assessment work credit report

41110SE0002 W9570.00080 STREET
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Ministry bf
Northern Development
Report of Wprk Conducted
After Recording Claim
and Mine*
6ntario
Transaction Number
Mining Ac
Personal Information collected on this form Is obtained under the authority of the
this collection should be directed to the Provincial Manager. Mining Lands. *
Sudbury. Ontario. P3E 6A5. telephone (705) 670-7264.
Instructions: - Please type or print and submit In duplicate. 41l10SEOoo2W957oooo8osfRE~iT"
- Refer to the Mining Act and Regulations for requirements of filing assessment work or consult thVMirung
Recorder.
- A separate copy of this form must be completed for each Work Group.
- Technical reports and maps must accompany this form in duplicate.
- A sketch, showing the claims the work Is assigned to, must accompany this form.
Client No.
Recorded Hotderfs
Telephone No.
SCO
Township/Area
Mining Dtvtston
M or G Plan No.
ZUfc^l
Dates
Work
Performed
From:
To:
9s
(
Work Performed (Check One Work Group Only)
Type
Work Group
Geotechnical Survey
Physical Work,
Including Drilling
9|T
b|6GlN^
Rehabilitation
SECTION IR ONLY
Other Authorized
Work
Assays
Assignment from
Reserve
Total Assessment Work Claimed on the Attached Statement of Costs
Note: The Minister may reject for assessment work credit all or part of the assessment work submitted if the recorded
holder cannot verify expenditures claimed in the statement of costs within 30 days of a request for verification.
Persons and Survey Company Who Performed the Work (Give Name and Address of Author of Report)
Name
Address
T&ou
(attach a'ftchedule If necessary)
Certification of Beneficial Interest * See Note No. 1 on reverse side
\ certify that at the time the work was performed, the claims covered In this work
report were recorded In the current holder's name or held under a beneficial Interest
by the current recorded holder.
Date
/forO f
t
Recorded Holder or Agent (Signature)
Js3^^7C**-*z*^~-Q
Certification of Work Report
1 certify that 1 have a personal knowledge of the facts set forth In this Work report, having performed the work or witnessed same during and/or after
Its completion and annexed report Is true.
Name and Address of Pereon Certifying
Telepone No.
Date
Certified By (Signature
For Office Use Only
Total Value Cr. Recorded
Date Recorded
AUG 2 \ m.
A.M.
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P.M. l
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Credits you are claiming in this report may be cut back. In order to minimize the adverse effects of such deletions, please indicate from
which claims you wish to priorize the deletion of credits. Please mark (K*) one of the following:
1.
2.
3.
D Creditb cr* to be cut back starting with the claim listed last, working backwards.
G Credits are to be cui back equally over all claims contained In this report of work.
D Credits are to be cut back as priorized on the attached appendix.
In the event that you have not specified your choice oi priority, option one will be implemented.
Not* 1: Examples of beneficial Interest are unrecorded transfer*, option agreements, memorandum of agreements, etc., with respect
to the mining claims.
Note 2: If work has been performed on patented or leased land, pleas* complete the following:
l certify that the recorded holder had a beneficial Interest In the patented
or leased land at the time the work was performed.
Signature
Date
Ontario
Ministry of
Northern Development
and Mines
Statement of Costs
for Assessment Credit
Ministers du
Developpement du Nord
et des mines
des coOts aux fins
du credit devaluation
Transaction No./N" de transaction
U
Mining Act/Lol sur les mines
Personal information collected on this form is obtained under the authority
of the Mining Act. This information will be used to maintain a record and
ongoing status of the mining claim(s). Questions about this collection should
be directed to the Provincial Manager, Minings Lands, Ministry of Northern
Development and Mines, 4th Floor, 159 Cedar Street, Sudbury, Ontario
P3E 6A5, telephone (705) 670-7264.
Les renseignements personnels contenus dans la presenle formule sont
recueillis en vertu de la Lol sur les mines et serviront a tenir a jour un registre
des concessions minieres. Adresser toute quesiton sur la collece de ces
renseignements au chef provincial des terrains minlers, ministere du
Developpement du Nord et des Mines, 159, rue Cedar, tfi etage. Sudbury
(Ontario) P3E 6A5, telephone (705) 670-7264.
