Illl'llilll'llilll Illilillill lillil AZ15047-12 - Bureau of Land Management

NOTICE!!

These documents have been scanned!

Do not place un-scanned documents beneath this notice!

Do not remove this notice from this file!

GPO jacket No. 560-102Print Order 61540

Rise Business Services, LLCJob=AZ15 5/14/2019

1 ill li~ Ill 1111 l ilill lilli lli lili Ill lillBox Number= AZ15047

Claim Begin-End: AMC416023-AMC416023

1 Initial Receipt

Illl'llilll'llilll Illilillill lillil AZ15047-12 AMC415557-AMC416189

Receipt Page lofl

United States Department of the InteriorReceiptBureau of Land Management

LANDS/RECREATION & PLANNINGONE N CENTRAL AVE

PHOENIX, AZ 85004 -2203 No: 2592775Phone: 602-417-9200

Transaction #: 2672627Date of Transaction: 06/20/2012

CUSTOMER:DAVID FRYBARGER2510 ANGLER DRLAKE HAVASU CITY,AZ 86404-2134 US

LINE UNIT# QTY DESCRIPTION REMARKS TOTALPRICELOCATABLE MINERALS / MINING CLAIMS-NOTNEW-UNADJUD,ONE AUTH NO. ONLY / MINING AMENDMENTS1 1.00 - rda - 60.00CLAIM MONEY RECEIVED (6)CASES: AM(411759/$60.00

TOTAL: $60.00

PAYMENT INFORMATION1 AMOUNT: 60.00 POSTMARKED: 06/18/2012

TYPE: CHECK RECEIVED: 06/20/2012CHECK NO: 432210

NAME: FRYBARGER, DAVID2510 ANGLER DRLAKE HAVASU CITY AZ 86404-2134 US

REMARKS

Thiss receipt was generated by the automated BLM Collections and Billing System and is a paper representation of a portion of theofficial electronic record contained therein.

6/20/2012tilt p.//cbs.bl m. gov, cgibin/cbsp/zorder

Receipt Page 1 of 1

United States Department of the InteriorBureau of Land Management Receipt

Pl-IOENIX, AZ 85004 -2203 No: 2578733Phone: 602-417-9200

rr:insaction #: 2658279 ENTERED INTO COMPUTERDate Of Transaction: 05/30/2012

CUSTOMER: MAY 31 20'2 Q &ROGER FRYBARGER2510 ANGLER DRLAKE HAVASU CITY,AZ 86404-2134 US

LINF UNIT# QTY DESCRIPTION REMARKS TOTALPRICELOCATABLE MINERALS / MINING CLAIMS-NEW,UNADJUD, ONE OR MORE AUTII NOS / NEW1 1.00 - n/a - 34.00MINING CLAIM LOCATION FEE $34CASES: AMC416023/$34.00LOCATABLE MINERALS / MINING CLAIMS-NEW,UNADJUD, ONE OR MORE AUT11 NOS / NEW2 1.00 -n/a - 140.00MINING CLAIM MAINT FEE $140CASES: AMC416023/$140.00LOCATABLE MINERALS / MINING CLAIMS-

3 1.00 NEW,UNADJUD, ONE OR MORE AUT11 NOS / NEW - n/a - 15.00MINING CLAIM PROCESSING FEE $15CASES: AM(416023/$15.00

TOTAL: $189.00

TYPE: CI-IECK RECEIVED: 05/30/2012

Cl IECK NO: 432148NAME: FRYBARGER, DAVID H

2510 ANGLER DRLAKE HAVASU CITY AZ 86404-2134 US

REMARKS

This receipt was generated by the automated BLM Collections and Billing System and is a paper representation of a portion of tlieofficial electronic record contained therein.

http://cbs.blm.gov/cgibin/cbs %0. 5/30/2012

NOTICE!!

GPO Jacket No. 560-102Print Order 61540

lillilli lli lillililill Ilill li li Illililli lillBox Number= AZ15047

2 Correspondence

lillillill'illilll Illill'llillillil AZ15047-12 AMC415557-AMC416189

DOCUMENTS

NO DOCUMENTS FOUND

NOTICE!!

Rise Business Services, LLCjob=AZ15 5/14/2019

1111111Ii 111111111 Imi 111111111111111Box Number= AZ15047

3 Transfers

lillillilll'llilll 11111111111 111'll AZ15047-12 AMC415557-AMC416189

DOCUMENTS

NO DOCUMENTS FOUND

NOTICE! !

I 1 Ill I~ Ili lill 1111'I Ill li~l ill U li li 1 IllBox Number= AZ15047

111111111111 11111111 11111111111111111111111jill 11111111111 illilli llilill 1111111111111111 I I 111Claim Begin-End: AMC416023-AMC416023

4 Miscellaneous

111111~ 1111111111 lilli lll'll 111'll AZ15047-12 AMC415557-AMC416189

DOCUMENTS

NO DOCUMENTS FOUND

NOTICE!!

GPO jacket No. 560-102Print Order 61540

I Ilill Illit IIL 1 lilll Ili 1 lili Ill li I Ill lilli il li ill li i li li 1 IlilllBox Number= AZ15047

5 Annual Filings

Illl'lli lll'llilll Illil illill Il illl AZ15047-12 AMC415557-AMC416189

4 luD 2 3UNITED STATES - 44Form 3830-2 DEPARI'MENT OF THE INTERIC) R

(January 2017) BUREAU OF LAND MANAGEMENT FORM APPROVEDMAINTENANCE FEE WAIVER CERTIFICATION OMB NO. 10()44)1 14

Expires: January 31,2020SEE INSTRUCTIONS ON PAGE 2

1. This small miner waiver is filed for the assessment year beginning on Septemhe r 1.2018 and ending on September 1, 20192. The undersigned and all related parties owned ten or fewer mining cl,tims , inill, or tiliticl sites located and maintained on Federal lands inthe United States

01'America on September 1, 20183. '1'he undersigned have perfornied the assessment work required by law l'or eaclunining clahn listed priorlo tiling this waiver· .ind underst,md 111:It by liling this 11)i'in,

the undersigned must file an affidavit of assessment work with the Bureau of l .and ME inagement ( 13[-M ) by the Decemher 3 Oth fo owing the fil i ng o f this waiver.4. The undersigned underst.indth.itiftlic assessment work obligationhas not yet coine clueuridet· 3() l J.S.C. 28(toi· those claims iii their first assessment ye,ir only),

a notice of intent to hold recit i ng this condition must be recorded by the December 3 Oth folowing the filing of this waiver.5. Ihe undersigned understund th,it mill and tuline| sites Inay also be listed on tlii: waiver and l e waived froin payment of the 111,iinten,ince tee, and that a tiotice 4, f

intent to hold fur these sites is required to he filed with the BLM by the December 30 111 Ic)11 i)wing the filing i,fthis waivel·.6. The undersigned understand md acknowledge that pursuant to 43 U.S.C. 1212 und 18 l J.S.C. 1001, the tiling or recording 01 .i false. tictition*, <11· f audulent

document with the B[.M may result in a line o i'zip to $250.00(), a prison terin not to exceed tive years, or both.7. The minitig claims, litill ot tunnel sites for which this waiver from payment of the maintenance fees is requested are:

CLAIM OR SITE NAME BLM RECORDATION SERIAL NUMBER

1. LITTLE MICA #5 - AMC 416023 49 L-3/)2.3. -0 =CD4 Z - -

m 2.5. 7/ 4= 1306 N 'n :nn7

X;8 N '.0 0

7-19. * 19 n> g r D10. -J ..1

The owner(.s) (claimanis) oft he alic,ve mining claims m cl sites are:

13 DAVID FRYBARGER(Owner's Name - Please Print) FTOwner's Signature)

2510 ANGLER DRIVE LAKE HAVASU CITY AZ 86404(()wner's Mailing Address) (City) (State) (Zip Code)

.C.9/ ROGER FRYBARGER R. OD)- f. *r'~owners Signature)(Ownei·'s Name - Please Print)

2510 ANGLER DRIVE LAKE HAVASU CITY AZ 864044

(Owner's Mailing Address) (City) (State) (Zip Code)

(Owner's Name - Please Print) (Owner's Signature)

(Owner's Mailing Address) Aa LZE s (City) (Sulk ) (Zip Code)

- - ENTERED -SEP-1-3 2018 -(()wner's Name - Please Print) (Owner's Signature)

(Owner's Mailing Address) (City) (Zip Code)(State)

(Continued on page 2)

H I 1 1 45-9Form 3830-4 UNr STATES FORM APPROVED(January 2017) OMB NO.: 1004-0114DEPARTMENT OF THE INTERIOR

BUREAU OF LAND MANAGEMENT Expires: January 31 20704 1-% 92 9AFFIDAVIT OF ANNUAL ASSESSMENT WORK

1-1'q921WHEN RECORDED, MAIL DOCUMENT TO: t//461 51NAME: DAVID FRYBARGER Ul 1 60 -3-3ADDRESS: 2510 ANGLER DRIVE Lt/*163

CITY, STATE, ZIP- LAKE HAVASU, AZ 86404 444093FOR COUNTY RECORDER'S USE

No. of Claims 7x $10/claim

Total due BLM $ 70.00FO ALL WHOM IT MAY CONCERN:

1. The undersigned certifies that at least $100 per claim was expended for development, labor andimprovements, or equivalent value added, as the annual assessment work for the assessment year endingSeptember 1 2019 for the following contiguous unpalented mining claim(s), located in the County ofMOHAVE , in the State of ARIZONA

Tp Rg Sec Mer County Recordation Co. RecordingBLM Serial No. Name of Claim Example: 13N SE 14 MDM Book and Page No. Date

411759 LITTLE MICA 17N 16W 10 GSRB 2012034503 07/03/2012413524 LITTLE MICA #2 17N 16W 10 GSRB 2012034504 07/03/2012414921 LITTLE MICA #3 17N 16W 10 GSRB 2012034505 07/03/2012414951 LITTLE MICA #4 17N 16W 10 GSRB 2012034506 07/03/2012416023 LITTLE MICA #5 17N 16W 10 GSRB 2012034507 07/03/2012416163 HERITAGE 17N 16W 10 GSRB 2012034508 07/03/2012449053 LITTLE MICA #6 17N 16W 10 GSRB 2018014997 03/28/2018

1-33 9/mE 5

BJ n.=17

4 4®13@65 1 v Do-!<lf-nC) FJ -n(Continued on page 2) ~NTE REMJ -n1/r n

AUG 2 9 2018 f ~B*_3*YA W

2. Type of labor and improvements (specify what was done and give the total value for that labor andimprovement to show at least $100 for each claim). If a geological, geochemical, or geophysical survey wasperformed, as per 30 U.S.C. 28-1, reference the title of the report of survey, give cost and date of the surveyand report, and indicate it was filed with the County Recorder:

Value of Work Date Work WasDescription of Work Performed Performed Performed

Repaired/maintained existing access road 620 01/14/2018Maintained claim monuments 100 01/21/2018

Mineral sampling and identification 300 05/12/2018

3. Name and mailing address of each person who performed the labor and improvements:

Name (please print) Current Mailing Address (please print)Ed Huskinson/Geologist 4804 Steinke Dr., Kingman, AZ 86409David Frybarger 2510 Angler Drive, Lake Havasu City, AZ 86404Stephanie Holmes 1745 Squall King Dr., Lake Havasu City, AZ 86404Laurie Bergeron 2731 War Eagle Dr., Lake Havasu City, AZ 86404

4. Name and mailing address of each person who holds and claims the subject mining claim(s) for the valuableminerals contained therein. Be sure to indicate if there is a change of address:

Name (please print) Current Mailing Address (please print)David Frybarger 2510 Angler Dr., Lake Havasu City, AZ 86404Roger Frybarger 2510 Angler Dr., Lake Havasu City, AZ 86404Jack Hodges 3656 Winston Dr., Lake Havasu City, AZ 86406Stephanie Holmes 2745 Squall King Dr., Lake Havasu City, AZ 86404Laurie Bergeron 2731 War Eagle Dr., Lake Havasu City, AZ 86406

g- GS ../-5ru El :71

13~. N :.: n,

-1 P5. The undersigned testifies that on the date of January 21 , 518. 8 moimments

required by law were erected upon the subject claim(s), and all notices required by *v weY po@d on thesubject claim(s) or copies thereof were in place, and at said date, each corner monument b~p 0*ontained

(Continued on page 3) ( Form 3830-4, page 2)

markings sufficient to appropriately designate the corner of the claim to which it pertains and the name of theclaim(s).

I hereby certify under penalty of peljury under the laws of the State of ARIZONA that theforeg~ilig statements are true and correct:

UEJ 4 .44 Date : A u 6 1 3 ,- / 6 , A 0 1 9(Signature of yf6sdYrespuh;;ETS for above statement)

Title 18 U.S.C. 1001 and 43 U.S.C. 1212 make it a crime for any person knowingly and willfully to make to any department oragency of the United States any false, fictitious or fraudulent statements or representations as to any matter within its jurisdiction.

Notary Block

SUBSCRIBED_AND SWORN~TO before=me,ihis ~~ day of /Z~ (f ~-By: »1»»t*dA/Dt< 3 (4ignature of Affiant)

Title: i_-/ No-7-2UL ~- BRENT DEWITT~~ Notary Public - Arizona

My Commission Expires : 40/ ne. ID 1 2 01 9\~*53/My Comm Expires Jun 10,2019

INSTRUCTIONS

1. This is an optional form that may be used to satisfy the requirements for the Bureau of Land Management (BLM)under the provisions of 43 U.S.C. § 1744 and 30 U.S.C. §28-28d and the regulations thereunder (43 CFR part3835). Since local and State laws may vary, you should contact your local and State agencies where the claimsare located to ensure all applicable laws and requirements are satisfied.

2. The claimant(s) must fill in the date in paragraph 1 for the applicable assessment year a~ji thekguntyond statewhere the claims are located. Il= 2

0 0. .C3. All claim names, BLM serial numbers, legal descriptions, and original county recordirtn#nfors~tion.must beI isted for the claims pertaining to this assessment notice. Z C

CD : -1204. The claimant(s) must complete paragraph 2 listing alllabor or improvements which woperfooned Ofti@ didbenefit the subject mining claims. The value and date of the labor or improvements nmst alsS'Be listet?The totalamount of labor or improvements can be listed, but the total expenditure must equal aifast $~YO fol:41#h claim.

5. The names and current mailing addresses of the person(s) performing the labor shalll[*listed in par**h 3.6. The name and current mailing address of each owner (claimant) of the claims shall b&#sted IMparagraph 4, The

mailing address shall be the owner's address and not the address of an agent or anyorPrepre~ltingihe claimant.Be sure to note if there has been a change of address.

7. Paragraph 5 shall be completed to show the date it was verified that all monuments required by law were properlyerected, all notices were posted, and that corners were appropriately designated for all claims listed.

8. An exact legible reproduction or duplicate (other than microfilm or other electronic media) of this affidavit oranother type of affidavit of assessment work that you file or will file in the county where each claim is located,must be filed with the BLM on or before December 30 of the calendar year in which the assessment year ends.For mill or tunnel sites, a separate notice of intent to hold must be filed with the BLM on or before December 30.Requirements for filing a notice of intent to hold can be found at 43 CFR 3835.33.

9. A processing fee of $10 for each claim listed must be remitted to the BLM along with this or any other affidavito f assessment work.

(Continued on page 4) ( Form 38304, page 3)

BLM 11-

NOTICE OF INTENTION TO HOLD MINING CLAIMS/SITES % 5 3~When Recorded Return Document to: 1 rr,BLM . N > u-ID A v/Z FA 9 8,9,2 66* Date T o m1 51 0 A N 6 LE,t k>A. Stamp CDSLA Le r. IAA va ,fi ClrY Al X6 4 of 2 e El3, SEA0 Check here if this is a change of address.

Telephone: 9,2 1 230 -90 2 0E-mail Address: 6,1 v / A Fhy,S,4 R 6,£Rts) 6/,44 (2. coM

1 (We) intend to hold the daims(s) and/or site(s) listed below for the calendar year 20 1 5, and I (We) have filed or willfile a Notice of Intent to Hold in the county where the claim (s) is located.Reason for filing a Notice of Intent to Hold instead of an assessment work filing (check one):%22 Maintenance fee was paid to maintain claim(s) during this assessment year.0 Mill or tunnel sites.0 Claim(s) was located during the current assessment year.O BLM has deferred assessment work (attach copy of decision granting deferment, or pending petition fordeferment including date petition was filed.)

AMC COUNTY RECORDERLine CLAIM/SITE NAME T\1\IP RNG SECNUMBER DATA (If available)NO.

1 999053 lITTLE /9/64 4 6 2 0/20~4997 17 M /4 W /02

10iw " E RED

Revised Juty 2014

Form: MCF110~ SEP 1 3 22 Page 1 of 2

wi L#BA

I. '' .

NOTICE OF INTENTION TO HOLD MINING CLAIMS/SITESpage 2

0 CO --

BLM rn > 1-DateStamp ?< rg -S2r.) - , ,

-1 <2 -0 --.. EIJ2 C·P>03

1 . State of Arizona , County of 8/ 1 <> WAvE2.1 (Name) Ib q vi D FR 98 i*A 60/23. Reside at (Address) 2 5j a /1) M 6 L ,-R A /K

citylA Ati I#Ave Iv 6- in County MoHAvm state /1 1 Zip 56 4 0 4 being duly sworn , depose andsay that I am a citizen of the United States, more than eighteen years of age, that all of the facts set forth in thisnotice, subject to the provisions and penalties of 18 U.S.C. 1001 pertaining to the filing of false, fictitious, or fraudulentstatements with the United States, are true and correct according to the best of my knowledge, information and belief.4 . Owner's name and address ( lf not shown in Items 1 -3 above). 2» 4 vre> F-R 9 BAROER A MA

1.AuRIE BIC/2.6 CRAN rk-7 -3 L 1/JA A E A OLE bR. LAR£ /4,1 vmce 6/7-'1 Ai- 764665. Dated: Signature: /Us «1,744 - (-3»Ki 65*51&;\00

No. of Claims: X$10Bureau of Land ManagementCheck No: Init.Arizona State Office

www. blm.qov/az Receipt No..For BLM Use Only

Form: MCFI 10Revised July 2014

This form is available from the Arizona Geological Survey and may be reproduced.

us KA + 11\10 #

4 PRESS FIRMLY TO SEAL PRESS FIRMLY TO SEAL

9405 5118 9956 0152 9786 60

PRIORITY® FROM: Dfib FR 4 8 ARGSA ~

*MAIL* 25/8 08 6 LE# Di ic

ARKE H RVAgu CITY , A 1 3646 £f

:2];$'1~l 2£1~1~~~~~Sulle~ssondi~~'2~*f;I~;5%es] SfjS:tua n 04; JO *1~~d~~d~~4;st suisesped 5141

[Ril DATE OF DELIVERY SPECIFIED*

/5. USPS TRACKING™ INCLUDED*

- ~ INSURANCE INCLUDED * TO:f

d5 PICKUP AVAILABLE U & . b EPBATTMEAT oF TH€ IN'rEA,OR

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BuREAu oF LAdD MABAGEMEN'i-

OBE NORTH 61/7-KAL AVE. suil-£ 860 1LU520<t d:, 5 PHoe*;A, 8 1 8 50 011 -ZiN R 7 I if 'LU14.WHCLUSE@fNTERNATIONALLY.

>,- A CUSTOSS DECLARATIONms LBEL 14»f BE REQUIRED.

