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AFFIDAVIT AND NOTICE OF INTENT TO HOLD MINING CLAIM(S)
TO ALL WHOM IT MAY CONCERN:
The undersigned certifies that annual maintenance fees have been duly paid and that the
owners intends to hold the mining claim(s) listed below from 12:00 p.m. on September 1,
2006, until 11 :59 a.m. on September 1, 2007.
Said claim(s) are filed in Book 14 as Page Number(s) 186 through 192, 196 and 211 in
the records of Lincoln County, Wyoming.
Name of claim(s):
Claim Name BLM Serial #
Nugget #1 WMC260354
Nugget #2 WMC260355
Nugget #3 WMC260356
Nugget #4 WMC260357
Nugget #5 WMC260358
Nugget #6 WMC260359
Nugget #7 WMC260360
Nugget #8 WMC260361
Nugget #9 WMC261773
Name ånd mailing address of owner or claimant:
Severns Stone & Fossil Co. LLC
P.O. Box 1387
Kemmerer, Wyoming 83101
Dated this day of October 2,2006.
By: Richard R Severns
sl _
Owner, C t, Agent
Sec. TS Ranoe
30 21N 118W
30 21N 118W
30 21N 118W
30 21N 118W
25 21N 119W,
25 21N 119W
19 21N 118W
25 21N 119W
23,24,26 21 N 119W
)
RECEIVED 10/312006 at 1 :47 PM
RECEIVING # 923023
BOOK: 635 PAGE: 703
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER. ~_
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ROO~__PRPA(;t:;a39-
COUNTY OF: LINCOLN STATE OF: WYOMING
Subscribed and sworn to by: If ~ j~4~
(Owner, Claimant, and Agent) befÓre me this day of October g 2006
NOTARYPUBL~~
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