1. Direct Costs/CoQts directs
2. Indirect Costs/Couts Indlrects
Type
Wage*
Salalre*
Contractor's
and Consultant's
Fees
Drolts de
('entrepreneur
t de I'expertconsell
Supplies Used
Fournltures
utlllsees
Equipment
Rental
Location ds
materiel
Description
Labour
Main-d'oeuvre
Field Supervision
Supervision sur le terrain
Amount
Monlant
Totals
Total global
^'5ZP ^ITO
* * Note: When claiming Rehabilitation work Indirect costs are not
allowable as assessment work.
Pour le remboursement des travaux de rehabilitation, les
couts indirects ne sont pas admissibles en tant que travaux
d'evaluation.
Type
Type
Transportation
Transport
4k
r
Description
Amount
Montant
Totals
Total global
Type
-7ba\
l-^
•^H ——
(3
Type
yc
Food and
Lodging
Nourrlture et
hebergement
Mobilization and
Demobilization
Mobilisation et
demobilisation
Typo
W
?
Sub Total of Indirect Costs
Total partlel des couts Indlrects
&0
Amount Allowable (not greater than 20H of Direct Costs)
Montant admissible (n'excedant pas 20 H des couts directs)
Total Direct Costs
Total des coOts directs
320
Total Value of Assessment Credit
Total of Direct and AJiowabU
Valeur totale du credit
d'evaluation
Indirect mtl*)
(Tola! del eoOta dlraeta
^DtO
t Indirect* tdmlttlMM
Note: The recorded holder will be required to verify expenditures claimed in
this statement of costs within 30 days of a request for verification. If
verification is not made, the Minister may reject for assessment work
all or part of the assessment work submitted.
Note : Le titulaire enregistre sera tenu de verifier les depenses demandees dans
le present etat des couts dans les 30 jours suivant une demande a cet
effet. Si la verification n'est pas effectuee.Je minlstre peut rejeter tout
ou une partie des travaux devaluation presentes.
Filing Discounts
Remises pour dep&t
1. Work filed within two years of completion is claimed at 1000A of
the above Total Value of Assessment Credit.
1. Les travaux deposes dans les deux ans suivant leur achievement sont
rembourses a 100 "ft de la valeur totale susmenttonnee du credit d'evaluation.
2. Work filed three, four or five years after completion is claimed at
SOW) of the above Total Value of Assessment Credit. See
calculations below:
2. Les travaux deposes trois, quatre ou cinq ans apres leur achevement
sont rembourses a 50 "to de la valeur totale du credit d'evaluation
susmentionne. Voir les calculs ci-dessous.
Total Value of Assessment Credit
Total Assessment Claimed
Valeur totale du credit d'evaluation
Evaluation totale demandee
x 0,50 -
x 0.50
Certification Verifying Statement of Costs
Attestation de I'&at des coOts
l hereby certify:
that the amounts shown are as accurate as possible and these costs
were incurred while conducting assessment work on the lands shown
on the accompanying Report of Work form.
J'atteste par la presente :
que les montants indiques sont le plus exact possible et que ces
depenses ont ete engagees pour effectuer les travaux d'evaluation
sur les terrains indiques dans la formule de rapport de travail ci-joint.
l am authorized
to make this certification
Et qu'a litre de
je suis autorise
(titulaire enregistrt. repr6sentant, posle occup* dans la compagnie)
a faire cette attestation.
Dal*
7JT
Ontario
Ministry of
Northern Development
and Mines
Mining Recorder's Office
Willet Green Miller Centre
933 Ramsey Lake Road
3rd Floor (B)
Sudbury, ON
P3E 6B5
Ministere du
Developpement du Nord
et des Mines
Telephone:
Fax:
(705) 670-5742
(705) 670-5681
TRANSACTIONS W9570.00080
November 3, 1995
Mr. Trevor Pacaud
R.R.#1
Wahnapitae, ON
POM 3CO
Dear Sir:
Re:
Approval of Notice of Reduction issued on Mining Claim 1197356
in Street Township
The assessment work credits as outlined in the Notice of Reduction
dated September 19, 1995 have been approved as of NOVEMBER 3, 1995,
The credits have been approved under Section 10, Digging Pits,
Mining Act Regulations.
If you have any questions, please contact our office.