1111111111111111111111111111111 I ll Ill EP14F July 2013 VISIT US AT USPS . COM ® -~ UNITED STATESPS00001000014 OD: 12.5 x 9.5 ORDER FREE SUPPLIES ONLINE /.~ POSTAL SERVICE®

Receipt Page 1 of 1

DIV OF LANDS, MlNRLS & ENERGYONE N CEN 11{AL AVE

CUSTOMER:DAVID FRYBAI{(31{R2510 ANGLER DRLAKE HAVASU CITY.AZ 86404-2134 lJS

LINE UNIT# QTY DESCRIPTION REMARKS TOTALPRICEI.OCATABI.1 i MINERALS / MINING /1--

CLAIMS-NOT NEW-UNADJUD,ONE. Al JOI (EOL 2018/7 ~1 1.00 NO. ONLY / MINING Cl«AIM MONEY WAV NOI - n/a - 8().00

RECEIVED 2018/1CASES: AMC411759/$80.00

TOTAL: $80.00

PAYMENT INFORMATION1 AMOUNT: 80.00 POSTMARKED: N/A

FYPE: CHECK RECEIVEI): 08/22/2018CllECK NO: 1847

NAME: FRYBARGER, DAVID2510 ANGLER DRLAKE I IAVASU CITY AZ 86404-2134 US

REMARKS

This receipt was generated by the automated BLM Collections and Billing System and is a paper representation ofaportion of the official electronic record contained therein.

https://ilmocopOap933.blm.doi.net/cgibin/cbsp/zorder 8/24/2018

' 3 gil -759Form 3830-4 UNITED STATES FORM APPROVED

(January 2017) OMB NO.: 1004-0114 H 1 3 5 -3 4DEPARTMENT OF THE INTERIORBUREAU OF LAND MANAGEMENT Expires: January 31,2020

4 i qq 3-1AFFIDAVIT OF ANNUAL ASSESSMENT WORKHIL/95- i

9 10033WHEN RECORDED, MAIL DOCUMENT TO: 4 10/63NAME: DAVID FRYBARGER

ADDRESS: 2510 ANGLER DRIVE

CITY, STATE, ZIP: LAKE HAVASU, AZ 86404FOR COUNTY RECORDER'S USE

No. of Claims 6x $10/claim

Total due BLM $ 60.00TO ALL WHOM IT MAY CONCERN:

1. The undersigned certifies that at least $100 per claim was expended for development, labor andimprovements, or equivalent value added, as the annual assessment work for the assessment year endingSeptember 1, 2018 for the following contiguous unpatented mining claim(s), located in the County ofMOHAVE , in the State of ARIZONA

Tp Rg Sec Mer County Recordation Co. RecordingBLM Serial No. Name of Claim Example: 13N SE 14 MDM Book and Page Ne. Date

411759 LITTLE MICA 17N 16W 10 GSRB 2012034503 07/03/2012413524 LITTLE MICA #2 17N 16W 10 GSRB 2012034504 07/03/2012414921 LITTLE MICA #3 17N 16W 10 GSRB 2012034505 07/03/2012414951 LITTLE MICA #4 17N 16W 10 GSRB 2012034506 07/03/2012416023 LITTLE MICA #5 17N 16W 10 GSRB 2012034507 07/03/2012416163 HERITAGE 17N 16W 10 GSRB 2012034508 07/03/2012

C) I...J

rr 1r.- 8 -4:33.- 1\.1

«3- f*XE , CD ..1

C i> ' ' rn

(Continued on page 2) liquy#<Fi~En~2 SEP 05 2017 4

777*,f7'Tr-·~~,4=FT,rf>f'~~*~~-•r»77*~7'f*'7<I,+V//Pr#,JF~-f Ir'"F--'f'rr -n-*r'--7)* 3(.3~5,37~1

2. Type of labor and improvements (specify what was done and give the total value for that labor andimprovement to show at least $100 for each claim). If a geological, geochemical, or geophysical survey wasperformed, as per 30 U.S.C. 28-1, reference the title ofthe report of survey, give cost and date ofthe surveyand report, and indicate it was filed with the County Recorder:

Repaired/maintained existing access road 600 01/06/2017Mineral sampling and identification 100 12/04/2016

Maintained claim monuments 150 01/24/2017Capped all open pipe monuments 90 01/24/2017

Name (please print) Current Mailing Address (please print)Robert Pederson/Mineralogist 3760 Steel Ave., Kingman, AZ 86409David Frybarger 2510 Angler Dr., Lake Havasu City, AZ 86404Laurie Bergeron 2731 War Eagle Dr., Lake Havasu City, AZ 86406Stephanie Holmes 1745 Squall King Dr., Lake Havasu City, AZ 86404

4. Name and mailing address of each person who holds and claims the subject mining claim(s) for the valuableminerals contained therein. Be sure to indicate ifthere is a change of address:

Name (please print) Current Mailing Address (please print)David Frybarger 2510 Angler Dr., Lake Havasu City, AZ 86404Roger Frybarger 2510 Angler Dr., Lake Havasu City, AZ 86404Jack Hodges 3656 Winston Dr., Lake Havasu City, AZ 86406Stephanie Holmes 2745 Squall King Dr., Lake Havasu City, AZ 86404Laurie Bergeron 2731 War Eagle Dr., Lake Havasu City, AZ 86406 r.,1.Huci.,1

. CS '.·1.1 7

73 »* - u1-trn5. The undersigned testifies that on the date of January 24 *17 , call nionuments,

required by law were erected upon the subject claim(s), and all notices required by 139 were posted on thesubject claim(s) or copies thereof were in place, and at said date, each corner monument bek of bbntained

,a-.1·!2,~61~1 J -- --6@.->..8.GS'.i .i ~i -«.6~4,*.*,i•· ~'44~•w·i,plh**g##-5 . -.

I hereby certify under penalty of perjury under the laws of the State of ARIZONA that theforego~F~statements are true and correct:

Date: 0 0(,vir 2 4, A O /7(Signature of per»n r*oonsible for above statement)

Title 18 U.S.C, 1001 and 43 U.S.C. 1212 make it a crime for any person knowingly and willfully to make to any department oragency of the United States any false, fictitious or fraudulent statements or representatjons as to any matter within its jurisdiction.

Notary BlockSUBSCRIBED AND SWORN TO before me , this 24 day of AKpts 1- 20 / 78* 794*94'J Id

--15'6nature of Affiant)Title: 4 ' crb BRENT DEWITT

g ~ Notary Public - ArizonaMy Commission Expires : ~unts ID I 70 1 01 XE*37My Comm. Expires Jun 10, 2019

INSTRUCTIONS

1. This is an optional form that may be used to satisfy the requirements for the Bureau of Land Management (BLM)under the provisions of 43 U.S.C. § 1744 and 30 U.S.C. §28-28d and the regulations thereunder (43 CFR part3835). Since local and State laws may vary, you should contact your local and State agencies where the claimsare located to ensure all applicable laws and requirements are satisfied-

2. The claimant(s) must fill in the date in paragraph 1 for the applicable assessment year and the county and statewhere the claims are located.3. All claim names, BLM serial numbers, legal descriptions, and original county recording information must belisted for the claims pertaining to this assessment notice.4. The claimant(s) must complete paragraph 2 listing all labor or improvements which was performed on or did

benefit the subject mining claims. The value and date of the labor or improvements must also be listed. The totalamount of labor ar improvements can be listed, but the total expenditure must equal at least $100 far each claim.5. The names and current mailing addresses of the person(s) performing the labor shall be listed in paragraph 3.6. The name and current mailing address of each owner (claimant) of the claims shall be listed in paragraph 4. Themailing address shall be the owner's address and not the address of an agent or anyone representing the claimant.Be sure to note if there has been a change of address.

7. Paragraph 5 shall be completed to show the date it was verified that all monuments required by law were properlyerected, all notices were posted, and that corners were appropriately designated for all claims listed.8. An exact legible reproduction or duplicate (other than microfilm or other electronic media) ofthis affidavit or

another type of affidavit of assessment work that you file or will file in the county wheriiach @im is located,must be filed with the BLM on or before December 30 of the calendar year in which theE#ssess,#nt year ends.For mill or tunnel sites, a separate notice of intent to hold must be filed with the BLM 0~br bef~ry Decef®er 30,Requirements for filing a notice of intent to hold can be found at 43 CFR 3835.33. :s r-O9. A processing fee of $10 for each claim listed must be remitted to the BLM along with thl~)r an¥cmtheraffi¢lavitof assessment work. .

- -·. EDt< -7C. 0 -1-2 AD 12(Continued on page 4) *Arm 38304, page 3)

: . Receipt Page 1 of 1

DIV OF LANDS, MINRLS & ENERGYONE N CENTRAI, AVE

CIJSTOMER:DAVID FRYBARGER2510 ANGLER DRLAKE I IAVASU CITY,AZ 86404-2134 US

LINE UNIT# QTY DESCRIPTION REMARKS TOTALPRICELOCATABLE MINER/\1,S / MINING CLAIMS-

1 1.00 NOT NEW-UNADJUI),ONE AUTH NO. POL 201 7/6 NOI - n/a - 70.00ONLY / MINING CLAIM MONEY RECEIVED 2017/1 WAVCASES: AMC411759/$70.00

TOTAL: $70.00

PAYMENT INFORMATION1 AMOUNT: 70.00 POSTMAI{KE.D: N/A

TYPE: CHECK RECEIVI<I): 08/29/2017CHECK NO: 1788

NAME: FRYBARGER, DAVID H2510 ANGLER DRLAKE HAVAS U CITY AZ 86404-2134 lJS

RI{MARKS

This receipt was generated by the alitomated BLM Collections and Billing System and is a paper representation of a portionof the official electronic record contained therein.

UNITED STATESForm 3830-2 DEPARTMENTOrrHE INTERIC)R(.lanuary 2017) BUREAU 01" LANI) MANAGEMENT 1()RM API'ROVE[)

MAINTENANCE FEE WAIVER CERTIFICATION OMB NO. 1004-0114Expires: January 31,2020

- SEE INSTRUCTIONS ON PAGE 2 &740 4 1 6 0 1-31. This small miner waiver is filed for the assessment year beginning on ,September 1, 2017 andendingon September L 20182. The undersigned and all related parties owned ten 01· IEwer mining claims . mill. or tuntiel sites located mid maintained on Federal lands in tlie United States

01 America on Septenibet L 20173. The undersigned have performed the assessment work required by law for each mining claim listed prior to filing this waiver and understand thal by filing this tbrm.

the undersigned must file an allidavit ofassessment work with the Bureau of Land Management (131.M) by the December 30th following the filing ofthis waiver.4. The undersigned understand that ifthe assessment work obligation has not yet come due under 30 U.S.C. 28 (li)1 tliose claims in their first assessinent year only).

a notice of intent to hold reciting this condition must be recorded by the December 30111 following the filing ofthis waiver.5. The undersigned understand that mill and tunnel sites may also be listed on this waiver and be waived from paymetit ofthe mailitenance ke, and that a notice of

intent to hold for these sites is required to be filed with the BLM by the December 3()th tkillowing the filing 01 this waiver.6. The undersigned understand and acknowledge that pursuant to 43 l J.S.(1 1212 md 18 l J.S.C. 1(1()1. the tiling or recording cit .1 1.Use. fictitious, or imudulent

document with tlie 13 L M may result in a line of' up to $25 0,000, a prison tel·in 11 01 to exceed five years. or both,7. The mining claims. mill or tunnel sites [br which this waiver fi·nni payment ofthe maintenance fees is requested are:

Cl.AIM ORS)'1'lf NAME ~ BLM RECORDATIC)N SERIALNUMBER

1. LITTLE MICA #5 v~ AMC 4160232.3.4.

-0 N rCU_·'-r ; 3:10. C)

ry. ETZ

l'he owner(s) (claimants) ofthe above mming claims and sites me: - f ·3'<7

VV ikect14 DAVID FRYBARGER J Irn

(Owner's Name - Please Print) (Owners h~gnature)- .--.2510 ANGLER DRIVE LAKE HAVASU CITY 5 6 -~6404

(()wner's Mailing Address) (City) d@le) (Zip Code)

~ ~T ROGER FRYBARGER / R *., f-(()wner s Name - Please Print) (Owner-s Signature)

2510 ANGLER DRIVE LAKE HAVASU CITY AZ 86404(()wner's Mailing Addressh Tel:#En (City) (State) (Zip Code)-------------------------------T-11=61---__ __________________-___ ___|' SEP 1 8 2017

(()wner's Name - Please Print~ (Owner's Signature)

(Owner's Mailing Address) -- (City) (State) (Zip Code)

(Owner s Name - Please Print) (()wner:s Signature)

(()wner s Mailing Address) (City) (State) (Zip Code)(Continued on page 2)

UNITED STATESForm 3830-2 DEPARTMENT OF Tl IE INTFRIOR -(C):tolict 2013) BUREAU 01' LAND MANAGEMENT ~~_~|~ , q ~ FORM APPROVED

MAINTENANCE FEE WAIVER CERTIFICATION A F\» OMB NO. 1004-0114Expires: October 31.2016

SEE INSTRUCTIONS ON PAGE 2 4#023'This small miner waiver is liled ibr the assessment year beginning on September L 2016 and ending on Septembert. 2017

2. The undersigned and all related parties owned ten or fewer mining claims , mill. or tunnel sites located and mitintained on Federal lands iii the 1 Inited States01 America oli September I. 2016

3. 'Ihe undersigned have performed the assessment work required hy law t'or each mining claim listed priono liling this waiver and understand that by filing this form.the undersigned must file an affidavit o l' assessment work with the Bureau of Land Manageinent (BLM) by the December 30th lollowing the filing ofthis waiver.

4. The undersigned understand that ifthe assessment work obligation has not yet come due under 30 U.S.C. 28 (ibr those claims in their first assessment year Diily),a notice ofintent to hold reciting this condition must be recorded by the December 30th following the fi[ing ofthis waiver.

i The undersigned miderstand that mill and tunnel sites may also be listed on this waiver mid be waived from payinent ofthe maintenance fee, and that a notice ofintent to hold for these sites is required to be filed with the BLM by tlic December 3 Oth following the filing of this waiver.

6. The mdersigned understand and acknowledge that pursuant to 43 l].S.C. 1212 and 18 1 I.S.C. 1 ()()1. the filing or recording ot ,1 false. fictitious, or fraudulentdocument with the 131.M may result in a fine ofup to $250.00(1, a prison term not to exceed five years. or both.

7. The mming claims, mill or tunnel sites Ii,r which this waiver from payment oftlie maintellance [&es is requested al'e

Cl_.AIM OR SITE NAME BLM RECORDATION SERIAL NUMBER

1. LITTLE MICA #5 AMC 416023 ...I

2.3.4. 00-0 4% r5. 0I il 10

6. Z / N

7. 2< CJ S

RECEIVEM 6 fl=,9.10. @ W IR

3> - 33.0 rn

The owner(s) (claimants) of the above mining claims and sites arc

6 , DAVID FRYBARGER ~r:x »~ A#*(Owner's Name - Please Print) y (()wner's Sigfiature)

2510 ANGLER DRIVE LAKE HAVASU CITY AZ 86404(()wner's Mailing Address) (City) (State) (Zip Code)

2 ROGER FRYBARGER K MA .·f-tr-'~(Owner's Name - Please Print) (Owner's Signature)

2510 ANGLER DRIVE 4 LAKE HAVASU CITY AZ 86404(Owner's Mailing Address) (City) (State) (Zip Code)

~CL(~3 ('Le#1)

ENTERED SEP 0 8 2016(Owner's Nanie - Ple.ise Print) ~48 (C)wner s Signature)

(Owner's Mailing Address) (('ity) (State) (Zip Code)--

(Owner's Mailing Address) (City) ( State) (Zip Code)(Continued on page 2)

E{31 5

Form 3830-4 UA--43 STATES FORM APPROVED(October 2013) DEPARTMENT OF THE INTERIOR OMB NO.: 1004-0114

BUREAU OF LAND MANAGEMENT Expires: October 31,2016

AFFIDAVIT OF ANNUAL ASSESSMENT WORK

411 759413524

WHEN RECORDED, MAIL DOCUMENT TO: 414921DAVID FRYBARGER 414961NAME:

4140232510 ANGLER DRIVEADDRESS: 4110/10 3

CITY, STATE, ZIP: LAKE HAVASU CITY, AZ 86404

FOR COUNTY RECORDER'S USE

No. of Claims 6x $10/claimTotal due BLM $ 60.00

TO ALL WHOM IT MAY CONCERN:

Tp Rg Sec Mer County RecordationBLM Serial No. Name of Claim Example: 13N SE 14 MDM Book and Page No. Date

411759 LITTLE MICA 17N 16W 10 GSRB 2012034503 07/03/2012413524 LITTLE MICA #2 17N 16W 10 GSRB 2012034504 07/03/2012414921 LITTLE MICA #3 17N 16W 10 GSRB 2012034505 07/03/2012414951 LITTLE MICA #4 17N 16W 10 GSRB 2012034506 07/03/2012416023 LITTLE MICA #5 17N 16W 10 GSRB 2012034507 07/03/2012416163 HERITAGE 17N 16W 10 GSRB 2012034508 07/03/2012

VNO/IMV *>:IN30Hd

bl € d IE 98¥ 9101(Continued on page 2)

301330 31415 LV Wig03A1303B

~EcEIPT # 36*959

2. Type of labor and improvements (specify what was done and give the total value for that labor andimprovement to show at least $100 for each claim). Ifa geological, geochemical, or geophysical survey wasperformed, as per 30 U.S.C. 28-1, reference the title ofthe report of survey, give cost and date ofthe surveyand report, and indicate it was filed with the County Recorder:

2 . Valueof**rk.:f? Se.Date.Workwl*w50{{ 1{j{ „/]/D*:4*killi~*4]~*rfaAdv :«,{ ;] i z #3 j., ,. ''ped0~8<23· ~ti: p,rkrda<$£** -Repaired/maintained existing access road' 480 11/08/2015

Mineral sampling, identification and evaluation' 300 11/11/2015Maintained claim monuments 160 02/07/2016

3. Name and mailing address of each person who performed the tabor and improvements: 2 B0rn >Name (please print) Current Mailing Address (please print) zHal Owen/Geologist Lake Havasu City, AZ 86404 - N XZ25 co<Ty

David Frybarger 2510 Angler Dr., Lake Havasu City, AZ 86404 >

**bA®31: R

): 1 81

*rnr ,-iliLaurie Bergeron 2731 War Eagle Dr., Lake Havasu City, AZ 8640*3 ,-nrn00Stephanie Holmes 1745 Squall King Dr., Lake Havasu City, AZ 8640* m-n25m

4. Name and mailing address of each person who holds and claims the subject miniag claim(s) fbr the valuableminerals contained therein. Be sure to indicate ifthereis a change ofaddress:

Name (please print) Current Mailing Address (please print)David Frybarger 2510 Angler Drive, Lake Havasu City, AZ 86404Roger Frybarger 2510 Angler Drive, Lake Havasu City, AZ 86404Jack Hodges 3656 Winston Drive, Lake Havasu City, AZ 86406Stephanie Holmes 2745 Squall King Drive, Lake Havasu City, AZ 86404Laurie Bergeron 2731 War Eagle Drive, Lake Havasu City, AZ 86406

5. The undersigned testifies that on the date of February 07 , 2016_, all monumentsrequired by law were erected upon the subject claim(s), and all notices required by law were posted on thesubject claim(s) or copies thereof were in place, and at said date, each corner monument bore or contained

(Continued on page 3) ( Form 38304, page 2)

markings sufficient to appropriately designate the comer of the claim to which it pertains and the name of theclaim(s).

