21 RANEY010

DIAMOND DRILLING

TOWNSHIP: RANEY TWP. REPORT NO: 21

WORK PERFORMED FOR: Goldroch Resources Inc

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

Claim No.

501022

804656

Hole No.

R-886A R-886B

R-88-8 R-88 9A R-88 9B

Footage

113*

41.6'

Date

Sept/88 Sept/88

Oct/88 Oct/88 Oct/88

Note

(D (D

(D (D (D

NOTES: (1) #W8806.50182, filed Mar/89

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CA*i: If

•oro' Report of Work

•ind Postal Addraas dad Holda 9O0

f.0.mary of Work Performance and Distribution of Creditsl Work Day* O. daimad

330.9Isrformanca of tha following c (Chack on* only)

^MsnuaLWork

"1 Shaft Sinking Drifting or other Lateral Work.

H Compressed Air, othar Power driven or mechanical equip.

] Powar Stripping

•^Diamond or othar Cora drilling

3] Land Survey

the work was parformad on Mining CtoimU):

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

orof

po e^x cpioiT/mrntnS O*JfT*6.io

jfication Verifying Report of Work*Cf!LCZsai

. 7hereby certify that l have e personal and Intimate knowledge of tha facts sat forth hi tha Report of Work annexed hereto, having performed the work r witnessed same during and/or after Its completion and tha annexed report hi 1

Sen/fees

le of Information l Attachments Required by the Mining Recorder

Certified by (Signature)

'fz/aazvf 7

Type of Work

•nial Work

•ft Sinking, Drifting or er Lateral Work

nprassed air. other power*an or mac ria n leal aQutp*

ver Stripping

mond or otffiat* coca

Spaclflc information par typa

Nil

Typa of aqulpmant

Typa of aqulpmant and amount axpandad. Nota: Proof of actual cost mutt ba •ubmlttad within 3O days of racordlng.

Namas and addrass

wftn datas and hou

lommon to 2 or more types)

si of man who performed

rs of employment.

Names and addresses of owner or operator together with datas whan drilling/strippingdon*.

(y Attachments

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

Work Sketch (as

-

CROCKETT TWP.

ROLLO TWP.