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AFFIDAVIT OF ANNUAL ASSESSMENT LABOR
LODE MINING CLAIM
000186
STATE OF WYOMING
55.
RECEIVED 12/5/2006 at 10:44 AM
RECEIVING # 925032
BOOK: 642 PAGE: 186
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
COUNTY OF LINCOLN
The undersigned, being duly sworn, states:
1. At least 100.00 worth of labor 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 lode mining claim:
Name of claim
Recorded in
booklpaee(s)
BLM
Serial No (s).
Peacock Claim # 1
562/557
14/194
WMC260692
2. The labor or improvements consisted of: Mining, which consisted of removing the valuable
minerals, either ftom the ledge itself or fallen to the base, or that had fallen or washed down the existing
stream bed, and also digging in the mountain side following a vein of material.
and was done at the following location: Peacock Claim #1
3. The person(s) who performed the labor or improvements are identified as follows: Jesse
Allred, Rob Erickson, C. Mark Allred, Darlene A. Allred, James Allred, Sarah Allred, and Doreen
Allred.
4. Said labor or improvements were made at the request and for the benefit of: C. Mark Allred
owner of Peacock Claim # 1. De (., 4/ '). C D ~ f'A' Æ
C. þ._( a{/-t-! c·
DATED:
Subscribed in my presence and sworn to before me this Lday of
c~ ~ âú--/
EM
A.D. 2006
SIGNATURE OF AFFIANTS
LEE VANKAMMEN . NOTARY PUBUC
COUNTYOF. STATE OF
-UNCOlN WYOMING
CammIIIIon ~ JtJIy 21 2010
~~
Nota Public
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