I hereby certify under penalty of perjury under the laws of the State of ARIZONA that theforegoing statements are true and correct:

Date: Q v(,v £1- 51- g' 1 ,A 0/A(~gnature of Fisory responsible for above statement)

Notary BlockSUBSCRIBED AND SWO~N Tqbefore me, this 0 f day of A Mi~LA4~ 20 47

---~ ~¢Signature of Affiant) 1_JE]BRENT DEWITTTitle: LJ ~~ Notary PuDIIC - Arizona

My Commission Expires : 5*,e w , 1. 6 1 9 ~. mdSMy Comm. Expires Jun 10, 2019

INSTRUCTIONS

2. The claimant(s) must fill in the date in paragraph 1 for the applicable assessment year and the county and statewhere the claims are located.3. All claim names, BLM serial numbers, legal descriptions, and original county recording information must belisted for the claims pertaining to this assessment notice.4. The claimant(s) must complete paragraph 2 listing all labor or improvements which was performed on or did

benefit the subject mining claims. The value and date of the labor or improvements must also be listed. The totalamount of labor or improvements can be listed, but the total expenditure must equal at least $100 for each claim.5. The names and current mailing addresses ofthe person(s) performing the labor shall be listed in paragraph 3.6. The name and current mailing address of each owner (claimant) of the claims shall be listed in paragraph 4. Themailing address shall be the owner's address and not the address of an agent or anyone representing the claimant.Be sure to note if there has been a change of address.7. Paragraph 5 shall be completed to show the date it was verified that all monuments required by law were properlyerected, all notices were posted, and that corners were appropriately designated for all claims listed.8. An exact legible reproduction or duplicate (other than microfilm or other electronic media) of this affidavit oranother type of affidavit of assessment work that you file or will file in the county where each claim is located,

must be filed with the BLM on or before December 30 of the calendar year in which the assessment year ends.For mill or tunnel sites, a separate notice of intent to hold must be filed with the BLM on or before December 30.Requirements for filing a notice of intent to hold can be found at 43 CFR 3835.33.

9. A processing fee of $10 for each claim listed must be remitted to the BLM along with this or any other affidavitof assessment work.

VNOZI}W 'YIN10Hd(Continued on page 4) ( Form 3830-4, page 3)

bl € d IE 98¥ 11161

03Al3033

DIV OF LANDS, MINRLS & ENERGYONE N CENTRAL AVE

CUSTOMER:

DAVID FRYBARGER2510 ANGLER DRLAKE HAVASU CITY,AZ 86404-2134 US

LINE UNIT# QTY DESCRIPTION REMARKS TOTALPRICE

LOCATABLE MINERALS / MININGCLAIMS-NOT NEW-UNADJUD,ONE AUTH WAIVER 2017 -

1 1.00 NO. ONLY / MINING CLAIM MONEY -n/a- 60.006 / POL 2016 - 6RECEIVEDCASES: AMC411759/$60.00

TOTAL: $60.00

PAYMENT INFORMATION

1 AMOUNT: 60.00 POSTMARKED: 08/29/2016

TYPE: CHECK RECEIVED: 08/31/2016

CHECK NO: 1684NAME: FRYBARGER, DAVID H

REMARKS

This receipt was generated by the automated BLM Collections and Billing System and is a paper representation of a portion

of the official electronic record contained therein.

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U~.LIT) STATES 9*6165Form 3830-2 DEPARTMENT OF THE INTERIOR ~ iSO I ~ 9//159( (ktober 20131 BUREAU OF LAND MANAGEMENT I FORM APPROVED

MAINTENANCE FEE WAIVER CERTIFICATION OMB NO . 1004-0114 L{ i 3529Expires: October 31,2016

SEE INSTRUCTIONS ON PAGE 2 1/60231 . This small miner waiver is filed for the assessment year beginningonseptember 1 , 2015 andendingon Septemberl , 2016 L//495(

2. The undersigned and all related parties owned ten or fewer mining claims . mill. or tunnel sites located and maintained on Federal lands in the United StatesofAmerica on September 1. 2015

3. The undersigned have performed the assessment work required by law for each mining clailii listed prior to filing this waiver and understand that by filing this form,the undersigned must file an affidavit o fassessment work with the Bureau or !.and Management (BLM) by the December 30{h following the filing of this waivel·.

4. The undersigned understand that ifthe assessment work obligation has not yet come due under 30 U.S.C. 28 (for those claims in their first assessment year only),a notice of intent to hold reciting this condition must he recorded by the December 30th following ilie filing of this waiver.

5. The undersigned understand that mill and tunnel sites may also be listed on this waiver and be waived from payment of the maintenance fee. and that a notice ofintent to hold for lhese sites is required lo be filed with the BLM by the December 30th following the filing ofthis waiven

6. The undersigned understand and acknowledge that pursuant to 43 1 J.S.C. 1212 and 18 I J.S.C . 1001. tlie filing or recording of a false, ficlitious. or fraudulentdocument with the BLM may result in a fine of up to $250,000. a prison lei·In not to exceed live years, or both.

7. The mining claims. mill or tunnel sites for which this waiver from payment ofthe maintenance fees is requested are:

1. HERITAGE AMC 416163 /

U A.4. 1

5. m kCLn- U j : r;6, I . AD-/ r i

7.39 --8. - U1 -' 1\)9.1, Ci i

10. CO

The owner(s) (claimants) of the above mining claims and sites are:

DAVID FRYBARGER6/(4.3

(Owner's Name - Please Print) ~ (0Kner's bignature)

2510 ANGLER DRIVE LAKE HAVASU CITY AZ 86404(Owner's Mailing Address) (City) (State) (Zip Code)

STEPHANIE HOLMES ~_ 5%*_Ok-43-------------6,Sl-(Owner's Name - Please Print) (Owner's Signature)

2745 SQUALL KING DRIVE LAKE HAVASU CITY AZ 86404

(Owner's Mailing Address) (Citi) (State) (Zip Code)

(Owner's Name - Please Print) W A C I. (Owner's Signature)

(Continued on page 2) BY:_

(Owner's MailingAddress) (City) (State) (Zip Code)

18 U.S.C. 1001 and 43 US.C. 1212 make it a crime for any person knowingly and willfully to make to any department or agency of the United States anyfalse, fictitious or fraudulent statements or representations as to any matter within its jurisdiction.

INSTRUCTIONS1. This certification is made under the provisions of43 U.S.C. § 1744 and 30 U.S.C. §28-28k and the regulations thereunder (43 CFR Part 3830).2. The claimant(s) must fill in the dates in paragraph l for the beginning and ending ofthe assessment year for which this waiver is sought.3. The claimant(s) must fill in the date in paragraph 2 for the beginning ofthe assessment year for which this waiver is sought.4. All claim and site names and BLM serial numbers must be listed for the mining claims, mill sites, and tunnel sites for which the waiver is sought.5. All owners ofthe mining claims, mill sites, and tunnel sites and their addresses must be given.6. This waiver form must be signed by all the claimants or their designated agent, in original form. If an agent is designated, a notarized designation of

agent, signed by all of the claimants with proper address given, must be submitted with this waiver.7. This form must be filed no later than S6ptember 1st for the upcoming assessment year in the BLM State Office where the mining claims or sites are

recorded, or the waiver cannot be granted by the BLM. (Example: To obtain a waiver for the assessment year 2012, which begins on September 1, 2011,you must quali5 for and file for a waiver no later than September 1, 2011, in the proper BLM State Office.)

8. For all mining claims which require assessment work, you must record an affidavit of labor on or before the December 30th immediately following thefiling ofthis waiver. For all other mining claims or sites waived, you must record a notice of intent to hold on or before the December 30th immediatelyfollowing the filing ofthis waiver.

9. Mill and tunnel sites may also be listed on this waiver and be waived from payment ofthe maintenance fee. A notice of intent to hold for these sites isrequired to be filed by the December 30th following the filing of this waiver.

FOR OFFICIAL USE ONLY

(Continued on page 3) (Form 3830-2, page 2)

U'FED STATES Eli 1 7561Form 3830-2 DEPARTMENT OF THE INTERIOR 601*7(October 2013) BUREAU OF LAND MANAGEMENT -L---1.At FORM APPROVED

MAINTENANCE FEE WAIVER CERTIFICATION ,~14 JA- OMBNO. 1004-0114Expires: October 31,2016\-3/

SEE INSTRUCTIONS ON PAGE 2

1. This small miner waiver is filed for the assessment year beginning on September 1. 2015 and ending on September 1. 20162. The undersigned and all related parties owned ten or fewer mining claims . mill, or tunnel sites located and maintained on Federal lands in the United States

01'Americaon September 1. 20153. The undersigned have performed the assessment work required by law for each mining claim listed prior to filing this waiver and understand that by filing this form,

the undersigned must file an affidavit of assessment work with the Bureau of Land Management (BLM) by the December 30{11 12)1 lowing the filing of this waiver.4. The undersigned understand thal if the assessment work obligation has not yet come due under 30 U.S.C. 28 (for those claims in their first assessment year only),

a notice of inlent to hold reciting this condition must be recorded by the December 30th following the filing of this waiver.5, The undersigned understand that mill and tunnel sites may also be listed on this waiver and be waived from payment of the maintenance fee. and that a notice of

intent to hold for these sites is required to be filed with the BLM by the December 30th following the filing of this waiver.6. The undersigned understand alid acknowledge that pursuant to 43 tj.S.C. 1212 and 18 U.S.C. 1001, the filing or recording o f a false. fictitious, or fraudulent

document with the BLM may result in a fine of up to $250,000, a prison term not to exceed five years, or both.7. The mining claims. mill or tunnel sites for which this waiver from payment of the maintenance fees is requested are:

1. LITTLE MICA AMC 411759

2.3.4.

5. -u ./.' .·,2C:23 1

I Ln .6. CD177 ZE

10. 19 ]1

l<, AR i O NA

Ul ,rhe owlier(s) (claimants) ofllic above mining claims and sites arc: CO ,

DAVID FRYBARGER (1-1 44-(()wner's Name - Please Print) lOwner s Signature)

JACK HODGES(Owner's Name - Please Print) (Owner's *ature)

3656 WINSTON DRIVE LAKE HAVASU CITY AZ 86406(Owner's Mailing Address) (City) (Stale) (Zip Code)

(Owner's Name - Please Print) ~.», 6 * ~'i~ El 11- - ¢ A (Owner's Signature)

(State) (Zip Code)D J t

(Owner's Mailing Address) 4

(Continued on page 2) /f/1/1/0/*42

18 U.S.C. 1001 and 43 U.S.C. 1212 make it a crime for any person knowingly and willfully to make to any department or agency of the United States anyfalse, fictitious or fraudulent statements or representations as to any matter within its jurisdiction.

INSTRUCTIONS1. This certification is made under the provisions of 43 U.S.C. § 1744 and 30 U.S.C. §28-28k and the regulations thereunder (43 CFR Part 3830).2. The claimant(s) must fill in the dates in paragraph 1 for the beginning and ending of the assessment year for which this waiver is sought.3. The claimant(s) must fill in the date in paragraph 2 for the beginning ofthe assessment year for which this waiver is sought.4. All claim and site names and BLM serial numbers must be listed for the mining claims, mill sites, and tunnel sites for which the waiver is sought.5. All owners of the mining claims, mill sites, and tunnel sites and their addresses must be given.6. This waiver form must be signed by all the claimants or their designated agent, in original form. If an agent is designated, a notarized designation of

agent, signed by all of the claimants with proper address given, must be submitted with this waiver.7. This form must be filed no later than September lst for the upcoming assessment year in the BLM State Office where the mining claims or sites are

recorded, or the waiver cannot be granted by the BLM (Example: To obtain a waiver for the assessment year 2012, which begins on September 1, 2011,you must qualify for and file for a waiver no later than September 1, 2011, in the proper BLM State Office.)

8. For all mining claims which require assessment work, you must record an aflidavit of labor on or before the December 3()th immediately following thefiling ofthis waiver. For all other mining claims or sites waived, you must record a notice of intent to hold on or before the December 30th immediatelyfollowing the filing of this waiver.

(Continued on page 3) (Form 3830-2, page 2

U--D STATES 1,[ 13 i.3-KqForm 3830-2 DEPARTMENT OF 7'HE INTERIOR Bas 1 A(October 2013) BUREAU OF LAND MANAGEMENT ~_____I FORM APPROVED

MAINTENANCE FEE WAIVER CERTIFICATION /~~ 4 , OMB NO. 1004-0114Expires: October 31,2016

1. This small miner waiver is filed for the assessment yearbeginningon September 1, 2015 andendingon September 1. 20162. The undersigned and all related parties owned len or fewer mining claims . mill, or tunnel sites located and maintained on Federal lands in the United States

ofAmericaon September 1. 20153. The undersigned have performed the assessment work required by law for each mining claim listed prior to filing this waiver and understand that by filing this form.

the undersigned must file an aindavit of assessment work with the Bureau of Latid Manageinent (BLM) by the December 30th following the filing of this waiver.4. The undersigned understand that if the assessment work obligation has not yet come due under 30 U.S.C. 28 (for those claims in their first assessment year only),

a nolice o f intent to hold reciling this condition must be recorded by Llie December 30th following the filing ofthis waiver.5. The undersigned understand that mill and tunnel sites may also be listed on this waiver and be waived from payment of the maintenance Fee. and that a notice o f

intent to hold for these sites is required to be filed with the BLM by the December 30(11 following the filing of this waiver.6. The undersigned understand and acknowledge tliatpursuant to 43 U.S.C. 1212 and 1 8 Z J.S.C. 1001, the filing or recording of' a false. fictitious. or fraudulent

document willi the BLM may resullin a fine of up to $250,000, a prison term not lo exceed five years, or bolh.7. The mining claims. mill or izinliel sites for which this waiver from payment of the maintenance fees is requested are:

CLAIM OR SITENAME BLM RECORDATION SERIAL NUMBER

1. LITTLE MICA #2 AMC 413524 /

2.3.4.

5.16. 7

20: 5 AUGr,·1

8.ro9.-

10. 313 -0 1 741

CD r.3 ,The owner(s) (claimants) ofthe above mining claims and sites are: .. 1--

DAVID FRYBARGER <1 / >cnn00

(()wner's Name - Please Print) (6wner's signature)2510 ANGLER DRIVE LAKE HAVASU CITY AZ 86404

JACK HODGES (i-L/*44»(Owner 's Name - Please Print ) (r (01 Signature)

3656 WINSTON DRIVE LAKVHAVASU CITY AZ 86406(Owner's Mailing Address) (Citi') (State) (Zip Code)

ROGER FRYBARGER R 611·n# f r~r-r--(Owner.s Signature)(Owner's Name - Please Print)2510 ANGLER DRIVE LAKE HAVASU CITY AZ 86404

(Owner's Name-Please Print) r~ iv T E *si 22 ~ - i (Owner's Signature)

(Owner's Mailing Address) 1 1 4 (City) (Slate) (Zip Code)/4-(Continued on page 2) n

91?/96

INSTRUCTIONS1. This certification is made under the provisions of43 U.S.C. § 1744 and 30 U.S.C. §28-28k and the regulations thereunder (43 CFR Part 3830).2. The claimant(s) must fill in the dates in paragraph l for the beginning and ending of the assessment year for which this waiver is sought.3. The claimant(s) mustfillinthe date in paragraph 2 for the beginning ofthe assessment year for which this waiver is sought.4. All claim and site names and BLM serial numbers must be listed for the mining claims, mill sites, and tunnel sites for which the waiver is sought.5. All owners ofthe mining claims, mill sites, and tunnel sites and their addresses must be given.6. This waiver form must be signed by all the claimants or their designated agent, in original form. If an agent is designated, a notarized designation of

agent signed by all ofthe claimants with proper address given, must be submitted with this waiver.7. This form must be filed no later than September 1st for the upcoming assessment year in the BLM State Office where the mining claims or sites are

recorded, or the waiver cannot be granted by the BLM. (Example: To obtain a waiver for the assessment year 2012, which begins on September 1, 2011,you must qualify for and file for a waiver no later than September 1,2011, in the proper BLM State Office.)

8. For all mining claims which require assessment work, you must record an affidavit of labor on or before the December 30th immediately following thefiling ofthis waiver. For all other mining claims or sites waived, you must record a notice ofintent to hold on or before the December 30th immediatelyfollowing the filing of this waiver.

9. Mill and tunnel sites may also be listed on this waiver and be waived from payment ofthe maintenance fee. A notice of intent to hold for these sites isrequired to be filed by the December 30th following th6 filing of this waiver.

Ir-D STATES 9 F %9,2 1Form 3830-2 DEPARTMENT OF THE INTERIOR 1 '(October 20131 BUREAU OF LAND MANAGEMENT ~~~~~~~_,~ FORM APPROVED

MAINTENANCE FEE WAIVER CERTIFICATION #AA OMB NO. 1004-0114Expires: October 31,2016

1. This small miner waiver is filed fortheassessment yearbeginningon September 1, 2015 andending on September 1, 20162. The undersigned and all related parties owned ten or fewer mining claims . mill. or tunnel sites located and maintained on Federal lands in the United States

ofAmerica on September 1.20153. The undersigned have performed the assessmenl work required by law for each mining claim listed prior to filing this waiver and understand that by filing this form,

the undersigned musl file an affidavit ofassessinent work with the Bureau of Land Management (BLM) by the December 30th iollowing the filing of this waiver.4. The undersigned understand that if the assessment work obligation has not yet come due under 30 U.S.C. 28 (for those claims in their first assessment year only),

a notice of intent to hold reciting this condition must be recorded by the December 30lh following the filing of this waiver.5. The undersigned understand that mill and tunnel sites may also be listed on this waiver and be waived imin payment of the maintenance fee. and that a notice of

intent to hold for these sites is required lo be filed with the BLM by the December 30th following the filing of this waiver.6. The undersigned understand and acknowledge that pursuant to 43 U.S.C. 1212 and 18 U.S.C. 1001. the filing or recording of a false. fictitious. or fraudulent

document with the BLM may result in a fine of up to $250.000. a prison term not to exceed five years, or both.7. The mining claims, mill or tunnel sites for which this waiver from payment of the maintenance fees is requested are:

1. LITTLE MICA #3 AMC 414921 v/

2.3.4.

7.8.9.

DAVID FRYBARGER 0-1 V--6/7-(Owner's Name - Please Print) ( wner's Signature)

2510 ANGLER DRIVE LAKE HAVASU CITY 44 0:8640473- -

(Owner's Mailing Address) (City) g} CS{Eii&) - (Zip Code)77 -1-23 5 -T1,< PO

fl. 47(Owner's Name - Please Print) (Owner's Sigm*ure) f<13 -0 1177

.IDrt(Owner's Mailing Address) (City) 52 (StiM .4(Zip Code)

~mi TEA 2(Owner's Name - Please Print) (Owner's Signature)

(Owner's Mailing Address) 3 y (City) (State) (Zip Code)

(Continued on page 2) 84- -- 444

INSTRUCTIONS1. This certification is made under the provisions of43 U.S.C, § 1744 and 30 U.S.C. §28-28k and the regulations thereunder (43 CFR Part 3830).2. The claimant(s) must fill in the dates in paragraph 1 for the beginning and ending ofthe assessment year for which this waiver is sought.3. The claimant(s) must li11 in the date in paragraph 2 for the beginning of the assessment year for which this waiver is sought.4. All claim and site names and BLM serial numbers must be listed for the mining claims, mill sites, and tunnel sites for which the waiver is sought.5. All owners of the mining claims, mill sites, and tunnel sites and their addresses must be given.6. This waiver form must be signed by all the claimants or their designated agent, in original form. If an agent is designated, a notarized designation ofagent, signed by all of the claimants with proper address given, must be submitted with this waiver.7. This form must be filed no later than September 1st for the upcoming assessment year in the BLM State Office where the mining claims or sites arerecorded, or the waiver cannot be granted by the BLM. (Example: To obtain a waiver for the assessment year 2012, which begins on September 1, 2011,you must quali& for and file for a waiver no later than September 1, 2011, in the proper BLM State Office.)8. For all mining claims which require assessment work, you must record an affidavit of labor on or before the December 30th immediately following thefiling ofthis waiver. For all other mining claims or sites waived, you must record a notice of intent to hold on or before the December 30th immediatelyfollowing the filing ofthis waiver.9. Mill and tunnel sites may also be listed on this waiver and be waived from payment of the maintenance fee. A notice of intent to hold for these sites isrequired to be filed by the December 30th following the filing of this waiver.

