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AFFIDAVIT OF ANNUAL ASSESSMENT LABOR
GROUP OF PLACER MINING CLAIMS
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STATE OF WYOMING
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RECEIVED 12/5/2006 at 10:44 AM
RECEIVING # 925031
BOOK: 642 PAGE: 185
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
COUNTY OF LINCOLN
The undersigned, being duly sworn, states:
1. At least $ 200.00 worth oflabor or improvements was preformed or made during the annual
assessment year beginning at noon on September 1, 2005 and ending at noon on September 1, 2006
upon or for the benefit of the following listed placer mining claims:
Name of claim(s)
Peacock Claim #2
Recorded in
booklpaee(s)
564/149 14/197
BLM
Serial No(s)
WMC260693
Peacock Claim #3
564/150
14/198
WMC260694
2. The labor or improvements consisted of: Mining, which consisted of removing the valuable
minerals in the form of rocks of different sizes, scattered throughout both claims, in new or old washes
or along hill sides, and installing a removable metal foot bridge across the North Fork of Sheep Creek..
and was done at the following locations: Peacock Claim #2 and Peacock Claim #3
3. The person(s) who preformed the labor or improvements are identified as follows: Jesse Allred,
James Allred, Sarah Allred, Rob Erickson, C. Mark Allred, Darlene A. Allred, and Doreen Allred.
4. Said labor or improvements were made at the request and for the benefit of: C. Mark Allred, and
Darlene A. Allred owners of Peacock #2 and #3 placer claims.
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Subscribed in my presence and sworn to before me this i day of .~___
DATED:
SIGNATURE OF AFFIANTS:
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lEE VANKAMMEN . NOTARY PUBUC
COUNTY OF. STATE OF
UNCOlN WYOMING
My Commlulon expires July 21, 2010
A.D. 2006
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Nota Public
My commission expires: