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52P04NE8810 17 ACHAPI LAKE 010

DIAMOND DRILLING

AREA: ACHAPI LAKE REPORT NO: 17

WORK PERFORMED FOR: Northern Dynasty Explorations

RECORDED HOLDER: Same as above [xx]: Other [ ]

Claim No.

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COMPANY NAME . PROPERTY NAME.

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PROJECT NO.

FROM TO R ECO V Y DESCRIPTIONSAMPLE

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PROJECT NO..

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Ontario

Ministry ofNorthern Developmentand Minis

Report vi of Work l

* /^~ '*~s

•f Recorded Holder

^//V/J^ry E)(.l?l~0{ZA

)3- IU^^Mining Act

Illlll Illl IIBIIIII\7 ACHAPI LAKE

? 1^/91'-LtfMS—J^JIi : . ________________i - , ^ i^ \

, VAtf(10UVGrt, 73- C. , \lbCbf Credits ' ' AtJ\n~tn_____ Work _____Mining Claim_____ Work —

900

Summary of Work Performance and Distribution of Credits Z..OTotal Work Days O. claimed

for Performance of the following work. (Check one only)

| | Manual Work

Qshaft Sinking Drifting or other Lateral Work.

\ ] Compressed Air, other Power driven or mechanical equip.

Q Power Stripping

jDiamond or other Core drilling

Land Survey

Mining ClaimPrefix Number

ZHJoBS. &&&30.BJLL^31-

A1&M&JJ&M2.Bl&lez

L&L&JJ23 B((#~lo5

All the work was performed on Mining Claim(s): i J Q. l/ ~7f~\ f) Q i/ "7/S/

Required Information eg: type of equipment, Names, Addresses, etc. (See Table Below)

Certification Verifying Report of Workl hereby certify that l have a personal and intimate knowledge of the facts set forth in the Report of Work annex or witnessed same during and/or after its completion and the annexed report is true.

Name and Postal Address of Person Certifying

Table of Information/Attachments Required by the Mining Recorder

Type of Work

Manual Work

Shaft Sinking, Drifting or Other Lateral Work

Compressed air, other power driven or mechanical equip.

Power Stripping

^Diamond or other core J , drilling .s

*^ _ u — ———————————Land survey

Specific information per type

Nil

Type of equipment

Type of equipment and amount expended. Note: Proof of actual cost must be submitted within 30 days of recording.

Signed core log showing; footage, diameter of core, number and angles of holes.

Name and address of Ontario land surveyor.

Other information (Common to 2jorxmorfe tvpesf

Names and addresses of men who performed manual work /operated equipment, together with dates and hours of employment.

Names and addresses of owner or operator together with dates when drilling/stripping done.

Nil

//l Attachments

Work Sketch: these are required to show the location and extent of work in relation to the nearest claim post.

Work Sketch (as - above) in duplicate

Nil

768 (85/12)

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Documents

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