UNI~TATES 611 (49 5 \Form 38304 DEPARTMENT OF THE INTERIOR(October 2013) BUREAU OF LAND MANAGEMENT FORM APPROVED

MAINTENANCE FEE WAIVER CERTIFICATI~ ~AA OMB NO. 1004-0114Expires: October 31,2016

1. This small miner waiver is filed for the assessment year beginning on September 1.2015 and ending on September 1,2016

2. The undersigned and all related parties owned ten or fewer mining claims, mill, or tunnel sites located and maintained on Federal lands in the United States

ofAmerica on September 1,20153. The undersigned have performed the assessment work required by law for each mining claim listed prior to filing this waiver and understand that by filing this form,

the undersigned must file an affidavit of assessment work with the Bureau of Land Management (BLM) by the December 30th following the fling ofthis waiver.

4. The undersigned understand that if the assessment work obligation has not yet come due under 30 U.S.C. 28 (for those claims in their first assessment year only),

a notice of intent to hold reciting this condition must be recorded by the December 30th following the filing of this waiver.

5. The undersigned understand that mill and tunnel sites may also be listed on this waiver and be waived from payment of the maintenance fee, and that anotice of

intent to hold for these sites is required to be filed with the BLM by the December 30th following the filing of this waiver.

6. The undersigned understand and acknowledge that pursuantto 43 U.S.C. 1212 and 18 U.S.C. 1001, the filing or recording of a false, fictitious, or fraudulent

document with the BLM may result in a fine of up to $250,000, a prison teim not to exceed five years, or both.

7. The mining claims, mill or tunnel sites for which this waiver from payment of the maintenance fees is requested are:

1. LITTLE MICA #4 AMC 414951 4

3. 7 0D~ CA

4. 0rn

5. GO ..1

6.BY ~77. , I.

:0 -07.irn

/4 -rn

The owner(s) (claimants) ofthe above mining claims and sites are:

LAURIE BERGERON 0»14«94*f)(Owner's Name - Please Print)' (Ow~sligna!*

2731 WAR EAGLE DRIVE LAKE HAVASU CITY AZ 86406

DAVID FRYBARGER 1, 44'(Owner's Name - Please Print) (6wner's signature)

(Owner'SJI~*'4~SA~ri00, Ed'"a 0.11 4„ (Owner's Signature)

(Owne~0ElingAddress) tj (Cfty) - (State) (Zip Code)SLJ 40 lur.ta#asa · <-/4,(Continued on page 2) BY' rD C. i Ns eva·&Ver :00&5

A 0 -11 3,44-|c * da- 4*. trmys 1,2~]f]IfiL'jift;2~Fipsi t.z]4. t'% AC/?.4,9~41-~ le , \,·.0-L#41 .=R¥? .1{4) 1*ffcUe,+0 64 fL s

42(551 e k

UNI'ITATES 5/1 996-\Form 3830-2 DEPARTMENT OF THE INTERIOR Rg(October 20131 BUREAU OF LAND MANAGEMENT FORM APPROVED

MAINTENANCE FEE WAIVER CERTIFICATION LA AJ. OMB NO . 1004-0114Expires: October 31, 2016

1. This small miner waiver is filed for the assessment year beginning on September 1,2015 and ending on September 1 2016

Z. The undersigned and all related parties owned ten or fewer mining claims . mill, or tunnel sites located and maintained on Federal lands in the United States

of America on September 1.20153. The undersigned have performed the assessment work required by law for each mining claim listed prior to filing this waiver and understand that by filing this form.

the undersigned must file an affidavit of assessment work with the Bureau of Lalid Management (BLM) by the December 30th following the filing of this waiver.

4. The undersigned understand that if the assessment work obligation has not yet come due under 30 U.S.C. 28 (for those claims jn their first assessment year only),

a notice of intent to hold reciting this condition must be recorded by the December 30111 following the filing o f this waiver.

5. The undersigned understand that mill and tunnel sites may also be listed on this waiver and be waived from payment of tile maintenance fec. and that a notice of

intent to hold for these sites is required to be filed with the BLM by the December 30th following the filing of this waiver.

6. The undersigned understand and acknowledge that pursuant to 43 U.S.C. 1212 and 18 U.S.C. 1001. the filing orrecording of a false. fictitious. or fraudulent

document with the BLM may result io a fine of up to $250,000. a prison term not to exceed five years, or both.

7. The mining claims. mill or tunnel sites for which this waiver from payment of the maintenance fees is requested are:

1. LITTLE MICA #4 AMC 414951 4

PHOENIX. ARIZO

1015 AJG 2 14 P

7. '-n

8. 1\0

9. > CJ

LAURIE BERGERON r)"vid/XT<if~44UJ)644(Owner's Name - Please Print) (OwRers-*gnat#

(Owner's Mailing Address) (City) (State) (Zip Code)---

DAVID FRYBARGER fl».s f-.6k-(Owner's Name - Please Print) (6wner's Signature)

(Owner '~Tic - Please Print) ·' u M- 1 1 (Owner's Signature)

, '..U. d*V(Owneri~i>lailing Address) (city, (State) (Zip Code)

(Continued on page 2) BY~_--~4---- /0/1//914(A

UNT= STATES 6~ l (~ 6~ ~ ~Form 3830-2 DEPARTMENTOF THE INTERIOR 565(Octobet 21)131 BUREAU OF LAND MANAGEMENT FORM APPROVED

MAINTENANCE FEE WAIVER CERTIFICATION --A f OMB NO. 1004-0114Expires: October 31, 2016

1. This small miner waiver is filed for the assessment year beginning on September 1.2015 andendingon September 1.20162. The undersigned and all related parties owned ten or fewer mining claims . mill. or tunnel sites located and maintained on Federal lands in the United States

of Anierica on September 1.20153. The undersigned have performed the assessment work required by law for each mining claim listed prior to filing this waiver and understand that by filing this form.

the undersigned must file an allidavit of assessment work with the Bureau of I and Management (BLM) by tile December 3001 following the filing of this waiver.4. The undersigned understand that if the assessment work obligation has not yet come due under 30 U.S.C. 28 (for those claims in their first assessment year only),

a notice of intent to hold reciting this condition must be recorded by the December 3001 following the filing of this waiver.5. The undersigned understand that mill and tunnel sites may also be listed on this waiver and be waived from payment of the maintenance fee, and Lhal a notice of

intent to hold for these sites is required lo be filed with the Bl,M by the December 30th following the filing of this waiver.6, The undersigned understandmid acknowledgethat pursuatitto 43 U.S.C. 1212 and 18 U.S.C. 1001, the filing or recording of a false. fictitious. or fraudulent

document with the BLM may result in a fine of up to $250,000, a prison term not to exceed five years, or both.7. The mining claims. mill or tunnel sites for which this waiver from payment of the maintenance fees is requested are:

CLAIM OR S[TENAME BLM RECORDATION SERIAL NUMBER

1. LITTLE MICA #4 AMC 414951

2.3. -0-1-

1.-4 0

1015 AJGrr-1Z

r ©6. 3> .C

717. ---'.d }8. CD 19

679. 00

-1LAURIE BERGERON ~~»xy-H.»«4*JJAA#FA )

(Owner's Name - Please Print) (Ownir'41!~)

(Owner's Mailing Address) (City) (State) (Zip Code)-----------

DAVID FRYBARGER -~-1/~(Owner's Name - Please PrinO2510 ANGLER DRIVE LAKE HAVASU CITY AZ 86404

(Owner's,tk,me - Please Print) S'b , (Owner's Signature)

(Owne~~'failing Address) A (City) (State) (Zip Code)

(Continued on page 2)114,4#

INSTRUCTIONS1. This certifcation is made under the provisions of 43 U.S.C. § 1744 and 30 U.S.C. §28-28k and the regulations thereunder (43 CFR Part 3830).2. The claimant(s) must fill in the dates in paragraph 1 for the beginning and ending of the assessment year for which this waiver is sought.3. The claimant(s) mustfill inthe date in paragraph 2 for the beginning of the assessment year for which this waiver is sought.4. All claim and site names and BLM serial numbers must be listed for the mining claims, mill sites, and tunnel sites for which the waiver is sought.5. All owners ofthe mining claims, mill sites, and tunnel sites and their addresses must be given.6. This waiver form must be signed by all the claimants or their designated agent, in original form. If an agent is designated, a notarized designation of

agent, signed by all ofthe claimants with proper address given, must be submitted with this waiver.7. This form must be filed no later than September 1st for the upcoming assessment year in the BLM State Office where the mining claims or sites are

recorded, or the waiver cannot be granted by the BLM. (Example: T6 obtain a waiver for the assessment year 2012, which begins on September 1, 2011,you must qualify for and file for a waiver no later than September 1, 2011, in the proper BLM State Office.)

8. For all mining claims which require assessment work, you must record an affidavit of labor on or before the December 3()th immediately following thefiling ofthis waiver. For all othermining claims or sites waived, you must record anotice of intent to hold on orbefore the December 30th immediatelyfollowing the filing ofthis waiver.

9. Mill and tunnel sites may also be listed,on.this waiver and be waived from payment of the maintenance fee. A notice of intentto hold for these sites isrequired to be filed by the December §'bth following the filing ofthis waiver.

U-LD STATES H ( 6 0.2 gForm 3830-2 DEPARTMENT OF THE INTERIOR't -r»J I(October 20131 BUREAU OF LAND MANAGEMENi-EMP_L FORM APPROVED

MAINTENANCE FEE WAIVER CERTIFICATION ~,,~ OMB NO. 1004-0114Expires: October 31,2016

1. This small miner waiver is filed for the assessment year beginning on September L 2015 and ending on September 1. 20162. The undersigned and all related parties owned ten or fewer mining claims . mill, or tunnel sites located and maintained on Federal lands in the United States

ofAmerica on September 1. 20153. The undersigned have perionned the assessment work required by law for each mining claim listed prior to filing this waiver and understand that by filing this form.

the undersigned must file an affidavit of assessment work with the Bureau of' Land Management (BI:M) by the December 30th following the filing o f' this waiver.4. The undersigned understand that if the assessment work obligation has not yet come due under 30 US.C. 28 (for those claims in their first assessment year only),

a notice of intent to hold rel:iting this condition must be recorded by the December 30th following the filing of this waiven5, The undersigned understand that mill and tunnel sites may also be lisled on this waiver and be waived froin payment of the maintenance fee, and that a notice of

intent lo hold for these sites is required to be filed with the BLM by the December 30th following the filing ofthiss waiver.6. The undersigned understand mid acknowledge that pursuant to 43 U.S.C. 1212 and 18 U.S.C. 1001, the filing or recording of a false. fictitious. or fraudulent

document with the BLM may result in a fine of up to $250,000. a prison term not to exceed five years, or both.7. The mining claims. mill or tunnel sites for which this waiver from payment of the maintenance fees is requested are:

1. LITTLE MICA #5 AMC 416023

2.3. 13 5~4.

0-1 37

5. 0-D ,ro6. IT m

7. N -0 7.7B r©> cn

DAVID FRYBARGER <rIA---11 1Lr,-(Owner's Name - Please Print) (Owner's Signature)

ROGER FRYBARGER R#4 - l".(Owner's Name - Please Print) (Owner's Signature)

(Owner's Name - Please Print) -NTE A ~. (Owner's Signature)

r 55¢ 09 jocg(Owner's Mailing Address) (City) (State) (Zip Code)

919136

INSTRUCTIONS1. This certification is made under the provisions of43 U.S.C. § 1744 and 30 U.S.C. §28-28k and the regulations thereunder (43 CFR Part 3830).2. The claimant(s) must fill in the dates in paragraph 1 for the beginning and ending of the assessment year for which this waiver is sought.3. The claimant(s) must fill in the date in paragraph 2 for the beginning ofthe assessment year for which this waiver is sought.4, All claim and site names and BLM serial numbers must be listed for the mining claims, mill sites, and tunnel sites for which the waiver is sought.5. All owners ofthe mining claims, mill sites, and tunnel sites and their addresses must be given.6. This waiver form must be signed by all the claimants or their designated agent, in original form. If an agent is designated, a notarized designation of

agent, signed by all of the claimants with proper address given, must be submitted with this waiver.7. This form must be filed no later than September 1st for the upcoming assessment year in the BLM State Office where the mining claims or sites are

recorded, or the waiver cannot be granted by the BLM. (Example: To obtain a waiver for the assessment year 2012, which begins on September 1,2011,you must qualify for and file for a waiver no later than September 1, 2011, in the proper BLM State Office.)

8. For all mining claims which require assessment work, you must record an affidavit of labor on or before the December 30th immediately following thefiling ofthis waiver. For all other mining claims or sites waived, you must record a notice of intent to hold on or before the December 30th immediatelyfollowing the filing of this waiver.

9. Mill and tunnel sites may also be listed on this waiver and be waived from payment ofthe maintenance fee. Anotice of intent to hold for these sites isrequired to be filed by the December 30th following the filing ofthis waiver.

Forin 3 6304 UNITE4§TATES FORM APPROVED(6ciobbr 20 13) DEPARTMEN~~

Expires: October 31. 2016THE INTERIOR OMB NO.:1004-0114

BUREAU OF L MANAGEMENT .19 '6(65AFFIDAVIT OF ANNUAL ASSESSMENT WORK 4 1 f ,7 56)Lf' 9931

WHEN RECORDED, MAIL DOCUMENT TO: 1 1 £19 5- 1DAVID FRYBARGER 9/00:LBNAME:

2510 ANGLER DRIVEADDRESS:

CITY, STATE, ZIP: LAKE HAVASU CITY, AZ 86404

FOR COUNTY RECORDER'S USE

No. of Claims 6x $10/claimTotal due BLM $ 60.00

411759 LITTLE MICA 17N 16W 10 GSRB 2012034503 07/03/2012413524 LITTLE MICA #2 17N 16W 10 GSRB 2012034504 07/03/2012414921 LITTLE MICA #3 17N 16W 10 GSRB 2012034505 07/03/2012 ~414951 LITTLE MICA #4 17N 16W 10 GSRB 2012034506 07/03/2012416023 LITTLE MICA #5 17N 16W 10 GSRB 2012034507 07/03/2012416163 HERITAGE 17N 16W 10 GSRB 2012034508 r~~ 07~03/2012

r-'7- 2/

i\.1 v

2 -Cl'' J

92 19Ul >(DO

#&: 1,(1/Dr ~ . RECEIPT # fsy--3/ zl,';,1~

2. Type of labor and improvements (specify what was done and give the total value for that labor andimprovement to show at least $100 for each claim). If a geological, geochemical, or geophysical survey wasperformed, as per 30 U.S.C. 28-1, reference the title ofthe report of survey, give cost and date of the surveyand report, and indicate it was filed with the County Recorder:

Repaired/maintained existing access road 650 10, 11 & 12/2014Mineral sampling and identification 400 10/2014

Maintained claim monuments 200 02/2015

Name (please print) Current Mailing Address (please print)DAVID FRYBARGER 2510 ANGLER DRIVE, LAKE HAVASU CITY, AZ 86404MATT KLUG/GEOLOGIST LAKE HAVASU CITY, AZ 86404LAURIE BERGERON 2731 WAR EAGLE DR., LAKE HAVASU CITY, AZ 86406STEPHANIE HOLMES 2745 SQUALL KING DRIVE, LAKE HAVASU CITY, AZ 86404

4. Name and mailing address of each person who holds and claims the subject mining claim(s) for the valuableminerals contained therein. Be sure to indicate if there is a change of address:

Name (please print) Current Mailing Address (please print)DAVID FRYBARGER 2510 ANGLER DRIVE, LAKE HAVASU CITY, AZ 86404ROGER FRYBARGER 2510 ANGLER DRIVE, LAKE HAVASU CITY, AZ 86404JACK HODGES 3656 WINSTON DRIVE, LAKE HAVASU CITY, AZ 86406STEPHANIE HOLMES 2745 SQUALL KING DRIVE, LAKE HAVASU CITY, AZ 86404LAURIE BERGERON 2731 WAR EAGLE DRIVE, LAKE HAVASU CITY, AZ 86406

ZOIS AUG 24

«C. ,

1-r-7,72>

5:J5. The undersigned testifies that on the date of FEBRUARY 08 , *L' ~1 ingilimentsrequired by law were erected upon the subject claim(s), and all notices required by 15 we& posud on thesubject claim(s) or copies thereof were in place, and at said date, each corner monument booe or contained

ARIZONAI hereby certify under penalty of perjury under the laws of the State of that theforegoing statements are tru and correct:

Date: t~ g (,usT <10 2 ;Rol<(Signature of person/responsible for above statement)

Notary BlockSUBSCRIBED AND SWORN TO before me , this 22 day of A45 w 3 7- 20 / 5

(Signature-of Affiant)Title: BRENT DEWITT

~ Notary Public - Arizona---- Mohave County

My Commission Expires : ~ w 06 10 1 2, O 14 XE*S/My Comm. Expires Jun 10, 2019

INSTRUCTIONS

2. The claimant(s) must fill in the date in paragraph I for the applicable assessment year and the county and statewhere the claims are located.3. All claim names, BLM serial numbers, legal descriptions, and original county recording information must belisted for the claims pertaining to this assessment notice.4. The claimant(s) must complete paragraph 2 listing all labor or improvements which was performed on or didbenefit the subject mining claims. The value and date of the labor or improvements must also be listed. The totalamount of labor or improvements can be listed. but the total expenditure must equal at least $100 for each claim.5. The names and current mailing addresses ofthe person(s) performing the labor shall be listed in paragraph 3.6. The name and current mailing address ofeach owner (claimant) of the claims shall be listed in paragraph 4. Themailing address shall be the owner's address and not the address of an agent or anyone representing the claimant.Be sure to note if there has been a change of address.7. Paragraph 5 shall be completed to show the date it was verified that all monuments required by law were properlyerected, all notices were posted, and that corners were appropriately designated for all claims listed.8. An exact legible reproduction or duplicate (other than microfilm or other electronic media) of this affidavit oranother type of affidavit of assessment work that you file or will file in the county where each claim is located,

must be filed with the BLM on or before December 30 of the calendar year in which the assessment year ends.For mill or tunnel sites, a separate notice of intent to hold must be filed with the BLM on or before December 30.Requirements for filing a notice of intent to hold can be found at 43 CFR 3835.33. -3 N -

9. A processing fee of $10 for each claim listed must be remitted to the BLM along with thise* any*ther affidavitof assessment work. m :731 533 ·- ro

r i(Continued on page 4) C Fbrm 38304 page 3)/3 20 4

en ,CO ;

.. Page 1 of 1:./.

LOCATABLE MINERALS / MININGCLAIMS-NOT NEW-UNADJUD,ONE AUTH WAIVER - 6

1 1.00 NO. ONLY / MINING CLAIM MONEY 2016 / POL - 6 -n/El- 60.00RECEIVED 2015CASES: AMC411759/$60.00

TOTAL: $60.00

NAME: FRYBARGER, DAVID H2510 ANGLER DRLAKE HAVASU CITY AZ 86404-2134 US

REMARKS

This receipt was generated by the automated BLM Collections and Billing System and is a paper representation of a portionof the official electronic record contained therein.

