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Ministry ofNorthern Developmentand Mines
MAP 2542
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BEDROCK GEOLOGY OF ONTARIOWEST-CENTRAL SHEET
Scale 1:1000000Kilometres 20 2(1 40 ion Kilometres
Miles 10 10 5' i Miles
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-*"* 01 Application to Record 77 7S and Mines Staked Mining Claim(s)
jno Mining ActPersonal information collected on this form is obtained under the authority of the Mining Act. This information *iil be used to maintain a record and will be used for serving notices. Questions about this collection should be directed to the Provincial Manager. Mining Lands. Ministry of Northern Development and Mines, Fourth Floor, 159 Cedar St.. Sudbury. Ontario. P3E 6A5. telephone (705) 670-7264. *Please Print Using Ink or TypeName of Applicant
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Uiistryof' Northern Development
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v4-^/^Application to Record n p Staked Mining Claim(s)
Mining Act
Part A
Personal information collected on this form is' obtained under the authority of the MMng Act This information will be used to maintain a record and will be used for serving notices. Questions about this collection should be airected to the Provincial Manager. Mining Lands. Ministry of Northern Development and Mines. Fourth Floor. 159 Cedar St.. Sudbury, Ontario. P3E 6A5. telephone (705) 670-7264.Please Print Using Ink or Type
Received Stamp
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ACCURASSAY LABORATORIESA DIVISION OF ASSAY LABORATORY SERVICES INC.
1070 LITHIUM DRIVE, UNIT 2THUNDER BAY. ONTARIO P7B 6G3
PHONE 007) 6234448FAX 007) 6234820
Page l
MR. DAVE PETRUNKA 540-207 Oliver Road Thunder Bay, Ontario P7B 5J8
August 27, 1993
Job 1934338 1934344
Sample t Accurassay Customer
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Zinc Silverppm ppra
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