Yours truly,
Mining-Recorder
Sudbury/Southern Ontario
Mining Divisions
/mh
ASSESSMENT WORK PERFORMED ON CLAIMS
TRANSACTION NUMBER:
CLAIM
S.1197356
W9570.00080
VALUE OF WORD DONE
ON THIS CLAIM
$ 384
$ 384
Ontario
Ministry of
Northern Development
Ministere du
Developpement du Nord
and Mines
et des Mines
Mining Recorders office
933 Ramsey Lake Road
3rd Floor
Sudbury, Ontario
P3E 6B5
Telephone:
Fax:
(705) 670-5853
(705) 670-5863
Transaction /W9570.00080
September 19, 1995
Mr. Trevor Pacaud
R.R. #1
Wahnapitae, Ontario
POM 3CO
Dear Mr. Pacaud:
Subject: NOTICE OF CREDIT REDUCTION SUBSECTION 6 (3) MINING ACT
REGULATIONS
An examination of your work report indicates that the requirements
of the Mining Act Regulations have not been fully met. This notice
will outline the reduction in assessment credit for your
submission. Note that the 90 day deemed approval provisions, Sub
Section 6(5) of the Mining Act Regulations, are no longer in effect
for this Work Report.
A value of assessment work of $384.00 will be approved in 45 days
from the date of this notice.
REASON FOR REDUCTION
The credit allowed for this submission is being reduced as the cost
claimed for indirect expenses exceeds the 20% amount allowable of
direct costs. You claimed S80.00 under indirect costs, however
only $64.00 is allowed in this category as your direct costs
claimed is $320.00.
Therefore the assessment credits are being reduced by $16.00 and
the TOTAL VALUE of assessment credit that will now be allowed for
this submission is $ 384.00.
. . . /2
Page 2
Mr. Trevor Pacaud
If you have any questions regarding this correspondence, please
contact this office at (705) 670-5742.
Yours
^
iry/Southern Ontario
fining Divisions
/kg
Ontario
Mnstyoff
Norther^ Development
and Minis
Ministry of
Natural
Resources
INDEX TO LAND DISPOSITION
PUN
SUDBURY
G-4109
SUDBURY
LMO matmmoH MMKM
SUDBURY
TOWNSHIP
STREET
Scale 1:20 000
\ i
1000
101
1000
Fe*t
f
FWI
CaXDur Internal It i
AREAS WITHDRAWN FROM DISPOSITION
NIRO - Mining Rights Only
SRO- Surface Rights Only
- M ining and Surface Rights
Dtaporttton
OntorNo
SEC 42/60
29/10/69
SRO
PH*
23022
Boundary
Township, Meridian, Baseline
Road allowance, surveyed
shoreline
Lot/Concession, surveyed
unsurveyed
Parcel, surveyed
unsurveyed
)
Right-of-way, road
railway
utility
DATE OF ISSUE
Reservation
NOV
Cliff, Pit, Pile
Contour .
Interpolated
Approximate
Depression .
3
fiffi
SUDBURY
MINING RECORDER'S OFFICE
..
A
Control point (horizontal)
Flooded land
Mine head frame
.
.
Pipeline (above ground)
NOTES
Railway, single track
double track
abandoned
THE S UBDIVISION O F THE TOWNSHIP OF STREET AS LAID OUT INTO LOTS
AND C ONCESSIONS WAS ANNULLED I N I9S3
Road, highway, county, township
access
trail, bush
Shoreline (original)
Transmission line.
Wooded area
DISPOSITION OF CROWN t|NDS
Patent
Surface b M ining Rights
Surface Rights Only ..
Mining Rights Only .
Surface f
t Mining Rights
Surface Rights Only.
Mining Rights Only
e
o
. .,
Licence of Occupation
Order-in-Council
Cancelled
Reservation
. .
Sand S. Gravel .
.
.. .
Map base and land disposition drafting by Surveys and l apping
Branch, Ministry of Natural Resources.
41I10SE0002 W9570 00080 STREET
200
H
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.T
oc
THE INFQJWATION THAT
APPEARS W4 THIS MAP
HAS BEfW COMPILED
FROM VARIOUS SOURCES,
AND ACCURACY IS NOT
GUARANTEED
THOSE
WISHING TO STAKE MIN
ING CLAIMS SHOULD CON
SULT WITH THE MINING
RECORDEa MINISTRY OF
NORTHERN DEVELOP
MENT AND MINES, FOR AD
DITIONAL INFORMATION
ON THE STATUS O* TXf
LANDS SHOWN
The disposition of land, location of lot fabnc and parcel boundaries on
this index was compiled tor administrative purposes only