'.n r. , w =\

F. f. ''f ..Ji f .1E. 1

Q/lf/lnl C

Aync,410'0,33- 9-yno 41/153UNITED STATES

:1.yn&414'ullk~ .4-vvt- 413 5<1)Y

Form 3830-2 DEPARTMENT OF THE INTERIOR 19¥110 419 CNH(October 2013) BUREAU OF LAND MANAGEMENT I FORM APPROVED

MAINTENANCE FEE WAIVER CERTIFICATION r:.2<L OMB NO. 1004-0114Expires: October 31, 2016

SEE INSTRUCTIONS ON PAGE 2 #ync 4' lle?,5-/1. This small miner waiver is filed for the assessment year beginning on September 1, 2014 and ending on September l, 20152. The undersigned and all related parties owned ten or fewer mining claims, mill, or tunnel sites located and maintained on Federal lands in the United States

ofAmerica on September 1.20143. The undersigned have performed the assessment work required by law for each mining claim listed prior to filing this waiver and understand that by filing this form.

the undersigned must file an affidavil ofassessment work w·ith the Bureau of Land Management (BLM) by the December 30th Following the filing of this waiver.4. The undersigned understand that iftlie assessment work obligation has not yet come due under 30 U.S,C, 28 ( for those claims in their first assessment year only),

a notice of intent to hold reciting this condition must be recorded by the December 30th following the filing of this waiver.5. The undersigned understand that mill and tunnel sites may also be listed on this waiver and be waived from payment of the maintenance fee. and that a notice of

intent to hold ibr these sites is required to be filed with the BLM by the December 30th following the filing of this waiver.6. The undersigned understand and acknowiedge that pursuant to 43 U.S.C. 1212 and 18 U.S.C. 1001. the filing or recording of a false. fictitious, or fraudulent

document with the BLM may result in a fine of up to $250,000, a prison term not to exceed five years, or both.7. The mining claims, mill or tunnel sites for which this waiver from payment ofthe maintenance fees is requested are:

CLAIM OR SITE NAME BLM RECORDATION SERIAL NUMBER1. LITTLE MICA AMC 411759 42.3.4.

7. 13 5

SLM <8. M 5 138~

9- 1 ..arn10. 9 LA <

37 . n rnThe owner(s) (claimants) ofthe above mining claims and sites are: 0 ~ ~BDAVID FRYBARGER

(Owner's Name - Please Print) / K()wner's Signature)2510 ANGLER DRIVE LAKE HAVASU CITY AZ 86404

JACK HODGES -Rad.9#f-(Owner's Name - Please Print) ----ft)~ier's Signature)3656 WINSTON DRIVE ~KE HAVASU CITY AZ 86406

(Owner's Mailing Address) (City) (State) (Zip Cole)

(()wner's Name - Please Print) (Owner's Signature)

(Owner's Name - Please Print) (Owners Signature)

PIE+8 7" F F, r F(Owner's Mailing Address) (City) (State (Zip Codd) ~

(Continued on page 21 ~ SEP 0 5 2014 ~By: Alr

(Owner's Name - Please PrinO (Owner's Signature)

18 U.S.C. 1001 and 43*.S.C. 1212 make it a crime for any person knowingly and willfully to make to any department or agency of the United States anyfalse, fictitious or fraudulent statements or representations as to any matter within its jurisdiction.

INSTRUCTIONS1. This certificationismade unitarthe provisions of 43 U.S.C. § 1744 and 30 U.S.C. §28-28k and the regulations thereunder (43 CFR Part 3830).

2. The claimant(s) muht fill in tli dates in paragraph 1 for the beginning and ending of the assessment year for which this waiver is sought.

3. The claimant(s) must fill i¢;Se date in paragraph 2 for the beginning of the assessment year for which this waiver is sought.

4. All claim and sitdames 012 BLM serial numbers must be listed for the mining claims, mill sites, andtunnel sites for which the waiver is sought.

5. All ownei*s of thermining >{#ms, mill sites, and tunnel sites and their addresses must be given.6. This waiver form,~ust be'Ktgned by all the claimants or their designated agent, in original form. If an agent is designated, a notarized designation of

agent, signed by-411 of thellaimants with proper address given, must be submitted with this waiver.7. This form must befiled no later than SEptember lstfor the upcoming assessment year in the BLM State Office where the mining claims or sites are

recorded, or the waiver cannot be granted by the BLM. (Example: To obtain a waiver for the assessmentyear 2012, which begins on September 1,2011,

you must qualify for and file for a waiver no later than September 1, 2011, in the proper BLM State Office.)8. For all mining claims which require assessment work, you must record an amdavit of labor on or before the December 30th immediately following the

filing of this waiver. For all othermining claims or sites waived, you must record a notice of intent to hold on or before the December 30th immediately

following the filing of this waiver.9. Mill and tunnel sites may also be listed on this waiver and be waived from payment of the maintenance fee. A notice of intent to hold for these sites is

required to be filed bythe December 30th following the filing of this waiver.

FOR OFFICIAL USE ONLY ·

(Continued on page 3) (Form 38304, page 2)

UNITED STATEa =Form 3830-2 DEPARTMENT OF THE INTERIOR(October 2013) BUREAU OF LAND MANAGEMENT FORM APPROVED

MAINTENANCE FEE WAIVER CERTIFICATION ~1 Lxpires October 31,2016OMB NO. 1004-0114

1. This small miner waiver is filed for the assessment year beginning on September L 2014 and ending on September 1. 20152. The undersigned and all related parties owned ten or kwer mining claims , mill, or tunnel sites located and maintained on Federal lands in the United States

ofAinerica on September 1.20143. The undersigned have performed the assessment work required by law for each mining claim listed prior to filing this waiver and understand that by filing this form.

the undersigned must file an affidavit ofassessment work with the Bureau of I.and Management (BLM) by the December 30th following the filing of this waiver.4. The undersigned understand that if-the assessment work obligation has not yet come due under 30 U.S.C. 28 (for those claims in their first assessment year only),

a notice of intent to hold reciting this condition must be recorded by the December 30th tkillowing the filing ofthis waiver.5. The undersigned understand that mill mid tunnel sites may also be listed on this waiver and be waived from payment of the maintenance fee. and that a notice of

intent to hold for these sites is required to be filed with the BLM by the December 30th following the filing of this waiver.6. The undersigned understand and acknowledge that pursuant to 43 U.S.C. 1212 and 18 U.S.C. 1001. the filing or recording of a false. fictitious, or fraudulent

document with the BLM may result in a fine of up to $250,000, a prison term not to exceed five years, or both.7. The mining claims, mill or tunnel sites for which this waiver from payment of' the maintenance fees is requested are:

CLAIM OR SITE NAME BLM RECORDATION SERIAL NUMBER1. LITTLE MICA #2 AMC 413524 /2.3.4.

7.8.9.

DAVID FRYBARGER Ou< 44-(Owner's Name - Please PrinO fowner's signaEr) - &22510 ANGLER DRIVE LAKE HAVASU CITY I AZZ 86404

(Owner's Mailing Address) (City) r-17 (stat~ i (3*fode)Z Cn rn

JACK HODGES 0.-/«144 J- EW(Owner's Name - Please Print) (O*or's Signede) v -ne3656 WINSTON DRIVE LAKE HAVASU CITY ~ AZ _ 86406

(Owner-s Mailing Address) (City) ~ (Stat*,J agp Code)0 77

ROGER FRYBARGER(Owner's Name - Please Print) (Owner's Signature)

(Ownerk MailingAddress) (City) (State) (Zip ('ode)(Continued on page 2)

(Owner'sName - Please Print) (Owner's Signature)

18 U.S.C. 1001 and 43 U.S.C. 1212 make it a crime for any person knowingly and willfully to make to any department or agency ofthe United States anyfalse, fictitious or fraudulent statements or representations as to any matter within its jurisdiction.

INSTRUCTIONS1. This certification is made under the provisions of 43 U.S.C. § 1744 and 30 U.S.C. §28-28k and the regulations thereunder (43 CFR Part 3830).2. The claimant(s) must fill in the dates in paragraph 1 for the beginning and ending of the assessment year for which this waiver is sought.3. The claimant(s) must fill in the date in paragraph 2 for the beginning of the assessment year for which this waiver is sought.4. All claim and site names and BLM serial numbers must be listed for the mining claims, mill sites, and tunnel sites for which the waiver is sought.5. All owners of the mining claims, mill sites, and tunnel sites and their addresses must be given.6. This waiver form must be signed by all the claimants or their designated agent, in original form. If an agent is designated, a notarized designation of

agent signed by all ofthe claimants with proper address given, must be submitted with this waiver.7. This form must be fled no later than September lst forthe upcoming assessment year in the BLM State Office where the mining claims or sites are

recorded, or the waiver cannot be granted by the BLM. (Example: To obtain a waiver for the assessment year 2012, which begins on September 1, 2011,you must qualify foratid file for a waiver no later than September 1, 2011, in the proper BLM State Office.)

8. For all mining claims.which require assessment work, you must record an affidavit of labor on or before the December 30th immediately following thefiling ofthis waiver. For all other mining claims or sites waived, you must record a notice of intent to hold on or before the December 30th immediatelyfollowing the filing of this waiver.

1 1kv, "

FOR OFFICIAL USE ONLY '

UNITED STATESForm 3830-2 DEPARTMENT OF THE IN'1'ERIOR 010(October 2013) BUREAU OF LAND MANAGEMENT _kr\J ' FORM APPROVED

MAINTENANCE FEE WAIVER CERTIFICATION (_l»93 Expires: October 31,2016OMB NO. 1004-0114

1. This small miner waiver is filed for the assessment year beginning on September 1,2014 andending on September 1, 20152. The undersigned and all related parties owned ten or fewer mining claims, mill, or tunnel sites located and maintained on Federal lands in the United States

ofAmerica on September 1. 20143. The undersigned have performed the assessment work required by law ibr each mining claim listed prior to filing this waiver and understand that by filing this form.

the undersigned must file an affidavit ofassessment work with the Bureau of Land Management (BLM) by the December 30th following the fil ing ofthis waiver.4. The undersigned understand that if the assessment work obligation has not yet coinc due under 30 U.S.C. 28 (for those claims in their first assessment year only).

a notice of intent to hold reciting this condition must be recorded by the December 30th following the filing of this waiver.5. The undersigned understand that mill and tunnel sites may also be listed on this waiver and be waived from payment of the maintenance fee, and that a notice of

intent to hold for these sites is required to be filed with the BLM by the December 30th following the filing of this waiver.6. The undersigned understand and acknowledge that pursuant to 43 U.S.C. 1212 and 18 U.S.C. 1001, the filing or recording ofa false. fictitious, or fraudulent

document with the BLM may result in a fine of up to $250,000, a prison term not to exceed live years, or both.7. The mining claims, mill or tunnel sites for which this waiver from payment oftlie maintenance ~es is requested are:

CLAIM OR SITE NAME BLM RECORDATION SERIAL NUMBER1. LITTLE MICA #3 AMC 414921 /2.3.4.5.

The owner(s) (claimants) of the above mining claims and sites are

DAVID FRYBARGER S@; Cr-3

(Owner's Name - Please Print) (Owner's Sigti~Ee) *:2510 ANGLER DRIVE LAKE HAVASU CITY ~ AZE 86404

·n(Owner's MailingAddress) (City) z (statr 01"fode)

42 I7 Firnrn

(Owner's Name - Please Print) (Owner's Signatu~-

AFF \CI.

(Owner's Mailing Address) (City) ~tate) Ul (Zip 6ode)

(Owner's Name- Please Print) (Owner's Signature)

(Owner's Mailing Address) (City) (State) (Zip Codel(Continued on page 21

INSTRUCTIONS1. This certification is made under the provisions of 43 U.S.C. § 1744 and 30 U.S.C. §28-28k and the regulations thereunder (43 CFR Part 3830).2. The claimant(s) must fill in the dates in paragraph 1 for the beginning and ending ofthe assessment year for which this waiver is sought.3. The claimant(s) must fill in the date in paragraph 2 for the beginning ofthe assessment year for which this waiver is sought.4. All claim and site names and BLM serial numbers must be listed for the mining claims, mill sites, and tunnel sites for which the waiver is sought.5. All owners ofthe mining claims, mill sites, and tunnel sites and their addresses must be given.6. This waiver form must be signed by all the claimants or their designated agent in original form. If an agent is designated, a notarized designation of

agent, signed by all of the claimants with proper address given, must be submitted with this waiver.7. This form must be filed no later thdn Sepkmber lit for the upcoming assessment year in the BLM State Office where the mining claims or sites are

recorded, orthe waiver cannot be granted by the BLM. (Example: To obtain a waiver for the assessment year 2012, which begins on September 1, 2011,you must quality for and file for a waiver no later than September 1, 2011, in the proper BLM State Office.)

8. For all mining claims which riquire assessment work, you must record an affidavit of labor on or before the December 30th immediately following thefiling of this waiver. For all othermining claims or sites waived, you must record a notice ofintent to hold on or before the December 30th immediatelyfollowing the filing ofthis waiver.

UNITED STATESForm 3830-2 DEPARTMENT OF THE INTERIOR ~(October 2013) BUREAU OF LAND MANAGEMENT FORM APPROVED

MAINTENANCE FEE WAIVER CERTIFICATION I\Ati OMB NO. 1004-0114r-nni ' Expires: October 31, 2016SEE INSTRUCTIONS ON PAGE 2

This small miner waiver is filed for the assessment year beginning on September 1,2014 andending on September I. 20152. The undersigned and all related parties owned tell or ttwer mining claims, mill, or tunnel sites located and maintained on Federal lands in the United States

ofAmerica on September 1, 20143. The undersigned have performed the assessment work required by law lk,r each mining claim listed prior to filing this waiver and understand that by filing this tbrm.

the undersigned must file an affidavit of assessment work with the Bureau of Land Management (BLM) by the December 30th following the filing of this waiver,4. The undersigned understand that it'the assessment work obligation has not yet come due under 30 U.S.C. 28 (for those claims in their first assessmetit year only).

a notice of intent to hold reciting this condition must be recorded by the December 3001 following the filing of this waiver.5. The undersigned understand that mill und tunnel sites may also be listed on this waiver and be waived from payment ofthe maintenance fle, and that a notice of

intent to hold for these sites is required to be filed with the BLM by the December 30th ibllowing the filing of this waiver.6. The undersigned understand alid ack,lowledge that pursuant to 43 U.S.C. 1212 and 18 U.S.C. 1001, the filing or recording of a false. fictitious, or fraudulent

document with the BLM may result in a fine of up to $250,000, a prison term not to exceed five years, or both.7. The mining claims, mill or tunnel sites for which this waiver from payment of tile maintenance ~es is requested are:

CLAIM OR SITE NAME BLM RECORDATION SERIAL NUMBERL LITTLE MICA #4 AMC 414951 42.3.4.

The owner(s) (claim ants) ofthe above mining claims and sites are

RICHARD G . SHANNON R .9. 9 9 %,8

(Owner's Name - Please Print) (Owner's Signature) F1030 SUNNY RIDGE DRIVE LAKE HAVASU CITY AZ 86406

SHIRLEY SHANNON 00 < A(Owner's Name - Please Print) (owner's sign(me) »

#030 SUNNY RIDGE DRIVE LAKE HAVASU CITY ~ AZ 5 Be46%2,(Owner's Mailing Address) (City) B Rge~ 0Mode)

DAVID FRYBARGER 0,4 -~< ~j<,~LA <-m -~ "mCO 0(Owner's Name - Please Print) (Ownefs Signate) 11

Z2510 ANGLER DRIVE LAKE HAVASU CITY 1pAZ N 86*4Ul rn

(Owner's Mailing Address) (City) (State) (Zip Code)(Continued on page 21

(Owner'sName - Please PrinO (Owner's Signature)

18 U.S.C. 1001 and 43 U.S.C. 1212 make it a crime for any person knowingly and willfully to make to any department or agency ofthe United States any

false, fictitious or fraudulent statements or representations as to any matter within its jurisdiction.

INSTRUCTIONS1. This certification is made under the provisions of 43 U.S.C. § 1744 and 30 U.S.C. §2848k and the regulations thereunder (43 CFR Part 3830).

2. The claimant(s) must fill in the dates in paragraph 1 for the beginning and ending ofthe assessment year for which this waiver is sought.

3. The claimant(s) must fill in the date in paragraph 2 for the beginning of the assessment year for which this waiver is sought.

4. All claim and site names and BLM serial numbers must be listed for the mining claims, mill sites, and tunnel sites for which the waiver is sought.

5. All owners of the mining claims, mill sites, and tunnel sites and their addresses must be given.6. This waiver form must be signed by all the claimants or their designated agent, in original form. If an agent is designated, a notarized designation of

agent, signed by all of the claimants with proper address giv,en, must be submitted with this waiver.7. This form must be filed no later than September 1st forthe upcoming assessment year in the BLM State Office where the mining claims or sites are

recorded, or the waiver cannot be granted by the BLM. (Example: To obtain a waiver for the assessment year 2012, which begins on September 1, 2011,

you must qualify for and file for awaiver no later than September 1, 2011, in the proper BLM State Office.)8. For all mining claims which require assessment work, you must record an affidavit of labor on or before the December 30th immediately following the

filing of this waiver. For all othermining claims or sites waived, you must record anotice ofintent to hold on or before the December 30th immediately

following the filing ofthis waiver.9. Mill and tunnel sitesinay also be listed on this waiver and be waived from payment ofthe maintenance fee. A notice ofintent to hold for these sites is

required to be Bled by theDE¢ember 30thfollowing the filing ofihis waiver.

FOR OFFICIAL USE ONLY '

UNITED STATESForm 3830-2 DEPARTMENT OF THE INTERIOR RED(October 2013) BUREAU OF LAND MANAGEMENT FORM APPROVED

MAINTENANCE FEE WAIVER CERTIFICATION /-1~ \~\ OMB NO. 1004-0114Expires: October 31, 2016

1. This small miner waiver is filed for the assessment year beginning on September 1, 2014 and ending on September t. 20152. The undersigned and all related parties owned ten or fewer mining claims . mill, or tunnel sites located and maintained on Federal lands in the United States

of' America on September 1,20143. The undersigned have performed the assessment work required by law for each mining claim listed prior to filing this waiver and understand that by filing this form,

the undersigned must file an affidavit of-assessment work with the Bureau of Land Management (BLM) by the December 30th following the filing of this waiver.4. 'The undersigned understand that ifthe assessment work obligation has not yet come due under 30 U.S.C. 28 (for those claims in their first assessment year only),

a notice of intent to hold melting this condition must be recorded by the December 30th following the filing of this waiver.5. The undersigned understand that mill mid tunnel sites may also be listed on this waiver and be waived from payment ofthe maintenance fee. and that a notice of

intent to hold for these sites is required to be filed with the BLM by the December 30th following the filing of this waiver.6. The undersigned understand and acknowledge that pursuant to 43 U.S.C. 1212 and 18 U.S.C. 1001. the filing or recording of a false. fictitious, or fraudulent

document with the BLM may result in a fine of up to $250,000, a prison term not to exceed five years. or both.7. The mining claims, mill or tunnel sites for which this waiver from payment of the maintenance fees is requested are:

1. LITTLE MICA #5 AMC 416023 /

2.3.4.

7.8.9.

The ownerls) (claimants) of the above mining claims and sites are:

DAVID FRYBARGER 0 06_.~(Owner's Name - Please Print) V(Owner's Signature)

2510 ANGLER DRIVE LAKE HAVASU CITY AZ ~86404

(Owner's Mailing Address) (City) :Il (Stme) . (Zip Code)0 - 570m t=

ROGER FRYBARGER R 'h +47-'~(Owner's Name - Please Print) (Owner's Sighature) 0- 5-42

2510 ANGLER DRIVE LAKE HAVASU CITY PM- AZO #*(Ownerk Mailing Address) (City) NO (Stat* -tkip Code)

le r.1 :'ip un :-n(Owner's Name - Please Print) (Owner's Signature)

(Owner's Mailing Address) ( City) (State) (Zip Code)

(Owner s Mailing Address) (Cily) ( State) (Zip Codel

18 U.S.C. 1001 and 43 U.S.C. 1212 make it a crime for any person knowingly and willfully to make to any department or agency ofthe United States anyfalse, lictitious or fraudulent statements or representations as to any matter within its jurisdiction.

