." ",v '
' , *. "'.-'
Q'.^jfi
' f~- "~- '"- . - '.
.•v^;'"v:
'*-i*.*';* J; -'•V- * -. - ,.^-"is.v"
;;'sbt;: -:* -- -I --*;— *
- "- : "- : -'.'.y/•:" :--"~'-\','f\*?;;i^s,-i.ViSi?t-rf'i ' *:,"' .' ^ T-V
•; : -~'.:---
- v,;.-.:". ;is, ••.^••5
: '-
David R. Bell Geological Services Inc.DIAMOND DRILL HOLE LOG PROJECT-
Company Tnr . HOLE No. 3636-85-13 pajo
FOOTAGE
FROM TOROCK TYPE AND DESCRIPTION (alteration, structure, mineralization)
Sample 3636-339 344-345 - .5 inch qz-carb. vein- massive py H- cpy
Sample 3636-340 357-358 - 357.3 .5 inch qz-carb vein
massive py tr cpy
Sample 3636-341 365-368- zone of silicification +
minor fracturing- 366 massive py
- 385.3 4" qz-vein barren- some barren qz-veining around 404 irregular
- end of hole 406.6
CORE ANGLES TO AXIS
40"
27 e
28 0
x SULPHIDESSAMPLE
NUMBER
3636- 339
3636- 340
3636- 341
FROM
344
357
365
TO
345
358
368
S1
1
3
Au Cu ANALYTICAL RESULTSppb
38
8
59
ppm
780
54
420
:."-- ;
•••-.' **--'-.fi
®!t
S::-: -y1~~^:i ,*' . :: '^-"
!.-;^^
81;fi|
?8?"^v
,*.,^
1 t (.1
- LITTLE TURTLE LAKE - G -26B2
* ftaJ-.cT. i"™. 1^*1 J
)ummary of Work Performance and Distribution of CreditsTotal Work Days Cr. claimed
for Performance of the following work. (Check on* only)
Shaft Sinking Drifting or Other Lateral Work.
) Compressed Air, other Power driven or mechanical equip.Power Stripping
Diamond or other Core drillingLend Survey
All the work was performed on Mining Claim(s):
Required Information eg: type of equipment, Names, Addresses, etc. (See Table Below)
KENORAMINING DIV.
M 2 2pu
Date of Report Recorded Holder or Agent (Signature)or Agon
J^**^^*"'
Certification Verifying Report of Work1 hereby certify that 1 have a personal and intimate knowledge of the facts set ' orth In the Report of Work annexe
true.
Name and Postal Address of Person Certifying ^.. ,
^n /^ ^f/y///^? r? f fi # &Z e 3 / f/i^y^^^' vfe&Z' tfs^' i ** %-CDate Certified
/0f?0 x/Tfc? ^/VTT /^*# X^ 7^f t\^? +S - -^ IfSt^Table of Information 1 Attachments Required by the Mining Recorder ,
Type of Work
Manual Work
Shaft Sinking, Drifting or other Lateral Work
Compressed air, other power driven or mechanical equip.
Power Stripping
Diamond or other core drilling
Lencr Survey
Specific information per type
Nil
Type of equipment
Type of equipment and amount expended. Note: Proof of actual cost must be submitted ' within 30 days of recording.
Signed core log showing; footage, diameter of core, number and angles of holes.
rVame and adoYvo of Ontario land iurv*y*r.
^^^^L^J^Other Information (Common to 2 or more types)
Names end addresses of men whc manual work /operated equlpmer with detes and hours of employr
performed tt, together|ent.
Nemes end addresses of owner or operator together with dates when drilling/strippingdone.
Nil
Attachments
Work Sketch: these are required to show the location and •xtent of work In relation to the nearest claim post.
Work Sketch (as above) in duplicate
Nil
68 (81/3)