INSTRUCTIONS1. This certification is made under the provisions of 43 U.S.C. § 1744 and 30 U.S.C. §28-28k and the regulations thereunder (43 CFR Part 3830).2. The claimant(s) must fill in the dates in paragraph 1 for the beginning and ending of the assessment year for which this waiver is sought.3. The claiman«s) must fillin the date in paragraph 2 for the beginning ofthe assessment year for which this waiver is sought.4. All claim and site names and BLM serial numbers must be listed for the mining claims, mill sites, and tunnel sites for which the waiver is sought.5. All owners ofthe mining claims, mill sites, and tunnel sites and their addresses must be given.6. This waiver form must be signed by all the claimants or their designated agent, in original form. If an agent is designated, a notarized designation of

agent, signed by all of the claimants with proper address given, must be submitted with this waiver.7. This form must be filed no later than September 1st for the upcoming assessment year in the BLM State Office where the mining claims or sites are

recorded, or the waiver cannot be granted by the BLM. (Example: To obtain a waiver for the assessment year 2012, which begins on September 1, 2011,you must qualify for andlile for awaiver no later than September 1,2011, in the proper BLM State Office.)

8. For all mining claims wsich require assessment work, you must record an affidavit of labor on or before the December 30th immediately following thefiling ofthis waiver. For all otherinining claims or sites waived, you must record anotice of intent to hold on orbefore the December 30th immediatelyfollowing the filing of dis waiy60.

9. Mill and tunnel sites indy also 1:2 listed on this waiver and be waived Som payment ofthe maintenance fee. A notice ofintent to hold for these sites isrequired to be filed by,*e December 30th following the filing of this waiVer.

FOR OFFICIAL USE ONLY'

(Continued on page 3) gorm 3830-2, page 2)

INSTRUCTIONS1. This certificationismade under the provisions of 43 U.S.C. § 1744 and 30 U.S.C. §28-28k and the regulations thereunder (43 CFR Part 3830)2. The claimant(s) must fill in the dates in paragraph 1 for the beginning and ending of the assessment year for which this waiver is sought.

3. The claimant(s) must fill in the date in paragraph 2 for the beginning of the assessment year for which this waiver is sought.

4. All claim and site names and BLM serial numbers must be listed for the mining claims, mill sites, and tunnel sites for which the waiver is sought.

5. All owners of the mining claims, mill sites, and tunnel sites and their addresses must be given.6. This waiver form must be signed by all the claimants or their designated agent, in original form. If an agent is designated, a notarized designation of

irecorded, or the waiver cannot be granted by the BLM. (Example: To obtain a waiver for the assessment year 2012, which begins on September 1.2011,you must qualify for and file for a waiver no later than September 1, 2011, in the proper BLM State Office.)

8. For all mining claims which require assessment work, you must record an affidavit of labor on or before the December 30th immediately following the

filing of this waiver. For all other mining claims or sites waived, you must record a notice of intent to hold on or before the December 30th immediately

following the filing of this waiver.9. Mill and tunnel sites may also be listed on this waiver and be waived from payment of the maintenance fee. A notice of intent to hold ibr these sites is

required to be filed by the December 30th following the filing of this waiver.

UNITED STATES LimwForm 38304 DEPARTMENT OF THE INTERIOR(October 2013) BUREAU OF LAND MANAGEMENT FORM APPROVED

MAINTENANCE FEE WAIVER CERTIFICATION -4 \ OMB NO. 1004-0114Expires: October 31, 2016

1. This small miner waiver is filed for the assessmentyear beginning on September 1,2014 and ending on September 1, 20152. The undersigned and all related parties owned ten or fewer mining claims, mill, or tunnel sites located and maintained on Federal lands in the United States

ofAmerica on September 1. 20143. The undersigned have performed the assessment work required by law for each mining claim listed prior to filing this waiver and understand that by filing this form,

the undersigned must file an affidavit of assessment work with the Bureau of Land Management (BLM) by the December 3()th following the filing of this waiver.4. The undersigned understand that if the assessment work obligation has not yet come due under 30 U.S.C. 28 (for those claims in their first assessment year only),

a notice of intent to hold reciting this condition must be recorded by the December 3()th following the filing of this waiver.5. The undersigned understand that mill and tunnel sites may also be listed on this waiver and be waived from payment ofthe maintenance fee, and that a notice of

intent to hold for these sites is required to be filed with the BLM by the December 30th following the filing of this waiver.6. The undersigned understand and acknowledge that pursuant to 43 U.S,C. 1212 and 18 U.S.C. 1001, the filing or recording of a false. fictitious. or fraudulent

document with the BLM may result in a fine of up to $250,000, a prison term not to exceed five years, or both.7. The mining claims, mill or tunnel sites for which this waiver from payment of the maintenance fees is requested are:

CLAIM OR SITE NAME BLM RECORDATION SERIAL NUMBER1. HERITAGE AMC 416163 /2.3.4.

7.8.9.10.

The owneRs) (claimants) of the above mining claims and sites are:

DAVID FRYBARGER L.I "~&- -/ 449~-9(Owner's Name - Please Print)

2510 ANGLER DRIVE LAKE HAVASU CITY , 63 »86404(Owner's Mailing Address) (City) * (SIRe) CA Zip Code)

lf- \_- n <r,rrsSTEPHANIE HOLMES PKTrji OLVU"jt**11*£01*VT -

(Owner's Name - Please Print) (Owner's S e) 9 -E~di2745 SQUALL KING DRIVE LAKE HAVASU CITY 5 AF 11!3404

mm---twl- CD(Owner.s Mailing Address) (City) ' (Si trKZip Code)

(Owner's Mailing Address) (City) (State) (Zip Code)(Continued on page 2)

Form 3830-4 UNITED STATES FORM APPROVED(October 2013) DEPARTMENT OF THE INTERIOR OMB NO.: 1004-0114

BUREAU OF LAND MANAGEMENT Expires: October 31,2016

AFFIDAVIT OF ANNUAL ASSESSMENT WORK AV\C 9 1 1159

V/35- 3 94199)1

WHEN RECORDED, MAIL DOCUMENT TO : 414951DAVID FRYBARGER 9/ 6 013NAME:

2510 ANGLER DRIVE 916163ADDRESS:

LAKE HAVASU AZ 86404CITY, STATE, ZIP:FOR COUNTY RECORDER'S USE

No. of Claims 6x $10/claimTotal due BLM $ 60

1. The undersigned certifies that at least $100 per claim was expended for development, labor andimprovements, or equivalent value added, as the annual assessment work for the assessment year endingSeptember 1, 2015 for the following contiguous unpatented mining claim(s), located in the County ofMOHAVE , in the State ofARIZONA

411759 LITTLE MICA 17N 16W 10 GSRB 2012034503 07/03/2012

413524 LITTLE MICA #2 17N 16W 10 GSRB 2012034504 07/03/2012

414921 LITTLE MICA #3 17N 16W 10 GSRB 2012034505 07/03/2012

414951 LITTLE MICA #4 17N 16W 10 GSRB 2012034506 07/03/2012-3 --· 3C=416023 LITTLE MICA #5 17N 16W 10 GSRB 201203450g 77/030012Fri ;- -416163 HERITAGE 17N 16W 10 GSRB 201203450% 87/03/~12

, /1 ,3- .-:M30N (3 1

X' (-D

(Continued on page 2) O.

AUG - 8 2014 i RECEIPT #BY: - RA,v~__t-

2. Type of labor and improvements (specify what was done and give the total value for that labor andimprovement to show at least $100 for each claim). If a geological, geochemical, or geophysical survey wasperformed, as per 30 U.S.C. 28-1, reference the title ofthe report of survey, give cost and date of the surveyand report, and indicate it was filed with the County Recorder:

Value of Work Date Work WasDescription of Work Performed Performed PerformedRepaired existing access road 300 10/2013

Repaired/maintained claim monuments 200 04/2014

Mineral sampling and identification 300 2013/2014

3. Name and mailing address ofeach person who performed the labor and improvements:

Name (please print) Current Mailing Address (please print)DAVID FRYBARGER 2510 ANGLER DRIVE, LAKE HAVASU CITY, AZ 86404

RICHARD SHANNON 2030 SUNNY RIDGE DR., LAKE HAVASU CITY, AZ 86406

SHIRLEY SHANNON 2030 SUNNY RIDGE DR., LAKE HAVASU CITY, AZ 86406

STEPHANIE HOLMES 2745 SQUALL KING DR., LAKE HAVASU CITY, AZ 86404

4. Name and mailing address of each person who holds and claims the subject mining claim(s) for the valuableminerals contained therein. Be sure to indicate ifthere is a change of address:

Name (please print) Current Mailing Address (please print)DAVID FRYBARGER 2510 ANGLER DR., LAKE HAVASU CITY, AZ 86404

ROGER FRYBARGER 2510 ANGLER DR., LAKE HAVASU CITY, AZ 86404r_1 1-

JACK HODGES 3656 WINSTON DR., LAKE HAVASU CITY, AZ 8~06 == 3

RICHARD G. SHANNON 1030 SUNNY RIDGE DR., LAKE HAVASU CITY,~864~ (4317 m 77

SHIRLEY SHANNON 1030 SUNNY RIDGE DR., LAKE HAVASUCITY, 52864(16 f' c-1S.

STEPHANIE HOLMES 2745 SQUALL KING DR., LAKE HAVASU CITY, ~86404 MIfiE -0 03Ted - ZAZ --' '2 51

5. The undersigned testifies that on the date of JUNE 1 , 2014 , all monumentsrequired by law were erected upon the subject claim(s), and all notices required by law were posted on thesubject claim(s) or copies thereof were in place, and at said date, each corner monument bore or contained

ARIZONA[ hereby certify under penalty of perjury under the laws of the State of that theforeg~g statements are true and correct:

0/1» /34464 - Date : J v . 9 3 0 i D. 0 i 9(*ignature of 4ersod responsible for above statement)

Title 18 U.S.C. 1001 and 43 U.S.C. 1212 make it a crime for any person knowingly and willfully to make to any depaitment oragency of the United States any false, fictitious or fraudulent statements or representations as to any matter within its j urisdiction.

Notary Block

SUBSCRIBED AND SWORN TO before me, this 30 day of ~U f M 20 / ~By 94»SLYIJ

6/ (Signature of Affiant 1~Title: BRENT DEWITT1~~J Notary Public - Arizonatie=. Mohave County

i A -I ri . v¥AMy Commission Expires : J )00 1 u , +L/ IS

INSTRUCTIONS

2. The claimant(s) must fill in the date in paragraph j for the applicable assessment year and the county and statewhere the claims are located.

3. All claim names, BLM serial numbers, legal descriptions, and original county recording information must beCOlisted for the claims pertaining to this assessment notice . .4 F-

4. The claimant(s) must complete paragraph 2 listing all labor or improvements which was pei*rmed~ oriftdbenefit the subject mining claims. The value and date ofthe labor or improvements must al#I,e li*1. Tlio-Kgtalamount of labor or improvements can be listed, but the total expenditure must equal at least %:8}0 fociach 4#41.

5. The names and current mailing addresses of the person(s) performing the labor shall be listed~ paraEraph 31 16. The name and current mailing address ofeach owner (claimant) ofthe claims shall be listed ib:parad['aph 4:T·lib

mailing address shall be the owner's address and not the address of an agent or anyone repres~ing 118 clain~@.Be sure to note i f there has been a change of address. H . '1

7. Paragraph 5 shall be completed to show the date it was verified that all monuments required b*n¥ were pre#rlyerected, all notices were posted, and that corners were appropriately designated for all claims it,ted. ~ rn

8. An exact legible reproduction or duplicate (other than microfilm or other electronic media) of this affidavit oranother type of affidavit of assessment work that you file or will file in the county where each claim is located,must be filed with the BLM on or before December 30 of the calendar year in which the assessment year ends.For mill or tunnel sites. a separate notice of intent to hold must be filed with the BLM on or before December 30.Requirements for filing a notice of intent to hold can be found at 43 CFR 3835.33.

9. A processing fee of $10 for each claim listed must be remitted to the BLM along with this or any other affidavitof assessment work.

(Continued on page 4) ( Form 383()4. page 3)

... Page 1 of 1

~NTER!211

United States Department of the Interior ~ AUG - 8 2014 ~eceiptBureau of Land Management B* -

CUSTOMER:

DAVID FRYBARGER2510 ANGLER DRLAKE HAVASU CITY,AZ 86404-2134 US

LOCATABLE MINERALS / MININGCLAIMS-NOT NEW-UNADJUD,ONE MAINT FEE

1 1.00 AUTH NO. ONLY / MINING CLAIM WAIVER (6) 2015 / -n/a - 60.00MONEY RECEIVED POL (6) 2014CASES: AMC411759/$60.00

TOTAL: $60.00

PAYMENT INFORMATION

1 AMOUNT: 60.00 POSTMARKED: 08/04/2014

TYPE: CHECK RECEIVED: 08/06/2014

CHECK NO: 1480NAME: FRYBARGER, DAVID H

REMARKS

This receipt was generated by the automated BLM Collections and Billing System and is a paper representation of a portion

of the official electronic record contained therein.

8/7/14

LAKE HAVAS CIT.APRESS FIRMLY TO SEAL 86403

AUG 04.'14

$5.60e eq Aclu egn

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il 1 EP14F July 2013 VISIT US AT USPS . COM ® /qUNITEDSTATESPS00001000014 OD: 12.5 x 9.5 ORDER FREE SUPPLIES ONLINE M POSTALSERVICE

UNICT)STATESDEPARTMIEDF THE INTERIOR 4/4921 9 L 49.91Ron,43830-3 ,

(September 2010) BUREAU OF LAND MANAGEMENT 1=\ OMB NO. 1004-0114FORM APPROVED

MAINTENANCE FEE WAIVER CERTIFICATION

SEE INSTRUCTIONS ON PAGE 2 ' ~188* Us 3

411759 4 ;35241. This small miner waiver is filed forthe assessment year beginning on September l, 2013 and ending on September 1, 20142. The undersigned and all related parties owned ten or fewer mining claims, mill, or tunnel sites located and maintained oil Federal lands iii theUnited States of America on September 1, 20133. The undersigned have performed the assessment work required by law for each mining claim listed prior to filing this waiver and understand that byfiling this form, an affidavit of assessment work must be recorded by the December 30th following the filing of this waiver.4. The undersigned understand that if the assessment work obligation has not yet come due under 30 U.S.C. 28 (for those claims in their firstassessment year only), a notice of intent to hold reciting this condition must be recorded by the December 30tli following the filing of this waiver.5. The undersigned understand that mill and tunnel sites may also be listed upon this waiver and be waived from payment of the maintenance fee, andthat a notice of intent to hold for these sites is required to be recorded by the December 30th immediately following the filing of this waiver.6. The undersigned understand and acknowledge thatpursuant to 43 U.S.C. 1212 and 18 U.S.C. 1001, the filing or recording of a false, fictitious, orfraudulent document with the Bureau ofLand Management may result in a fine of up to $250,000, a prison term not to exceed five years, or both.7. The mining claims, mill or tunnel sites for which this waiver from payment of the maintenance fees is requested are:

CLAIM OR SITE NAME. BLM RECORDATION SERIAL NUMBER1. LITTLE MICA ~/ AMC 4117592.

6.CO1 -3 = 1-

8. 09. 1-,-1 7. 3,-- cn mA .c jto. a- Sm0 Mm

JO1...1i he owner(s) (claimants) ofthe above mining claims and sites are: * 0 -n-n\ --7 -DAVID FRYBARGER } - 5 0 0-5 m(Owner's Name - Please Print) - i'(O,Per's Sitnature)2510 ANGLER DRIVE

(Street or P.O. Box)

LAKE HAVASU CITY AL 86404(City) (State) (Zip Code)

JACK HODGES ..(Owner's Name - Please Print) ( wner's Sigly,

3656 WINSTON DR

LAKE HAVASU CITY AZ 86406(City) (State) (Zip Code)

(Owner's Name - Please I'rint) r NTe«s Signature)

(Street or P.O. Box) ~ SFP 1 8 2013 ~

BY: ..7*Ar----(City) (State) (Zip Code)(Continued on page 2)

(Street or P.O. Box) (City) (State) (Zip Code)

(Street or P.O. Box) (Cily) (State) (Zip Code)

Title 18 U.S.C. Section 1001 and Title 43 U.S.C. Section 1212 makes it a crime for any person knowingly and willfully to make to any department oragency of the United States any false, fictitious or fraudulent statements or representations as to any matter within its jurisdiction.

INSTRUCTIONS1. This certification is made under the provisions of §1744 of Title 43 and § 28-28k of Title 30 of the United States Code; and the regulations thereunder (43

CFR Part 3830).2. The claimant(s) must fill in the dates in paragraph 1 for the beginning and ending of the assessment year for which this waiver is sought.3. The claimant(s) must fill in the date in paragraph 2 for the beginning of the assessment year for which this waiver is sought.4. All claim and site names and Bureau of Land Management (BLM) serial numbers must be listed for the mining claims, mill sites, and tunnel sites for

which the waiver is sought.5. All owners of the mining claims, mill sites, and tunnel sites and their addresses must be given.6. This waiver form must be signed by all the claimants or their designated agent, in original form. If an agent is designated, a notarized designation of

agent, signed by all of the claimants with proper address given, must be submitted with this waiver.7. This form must be filed no later than September 1 st for the upcoming assessment year in the BLM State Office where the mining claims or sites are

9. Mill and tunnel sites may also be listed upon this waiver and be waived from payment of the maintenance fee. A notice of intent to hold for these sites isrequired to be filed by the December 30th following the filing of this waiver.

(-rl > bg r.430N CO

ECE!¥EFOR ICIAL USI¥R Y

IX. ~ZON

O 8-om

z' Ul~ D STATESDEPARTM _ OF THE INTERIORForm 3830-,2 '

-(September 2010) BUREAU OF LAND MANAGEMENT , , I FORM APPROVEDMAINTENANCE FEE WAIVER CERTIFICATION ~Adk i 193 OMB NO. 1004-0114

Expires: August 31, 2013SEE INSTRUCTIONS ON PAGE 2

1. This small miner waiver is filed for the assessment year beginning on September 1, 2013 and ending on September 1, 20142. The undersigned and all related parties owned ten or fewer mining claims, mill, or tunnel sites located and maintained on Federal lands in theUnited States of America on September 1, 20133. The undersigned have performed the assessment work required by law for each mining claim listed prior to filing this waiver and understand that by

filing this form, an affidavit of assessment work must be recorded by the December 30th following the filing oftlits waiver.4. The undersigned understand that if the assessment work obligation has not yet come due under 30 U.S.C. 28 (for those claims in their firstassessment year only), a notice of intent to hold reciting this condition must be recorded by the December 30th following the filing of this waiver.5. The undersigned understand that mill and tunnel sites may also be listed upon this waiver and be waived from payment of the maintenance fee, andtliat a notice of intent to hold for these sites is required to be recorded by the December 30th immediately following the filing of this waiver.6. The undersigned understand and acknowledge that pursuant to 43 U,S.C. 1212 and 18 U.S.C. 1001, the filing or recording of a false, fictitious, orfraudulent document with the Bureau of Land Management may result in a fine of up to $250,000, a prison term not to exceed five years, or both.7. The mining claims, mill or tunnel sites for which this waiver from payment of the maintenance fees is requested are:

CLAIM OR SITE NAME BLM RECORDATION SERIAL NUMBER1. LITTLE MICA #2 ~ AMC 413524

3. CD1-n

El] AUG 26

ELM AZ lr·i OFFICE

REJ:El<EC6.

1. RIZONA

The owner(s) (claimants) of the above mining claims and sites are: ~1DAVID FRYBARGER

(Owner's Name - Please Print) (6wner's Signature)2510 ANGLER DRIVE

JACK HODGES (- -(Owner's Name - Please Print) 45*)wned Stpat.#r

3656 WINSTON DR(Street or P.O. Box)

ROGER FRYBARGER K, + t-,-L(Owner's Name - Please Print) ~ N , (0w:ng***re)

2510 ANGLER DRIVE 4""" 4-1 /(Street or P. O. Box) ~ SFP 1 8 208 ~

LAKE HAVASU CITY AZ 86404BY:(City) (State) (Zip Code)

Title 18 U.S.C. Section 1001 and Title 43 U,S.C. Section 1212 makes it a crime for any person knowingly and willfully to make to any department oragency of the United States any false, fictitious or fraudulent statements or representations as to any matter within its jurisdiction.

INSTRUCTIONS1. This certi fication is made under the provisions of § 1744 of Title 43 and § 28-28k of Title 30 of the United States Code; and the regulations thereunder (43

CFR Part 3830)2. The claimant(s) must fill in the dates in paragraph l for the beginning and ending of the assessment year for which this waiver is sought.3. The claimant(s) must fill in the date in paragraph 2 for the beginning of the assessment year for which this waiver is sought.4. All claim and site names and Bureau of Land Management (BLM) serial numbers must be listed for the mining claims, mill sites, and tunnel sites for

recorded, or the waiver cannot be granted by the BLM. (Example: To obtain a waiver for the assessnient year 2012, which begins on September 1,2011,you must qualify for and file for a waiver no later than September 1, 2011, iii the proper BLM State Office.)

8. For all mining claims which require assessment work, you must record an affidavit of labor on or before the December 30th immediately following thefiling of this waiver. For all other mining claims or sites waived, you must record a notice of intent to hold on or before the December 30th immediatelyfollowing the filing of this waiver.

9. Mill and tunnel sites may also be listed upon this waiver and be waived from payment ofthe maintenance fee. A notice of intent to hold for these sites isrequired to be filed by the December 30th following the filing of this waiver.

5-3-El ~g 1-

5 0 1Z 84 *4~

N ':/) hC- 472.4 <:11 n mm

FOR~FICIN, USEONLYZ3>

UIV==-7 STATESDEPARTMEE-)F THE INTERIORFprm,3830-7 ,

MAINTENANCE FEE WAIVER CERTIFICATION ~~'~ ~~~ OMBNO. 1004-0114(September 2010) BUREAU OF LAND MANAGEMENT FORM APPROVED

Expires: August 31,2013

1. This small miner waiver is filed for the assessment year beginning on September 1, 2013 and ending on September 1, 20142. The undersigned and all related parties owned ten or fewer mining claims, mill, or tunnel sites located and maintained on Federal lands iii the

United States of America on September 1, 20133. The undersigned have performed the assessment work required by law for each mining claim listed prior to filing this waiver and understand that by

filing this form, an affidavit of assessment work must be recorded by the December 30th following the filing of this waiver.4. The undersigned understalid that ifthe assessment work obligation has not yet come due under 30 U.S.C. 28 (for those claims in their first

assessment year only), a notice of intent to hold reciting this condition must be recorded by the December 30th following tile filing of this waiver.5. The undersigned understand that mill and tunnel sites may also be listed upon this waiver and be waived from payment ofthe maintenance fee, and

that a notice of intent to hold for these sites is required to be recorded by the December 30th immediately following the filing of this waiver.6. The undersigned understand and acknowledge that pursuant to 43 U.S.C. 1212 and 18 U,S.C. 1001, the filing or recording of a false, fictitious, or

fraudulent document with the Bureau of Land Management may result in a fine of up to $250,000, a prison term not to exceed five years, or both.7. The mining claims, mill or tunnel sites for which this waiver from payment of the maintenance fees is requested are:

CLAIM OR SITE NAME BLM RECORDATION SERIAL NUMBER1. LITTLE MICA #3 .~ AMC 414921

The owner(s) (claimants) ofthe above ni ining claims and sites are:DAVID FRYBARGER 09,U ~~41+~-,__

}- V. ,(Owner's Name - Please Print) (Owner's Signature)2510 ANGLER DRIVE

(Street or I'.0, Box)

(City) (State) (Zip Code) -7 P./ . CO*-- -. -. -i - - *. - I ..... ...1g 2 6m '~ >(Owner's Name - Please Print) (Owner'b SigF'ore) ~ NX,

=NTERE j:, 42 11(Street or P.O, Box)

E~EIVED

0-11(City) (St;ile) (Zip Code) . r.-3<1. z ·· 71

(Continued on page 2) Ely:- 1-- -9 0 C.)-0 m

C./ V¥11.A / 1 liu'll - A ....O A A ..., C..lilli. I ...5..U.lA .,

<Stroot or P.O. Box) Ccity) (stata, fzip Code)

((treet or P (\ Rfix), (City\ (Qtate) «in rade\

(Street cir P.f).Rox) (City) (Statel (Zin Code.

CFR Part 3830).2. The claimant(s) must fill in the dates in paragraph 1 for the beginning and ending of the assessment year for which this waiver is sought.3. The claimant(s) must fill in the date in paragraph 2 for the beginning of the assessment year for which this waiver is sought.4. All claim and site names and Bureau of Land Management (BIN) serial numbers must be listed for the mining claims, mill sites, and tunnel sites for

which the waiver is sought.5. All owners ofthe mining claims, mill sites, and tunnel sites and their addresses must be given.6. This waiver form must be signed by all the claimants or their designated agent, in original form. If an agent is designated, a notarized designation of

agent signed by all of the claimants with proper address given, must be submitted with this waiver.7. This form must be filed no later than September 1st for the upcoming assessment year in the BLM State Office where the mining claims or sites are

73 #/'CD&W

BLMAZS S ju

FOR»FIC@1 U*~LY

00CD 7 23Z3, 0241-0 m(Continued on page 3) (Form 38304, page 2)

UN- STATESDEPARTM 1- )F THE INTERIORForm·3830-2 '

(September 2010)

MAINTEUN~NA~EOFELE~R CE~TION cS\\ ( ~ OMB NO. 1004-0114FORM APPROVED

Expires: August 31, 2013

1. This small miner waiver is filed for the assessment year beginning on September 1, 2013 and ending on September 1, 20142. The undersigned and all related parties owned ten or fewer mining claims, mill, or tunnel sites located and maintained on Federal lands in the

United States ofAmerica on September 1, 20133. The undersigned have performed the assessment work required by law for each mining claim listed prior to filing this waiver and understand that by

filing this form, an affidavit ofassessment work must be recorded by the December 30th following the filing ofthis waiver.4. The undersigned understand that if the assessment work obligation has not yet come due under 30 U.S.C. 28 (for those claims in their first

assessment year only), a notice of intent to hold reciting this condition must be recorded by the December 30th following the filing of this waiver.5. The undersigned understand that mill anct tunnel sites may also be listed upon this waiver and be waived from payment ofthe maintenance fee, and

that a notice of intent to hold for these sites is required to be recorded by the December 30th immediately following the filing of this waiver.6. The undersigned understand and acknowledge that pursuant to 43 U.S.C. 1212 and 18 U.S.C. 1001, the filing or recording of a false, fictitious, or

fraudulent document with the Bureau ofLand Management may result in a fine of up to $250,000, a prison term not to exceed five years, or both.7. The mining claims, mill or tunnel sites for which this waiver from payment of the maintenance fees is requested are:

CLAIM OR SITE NAME BLM RECORDATION SERIAL NUMBER1. LITTLE MICA #4 ~ AMC 414951

R aThe owner(s) (claimants) of the above mining claims and sites are:

RICHARD G . SHANNON 44=-,h\.'~'»11(Owner's Name - Please Print) 5wnersS\*ature) ~1030 SUNNY RIDGE DRIVE

LAKE HAVASU CITY KL 86406(City) (State) (Zip Code)

SHIRLEY SHANNON 2&- 65 .SIG /V-91- 6--(Owner's Name - Please Print) <»23 (Owner's Signature)

1030 SUNNY RIDGE DRIVE(Street or P.O. Box)

DAVID FRYBARGER (hwj 1.* AHY -&-- 1(Owner's Name - Please Print) / (O{im~151 SignaUAre) >

2510 ANGLER DRIVE -NTERE9 2 5 3g(Street or P.O. Box) -'ST

LAKE HAVASU CITY AZ 86404 U rrlmrv 00(City) (State) (Zip Code) . 9 9 - 7-1(Continued on page 2) BY: " -11

5, O 0.-'-0 71

Title 18 U.S.C. Section 1001 and Title 43 U.S.C. Section 1212 makes it a crime for any person knowingly and willfully to make to any department oragency ofthe United States any false, fictitious or fraudulent statements or representations as to any matter within its iurisdiction.

which the waiver is sought5. All owners of the mining claims, mill sites, and tunnel sites and their addresses must be given.6. This waiver form must be signed by all the claimants or their designated agent, in original form. If an agent is designated, a notarized designation of

recorded, or the waiver cannot be granted by the BLM. (Example: To obtain a waiver for the assessment year 2012, which begins on September 1,2011,you must qualify for and file for a waiver no later than September 1,2011, in the proper BLM State Office.)

{OENIX. ARI !~NA

Zal] AUG 26 E

RECEIVOW

OFEPIAL ONLY

BLM AZ STATE YFFICE0

UT-D STATESRorni 3830-2 ' DEPARTM]i~ ~ OF THE INTERIOR(September 2010) BUREAU OF LAND MANAGEMENT (*ii] FORM APPROVED

MAINTENANCE FEE WAIVER CERTIFICATION 64\ OMB NO. 1004-0114Expires: August 31,2013

1. This small miner waiver is filed for the assessment year beginning on September 1, 2013 and ending on September 1, 20142. The undersigned and all related parties owned ten or fewer mining claims, mill, or tunnel sites located and maintained on Federal lands iii the

United States of America on September 1, 20133. The undersigned have performed the assessment work required by law for each mining claim listed prior to filing this waiver and understand that by

filing this form, an affidavit of assessment work must be recorded by the December 30th following the filing of this waiver.4. The undersigned understand that ifthe assessment work obligation has not yet come due under 30 U.S.C. 28 (for those claims iii their first

assessment year only), a notice of intent to hold reciting this condition must be recorded by the December 30th following the filing of this waiver.5. The undersigned understand that mill and tunnel sites may also be listed upon this waiver and be waived from payment of the maintenance fee, and

that a notice of intent to hold for these sites is required to be recorded by the December 30th immediately following the filing of this waiver.6. The undersigned understand and acknowledge that pursuant to 43 U.S.C. 1212 and 18 U.S.C. 1001, the filing or recording of a false, fictitious, or

fraudulent document with the Bureau of Land Management may result iii a fine of up to $250,000, a prison term not to exceed five years, or both.7. The mining claims, mill or tunnel sites for which this waiver from payment of the maintenance fees is requested are:

CLAIM OR SITE NAME BLM RECORDATION SERIAL NUMBER1. LITTLE MICA #5 41 AMC 416023

ROGER FRYBARGER R a·. f -1(Owner's Name - Please Print) (Owner's Signature)

2510 ANGLER DRIVE

LAKE HAVASU CITY AZ 86404(City) (State) (Zip Code) . A \DAVID FRYBARGER

(Owner's Name - Please Print) / ((*vner'/Signature)

2510 ANGLER DRIVE(Street or P. O. Box) -13

BLM ACDLAKE HAVASU CITY AZ 86404 n-i(City) (State) (Zip Code) z -SS

191] AUG 2 b- :C gmJr> 23,2(Owner's Name - Please Print) (OwnoZ?Signa~Fe) 1 ' 'rnN CD 00 -1Z • • -n(Street or P.O. Box) -NTEEnen~ 0 :71

(City) (State) (Zip Code)(Continued on page 2)

BY: W--L

recorded, or the waiver cannot be granted by the BLM. (Example: To obtain a waiver for the assessment year 2012, which begins on September 1,2011,you must quality for and file for a waiver no later than September 1,2011, in the proper BLM State Office.)

8. For all mining claims which require assessment work, you must record an affidavit of labor on or before the December 30th iminediately following thefiling of this waiver. For all other mining claims or sites waived, you must record a notice of intent to hold on or before the December 30th immediatelyfollowing the filing of this waiver.

-13 0I (= re = 09mE as Na

*R O#FiCIAEQ~ ONLYN ~ r71r71

000 -- 77./ .-ri3

U-D STATESDEPARTMI ' OF THE INTERIORfort,1 3830-,2 •

(September 2010) BUREAU OF LAND MANAGEMENT ----1 FORM APPROVEDMAINTENANCE FEE WAIVER CERTIFICATION

CK ti-]\ Cfff~Expires: August 31,2013OMB NO. 1004-0114

1. This small miner waiver is filed for the assessment year beginning on September 1, 2013 and ending on September 1, 20142. The undersigned and all related parties owned ten or fewer mining claims, mill, or tunnel sites located and maintained on Federal lands in theUnited States ofAmerica on September 1, 20133. The undersigned have performed the assessment work required by law for each mining claim listed prior to filing this waiver and understand that byfiling this form, an affidavit of assessment work must be recorded by the December 30th following the filing ofthis waiver.4. The undersigned understand that if the assessment work obligation has not yet come due under 30 U.S.C. 28 (for those claims in their firstassessment year only), a notice of intent to hold reciting this condition must be recorded by the December 30th following the filing of this waiver.5. The undersigned understand that mill and tunnel sites may also be listed upon this waiver and be waived from payment ofthe maintenance fee, andthat a notice of intent to hold for these sites is required to be recorded by the December 30th immediately following the filing of this waiver.6. The undersigned understand and acknowledge that pursuant to 43 U.S.C. 1212 and 18 U.S.C. 1001, the filing or recording of a false, fictitious, orfraudulent document with the Bureau of Land Management may result in a fine of up to $250,000, a prison term not to exceed five years, or both.7. The mining claims, mill or tunnel sites for which this waiver from payment ofthe maintenance fees is requested are:

CLAIM OR SITE NAME BLM RECORDATION SERIAL NUMBER1. HERITAGE ~/ AMC 4161632.

The owner(s) (claimants) of the above mining claims and sites are:DAVID FRYBARGER

(Owner's Name - Please Print) '(6wker s signature)2510 ANGLER DRIVE

(Street or P.O. Box)LAKE HAVASU CITY AZ 86404

CO(City) (State) (Zip Code) f..I

STEPHANIE HOLMES ~.~fl/j~.61-rt»** ~(Owner's Name - Please Print) (Owner%:*gnat* cr,B,--

2745 SQUALL KING DRIVE :< r.3. 0-

(Street or P.O. Box) P ·O 20LAKE HAVASU CITY AZ 86404 r-122(City) (State) (Zip Code) 510 " ---

k=> r'*. -I

fNTer:e~(City) (State) (Zip Code) 1

(Continued on page 2) :· 1 41

BY: ~2-

Title 18 U.S.C. Section 1001 and Title 43 U.S.C. Section 1212 makes it a crime for any person knowingly and willfully to make to any department oragency of the United States any false, fictitious or fraudulent statements or representations as to any matter within itsiurisdiction.

INSTRUCTIONS1. This certification is made under the provisions of §1744 of Title 43 and § 28-28k of Title 30 of the United States Code; and the regulations thereunder (43CFR Part 3830).2. The claimant(s) must fill in the dates in paragraph 1 for the beginning and ending of the assessment year for which this waiver is sought.3. The claimant(s) must fill in the date in paragraph 2 for the beginning ofthe assessment year for which this waiver is sought.4. All claim and site names and Bureau of Land Management (BLM) serial numbers must be listed for the mining claims, mill sites, and tunnel sites forwhich the waiver is sought.5. All owners of the mining claims, mill sites, and tunnel sites and their addresses must be given.6. This waiver form must be signed by all the claimants or their designated agent, in original form. If an agent is designated, a notarized designation ofagent signed by all of the claimants with proper address given, must be submitted with this waiver.7. This form must be filed no later than September 1st for the upcoming assessment year in the BLM State Office where the mining claims or sites arerecorded, or the waiver cannot be granted by the BLM. (Example: To obtain a waiver for the assessment year 2012, which begins on September 1,2011,you must qualify for and file for a waiver no laterthan September 1,2011, in the proper BLM State Office.)8. For ali mining claims which require assessment work, you must record an affidavit of labor on or before the December 30th immediately following thefiling ofthis waiver. For all other mining claims or sites waived, you must record a notice of intent to hold on or before the December 30th immediatelyfollowing the filing of this waiver.9. Mill and tunnel sites may also be listed upon this waiver and be waived from payment ofthe maintenance fee. A notice of intent to hold for these sites isrequired to be filed by the December 30th following the filing of this waiver.

PHOENIX. A ONA

ZOI] AUG 2 b 1: 10

Bltl AZ STATES)FFICE

FC{~OFFI~AL ~NLY

(Continued on page 3) (Form 38304, page 2)

When Recorded Return Document to:I) 8 V i D 909 3 Ab 6 4-f R

AS/0 A N 6 1· d R CD R) 1/ LSL /3 Pc A. H /1 ,/4.:u COr'f Al

S 6 4 D 90 Check here is this is a change of address.Telephone: 9A -3 2 30-90 30E-mail address: >Av) 3 F.1 Y ;3 4 R 0/49 63 Gm,oll. 669

AFFIDAVIT OF PERFORMANCE OF ANNUAL WORK-J

BLM ACD1. State of Arizona, County of /)1 6 H A VIE SS BLM r ri

ZOO AUG i·430Date ,-al..2 . 1 ( Name) 73> Av / tx 1-· RY BA R 5 ER Ef A £ Stamp cn 'ng3. Reside at (Address) 11 5 1 D ./4,4.; 6,Zir R 2> c<1 4ii ...7 - •i.r-"0 rn rA--

En.4City LA /< r B /444 5 0 County /9 6 /4 Ava > 0 3

State Azzip 8-6 61 6.1 being duly sworn, depose and say that I am a citizen of the United States, more thaneighteen years of age, and that all of the facts set forth in this affidavit, subject to the provisions and penalties of 18U.S.C. 1001 pertaining to the filing of false, fictitious, or fraudulent statements with the United States, are true andcorrect according to the best of my knowledge, information and belief.4. Owner's name and address (If not shown in Items 1-3 above).

5. That I am personally acquainted with the mining claim(s). The work and improvements were made by and at theexpense of the owner(s) of said claim(s). Said contiguous group of claims, listed on this document, are situated in theHoALAPA ; (optional) Mining District ; m 3 11 A ., S County , Arizona .

AMC COUNTY RECORDERLine CLAIM/SITE NAME TWP RNG SECNo. NUMBER DATA (If available)1 9 1 1769 41< Lc mi c. A Gl OLA ) 3 £ 1563 4-7 N 1 4, W 16

41 2 5 0 4 L , p rL r. /V) : c./1 iii: A. Ac: i J* 3450 ,-1 / 1 J 16 U ' 10

3 4 , 1 .4 9 0 1 4 i f' ·r · Li- 4 , . 1 '1-' 3 5, ~:> 1 2. b 3 A t : cj .b 1 7 1 10

4 H L 9 9 5 , 4 , 7-r A K rn ,' 6 ,4 /* 9 J 0 1 1 0 3 21 S 0 44 i ) AJ i 6 vJ 1 05 9 1 60 o ). a A ; 7' FLLE rn 1 6. A /* S (ADj J. 0 3 11 5 0 7 11 X'

6 ~11 / 61 63 / 1 0 /4 4 74 -3 K :4 0 j I . c> R / 1 5 3 ZE i -1 4 / 6 w kForm: MCF108

Revised Jan. 2006

. AIRTe igh E l" SEP 1 1 2013Br -

AFFIDAVIT OF PERFORMANCE OF ANNUAL WORK - page 2

BLMDateStamp -7 =..-

63 CGrn 3-

BLM AZ STA

RECE!O--m ...1<__

IN v CD 07 -4..

8 > O 25-5,71

6. That between the dates starting at 12 o'clock noon on September 1,20 1 1 and ending at 12 o'dock noon onSeptember 1,20.13 at least $ 600 dollars worth of work and improvements were done and performedupon said claim(s) or upon one or more of a contiguous group of claims for the benefit of all, wholly or partly outside ofa contiguous group of claims for the benefit of all, not including the location work.

7. That the following persons were employed to perform the work and improvements described herein:'64 11 b

FAMBARGEA 3 Auden FRYRA 46£K k JAck 14 0 6 659 '' A i Lu A xc) G . SHANNON ,514)!kLE'·4 31(4-ANAD,i, STJEBRANic HOLMISS

8. That the work and improvements performed were:

A SPAIR 6 5 E i < 1 5 'r i AL 6 ACCESS ADA %3

9. Dated: %042- j 3 Signature:

SUBSCRIBED AND SWQRN TO 4efgre me, a Notary Public, this 94, day d AU~ 2015Es 4 192 J baser '~,~4'AM~"~r...1LTIP Notary Puk - Arizona

1 .1 b*r-k7 Mohave CountyMy Commissio~E~res SAe lo, 2015 *~ Comm. Expires Jun 10, 2015

No. of Claims: 62 x $10= 0/.Bureau of Land Management Check No.: *M-~ In». CIA0-Arizona State Officewww. az.blm.gov Receipt No.: r:2 5-695-45- =5

For BLM Use Only

Form: MCF108Revised Jan. 2006

This form is available from the Arizona Department of Mines & Mineral Resources and may be reproduced.

Receip! Page 1 of 1. 4

LINE UNIT# QTY DESCRIPTION REMARKS TOTALPRICELOCATABLE MINERALS / MININGCLAIMS-NOT NEW-UNADJUD,ONE MAINT FEE

1 1 . 00 AUTH NO . ONLY / MINING CLAIM WAIVER (6) 2014 / - n/a - 60 . 00MONEY RECEIVED POL (6) 2013CASES: AMC411759/$60.00

TOTAL: $60.00

NAME: FRYBARGER, DAVID H2510 ANGLER DRLAKE HAVASU CITY AZ 86404-2134 US

REMARKS

This receipt was generated by the automated BLM Collections and Billing System and is a paper representation of a portionof the official electronic record contained therein.

http://cbs.blm.gov/cgibin/cbsp/zorder 8/97/13

UN STATES .DEPARTME I F THE INTERIOR (Fonn 3830-1

(Septembu 2010) BUREAU OF L MANAGEMENT FORM APPROVED 4161 63OMB NO. 1004-0114 41 e 759MAINTENANCE FEE WAIVER CERTIFICATION 1-4 e:\*f i

Expires: August 31, 20134 1491<SEE INSTRUCTIONS ON PAGE 2 485-24

11 60231. This small miner waiver is filed for the assessment year beginning on September 1, 2012 and ending on September 1, 20132. The undersigned and all related parties owned ten or fewer mining claims, mill, or tunnel sites located and maintained on Federal lands in theUnited States of America on September 1, 20123, The undersigned have performed the assessment work required by law for each mining claim listed prior to filing this waiver and understand that byfiling this form, an affidavit of assessment work must be recorded by the December 30th following the filing ofthis waiver.4, The undersigned understand that if the assessment work obligation has not yet come due under 30 U.S.C. 28 (for those claims in their firstassessment year only), a notice of intent to hold reciting this condition must be recorded by the December 30th following the filing of this waiver.5. The undersigned understand that mill and tunnel sites may also be listed upon this waiver and be waived from payment ofthe maintenance fee, andthat a notice of intent to hold for these sites is required to be recorded by the December 30th immediately following the filing ofthis waiver.6. The undersigned understand and acknowledge that pursuant to 43 U.S.C. 1212 and 18 U.S.C. 1001, the filing or recording of a false, fictitious, orfraudulent document with the Bureau ofLand Management may result in a fine of up to $250,000, a prison term not to exceed five years, or both.7. The mining claims, mill or tunnel sites for which this waiver from payment of the maintenance fees is requested are:

CLAIM OR SITE NAME BLM RECORDATION SERIAL NUMBERI. LITTLE MICA #5 AMC 4160232.

7. 13=-r'- zn

.-1.. #8. A 55 ...1 50i'll9.

00.-- r-n1-1

7 -1 <

-0-- 't I_-1-4 1The owner(s) (claimants) ofthe above mining claims and sites are: 0 .. -715S-N-5ROGER FRYBARGER R /A &0*04 * cr '17(Owner's Name - Please Print) (Owner's Signature)

2510 ANGLER DRIVE

(Street or P.O. Box)LAKE HAVASU CITY Al 86404

(City) (State) (Zip Code)

DAvib FAYBARQER(Owner's Name - Please Print) (Owners Signature)

9,5)0 ANGLEA )81*li(Street or P.O. Box)

kake HAVAsu ar-'1 A-1 3 64 09(City) (State) (Zip Code)- - --- - -20CDrn --.».(Owner's Name - Please Print) (Owner's 3*gnatur* -4 -7

:nC 79-t> 1/(Street or P.O. Box) 31~15 £2{4*drve- COCUVQ_f 30

-- 0066 Al ED prlior- -60 00CD '1(City) (State) (Zip Code) issuc*-421 0~ CL §30 KadL. -Z W -71Zontinued on page 2) UM-2 1 Dx* re,5..

CO rn·'»721 LA 2.6-11

,' Ul*|~ATES AM<414/43DEPARTM~i„P THE INTERIOR A-¢441175-9Form 3830-2

(September 2010) BUREAU OF LAND MANAGEMENT AMtV/497'FORM APPROVED

MAINTENANCE FEE WAIVER CERTIFICATION »*\, OMB NO. 1004-0114Expires: August 31,2013 -

SEE INSTRUCTIONS ON PAGE 2 Ake*337$/ Pr~c 41 6 0131. This small miner waiver is filed for the assessment year beginning on September 1, 2012 and ending on September 1, 20132. The undersigned and all related parties owned ten or fewer mining claims, mill, or tunnel sites located and maintained on Federal lands in theUnited States ofAmerica on September 1, 20123. The undersigned have peiformed the assessment work required by law for each mining claim listed prior to filing this waiver and understand that byfiling this form, an affidavit of assessment work must be recorded by the December 30th following the filing of this waiver.4. The undersigned understand that if the assessment work obligation has not yet come due under 30 U.S.C. 28 (for those claims in their firstassessment year only), a notice of intent to hold reciting this condition must be recorded by the December 30th following the filing of this waiver.5. The undersigned understand that mill and tunnel sites may also be listed upon this waiver and be waived from payment of the maintenance fee, andthat anotice of intent to hold for these sites is required to be recorded by the December 30th immediately following the filing ofthis waiver.6. The undersigned understand and acknowledge that pursuant to 43 U.S.C. 1212 and 18 U.S.C. 1001, the filing or recording of a false, fictitious, orfraudulent document with the Bureau of Land Management may result in a fine ofup to $250,000, a prison term not to exceed five years, or both.7. The mining claims, mill or tunnel sites for which this waiver from payment of the maintenance fees is requested are:

CLAIM OR SITE NAME BLM RECORDATION SERIAL NUMBER1. LITTLE MICA #5 / AMC 4160232.

3. 484 t. I

D **ZJ 1. >0-5/\A< A4 45.

The owner(s) (claimants) ofthe above mining claims and sites are:ROGER FRYBARGER Al# 90-9(Owner's Name - Please Print) (Owner's Signature)2510 ANGLER DRIVE

(Street or P.O. Box)LAKE HAVASU CITY 86404

(City) (State) (Zip Code)

(City) (State) (Zip Code) r.,0PHOE~IX. A

WIZ I 5 1LM n

ST,·,TE OFFICE

(Owner's Name - Please Print) (Owner's atur

9130120/% .fi(Street or P.O. Box) ENTERED INTO COMPUTER C

RECEIVED

(City) (State) (Zip Code) 2 W(Continued on page 2)

053 ro

IME.D STATES · · ~DEPART'1~0 OF THE INTERIORForm'3880-2

' (September 2010) BUREAU OF LAND MANAGEMENT cA+A. FORM APPROVEDOMB NO. 1004-0114

MAINTENANCE FEE WAIVER CERTIFICATIONExpires: August 31, 2013SEE INSTRUCTIONS ON PAGE 2

1. This small miner waiver is filed for the assessment year beginning on September 1, 2012 and ending on September 1, 20132. The undersigned and all related parties owned ten or fewer mining claims, mill, or tunnel sites located and maintained on Federal lands in theUnited States of America on September 1, 20123. The undersigned have performed the assessment work required by law for each mining claim listed prior to filing this waiver and understand that bfiling this form, an affidavit of assessment work must be recorded by the December 30th following the filing ofthis waiver.4. The undersigned understand that if the assessment work obligation has not yet come due under 30 U.S.C. 28 (for those claims in their firstassessment year only), a notice of intent to hold reciting this condition must be recorded by the December 30th following the filing ofthis waiver.5. The undersigned understand that mill and tunnel sites may also be listed upon this waiver and be waived from payment of the maintenance fee, andthat a notice of intent to hold for these sites is required to be recorded by the December 30th immediately following the filing ofthis waiver.6. The undersigned understand and acknowledge that pursuant to 43 U.S.C. 1212 and 18 U.S.C. 1001, the filing or recording of a false, fictitious, orfraudulent document with the Bureau of Land Management may result in a fine ofup to $250,000, a prison term not to exceed five years, or both.7. The mining claims, mill or tunnel sites for which this waiver from payment ofthe maintenance fees is requested are:CLAIM OR SITE NAME BLM RECORDATION SERIAL NUMBER1. LITTLE MICA AMC 411759

2. LITTLE MICA#2 AMC 4135243. LITTLE MICA #3 AMC 4149214.

8 .·L CO':'~19. - .c· 3 117

6 -[} Irrir-

The owner(s) (claimants) of the above mining claims and sites are: N :-ODAVID FRYBARGER G»-1 14_- a- 211

(Owner's Name - Please Print) (Owner'FSignature)2510 ANGLER DRIVE(Street or P.O. Box)

LAKE HAVASU Cirt' AZ 86404(City) (State) (Zip Code)

6*ex (40405 Ulc/<*C_ A=(Owner's Name - Please Print) (owners Sigq#t~f-----U /436 5-(b t.1 f *sAN "13 A. Little_ M *eR( Street or P. O. BA) AL ++Le M teR MIZLaw, 1/AvCUG.(17 82-861*66 -n . en(City) (State) (Zip Code) T -rn £4R o GFR FRY 1% 686 /28 R.(,rl frrn(Owner's Name - Please Print) (Owner's BignaturaL .0 (71

B C - .3 R2 5/ o ANGLEA D /K NE

1-11 7""-1(Street or P.O. Box) -0 inni2.1 1-1-LK /h 1 6,4 '-0 0j.#1Lik E 1-|AuA Su 6 ) ry 42 56969 *f A W -~7(City) (State) (Zip Code)(Continued on page 2) -rt ,

VKS U.¥kwes- 64-f-6-A:> i~k© uc,5, ~··'«-rcu-o ~Af)\*Tle ili - -vis, Wo G.c c Li)11. .1 A A... + a i k.-r. 3 * . - . 1 % . .-% -r-~ f 9% il-hr *-'

DEPARTM~41 OF THE INTERIORForm 3830-2 FORM APPROVED

(September 2010) BUREAU OF LAND MANAGEMENTOMB NO . 1004- 0114 (*9MAINTENANCE FEE WAIVER CERTIFICATION r-11ci+J Expires: August 31,2013-

SEE INSTRUCTIONS ON PAGE 21. This small miner waiver is filed for the assessment year beginning on September 1, 2012 and ending on September 1, 20132. The undersigned and all related parties owned ten or fewer mining claims, mill, or tunnel sites located and maintained on Federal lands in theUnited States of America on September 1, 20123. The undersigned have performed the assessment work required by law for each mining claim listed prior to filing this waiver and understand that byfiling this form, an affidavit of assessment work must be recorded by the December 30th following the filing ofthis waiver.4. The undersigned understand that ifthe assessment work obligation has not yet come due under 30 U.S.C. 28 (for those claims iii their firstassessment year only), a notice of intent to hold reciting this condition must be recorded by the December 30th following the filing of this waiver.5. The undersigned understand that mill and tunnel sites may also be listed upon this waiver and be waived from payment ofthe maintenance fee, andthat a notice of intent to hold for these sites is required to be recorded by the December 30th immediately following the filing of this waiver.6. The undersigned understand and acknowledge that pursuant to 43 U.S.C. 1212 and 1 8 U.S.C. 1001, the filing or recording of a false, fietitious, orfraudulent document with the Bureau of Land Management may result in a fine of up to $250,000, a prison term not to exceed five years, or both.7. The mining claims, mill or tunnel sites for which this waiver from payment ofthe maintenance fees is requested are:

CLAIM OR SITE NAME BLM RECORDATION SERIAL NUMBER1 . LITTLE MICA «56 -'441»>-1,#14d<. (ld-=) J AMC 411759

J2 . LITTLE MICA #2 43% :-_. AMC 4135243. LITTLE MICA #3 AMC 4149214.

0DAVID FRYBARGER 1 .%.1 1(Owner's Name - Please Print) (Owner'*'Signature)

2510 ANGLER DRIVE(Street or P.O. Box)

LAKE HAVASU CITY AZ 86404(City) (Slate) (Zip Code)

-0(City) (State) (Zip Code) m0

(Owner's Name - Please Print) (Owner's 81*natur

1 AUG ·d 4 P

ELM AZ

71(Street or P.O. Box) RiCD

f /30 / 9-° '1-f J =Z(City) (State) (Zip Code)(Continued on page 2) ENTERED INTO COMPUTER ~

':, 11#14'am .UTM'~S I

DEPARTMEMT'6F THE INTERIORPorm 3830-2(September 2010) BUREAU OF LAND MANAGEMENT FORM APPROVED

MAINTENANCE FEE WAIVER CERTIFICATION . ... >-LAOMB NO. 1004-0114 ~~

L 1,1 , . Expires: August 31,2013SEE INSTRUCTIONS ON PAGE 2

1. This small miner waiver is filed for the assessment year beginning on September 1, 2012 and ending on September 1, 20132. The undersigned and all related parties owned ten or fewer mining claims, mill, or tunnel sites located and maintained on Federal lands in theUnited States ofAmerica on September 1, 20123. The undersigned have performed the assessment work required by law for each mining claim listed prior to filing this waiver and understand that byfiling this form, an affidavit of assessment work must be recorded by the December 30th following the filing of this waiver.4. The undersigned understand that if the assessment work obligation has not yet come due under 30 U.S.C. 28 (for those claims in their firstassessment year only), a notice of intent to hold reciting this condition must be recorded by the December 30th following the filing of this waiver.5. The undersigned understand that mill and tunnel sites may also be listed upon this waiver and be waived from payment ofthe maintenance fee, and ~that a notice of intent to hold for these sites is required to be recorded by the December 30th immediately following the filing of this waiver.6. The undersigned understand and acknowledge that pursuant to 43 U.S.C, 1212 and 18 U.S.C. 1001, the filing or recording of a false, fictitious, orfraudulent document with the Bureau ofLand Management may result in a fine of up to $250,000, a prison term not to exceed five years, or both.7. The mining claims, mill or tunnel sites for which this waiver from payment of the maintenance fees is requested are:

CLAIM OR SITE NAME BLM RECORDATION SERIAL NUMBER1. HERITAGE CLAIM j AMC 4161632.

The owner(s) (claimants) of the above mining claims and sites are:DAVID FRYBARGER 04 44.~-_(Owner's Name - Please Print) (Owner's'Signature)2510 ANGLER DRIVE

(Street or P.O. Box)LAKE HAVASU CITY AZ 86404

(City) (State) (Zip Code) riSTEPHANIE HOLMES c.--U<- -KLRHA(Owner's Name - Please Print) (Owner's Signature)2745 SQUALL KING DRIVE

(Street or P.O. Box)LAKE HAVASU CITY 86404

(City) (State) (Zip Code) 0-0

N ~0rn ZE >(Owner's Name - Please Print) (Owner'Qmgnatt* '479-

X - (/) Ti3!5(Street or P.O. Box)m0

(City) (State) (Zip Code) 3 )30 110 't-/1 f_. 4*

r OFFICE(Continued on page 2) FNTERED INTO COMPUTER =62. K,

97 r:1 >2..

NOTICE OF INTENTION TO HOLD MINING CLAIMS/SITES CD -'.When Recorded Return Document to: 1.17 :2: >7.- 63 4 inRo GeR F RY 8ARGER BLM - - m:< - 3015 , 0 01 N GLKR 68 Date -C- ~ ·.' 31LAks .HAvASU clrY 62 Stannp -0264090 W 1.,

A --50 Check here if this is a change of address.

0 7Telephone: 9 A 2 9 5 9- 5767E-mail Address RFAY'Lowasc-Alc v Lu, 0 6/D art . coin

1 (We) intend to hold the claims(s) and/or site(s) listed below for the calendar year 20 /3, and I (We) have filed or willfile a Notice of Intent to Hold in the county where the claim (s) is located.Reason for filing a Notice of Intent to Hold instead of an assessment work filing (check one):0 Maintenance fee was paid to maintain daim(s) during this assessment year.0 Mill or tunnel sites.*, Claim(s) was located during the current assessment year.O BLM has deferred assessment work (attach copy of decision granting deferment, or pending petition fordeferment including date petition was filed.)

AMC COUNTY RECORDERLine CLAIM/SITE NAME TWP RNG SECNUMBER DATA (If available)No.

1 4/ 60;2 3 41 TrLE- 21 / 6 ,1 &5 5 620 J A o 3 ,9 6~07 17 N 16 w 102

Form: MCF110Revised Jan.20061 136 bo\*11 Page lof 2ENTERED *NTO COMPUTER

- PHOENIX, ARI

NOTICE OF INTENTION TO HOLD MINING CLAIMS/SITESpage 2 NIZ AUG 14

S 1- 1 A

BLMDateStamp

i./1 CD 0CD LU 'll*r " r7

3c:> rrl

1. State of Arizona, County of /)) 0 4/,9 v S

2. 1 (Name) A O 66 & F-RYRA. RGE.R.3. Reside at (Address) AS/0 1 /0 61- S A bA .c\ty LAkE HAVASU County770614 we State /4-2 Zip · 26 ·9 09 being duly sworn , depose andsay that I am a citizen of the United States, more than eighteen years of age, that all of the facts set forth in thisnotice, subject to the provisions and penalties of 18 U.S.C. 1001 pertaining to the filing of false, fictitious, or fraudulentstatements with the United States, are true and correct according to the best of my knowledge, information and belief.

4. Owner's name and address (If not shown in Items 1-3 above).

5. Dated: 5- j 2- 1<1-Signature: 8,01~ t/*V'/h

No. of Claims: 1 x $ 10 =4~ /O. ~2Bureau of Land ManagementArizona State Office Check No: /S-)3 Init.~, Y-~ .-.az.blm.gov Receipt No.: 6167 3/0/ Le

For BLM Use Only

-0 65NOTICE OF INTENTION TO HQLD MINING CLAIMS/SITES = NWhen Recorded Return Document to: 03>ibm 1/ g h FAVaARGE.8 BLM 6515/0 /81 /U GLUZ OR; VIE Date k - ,=LAkE H AvASU 41TY 142 Stamp -{

56*064 rd

EE,1 XED

0 Check here if this is a change of address. .--

4 P 321

CDTelephone: 94 3 62 20 -9 0 A o rnE-mail Address BA r ) 8 FR Ma A AGER Cm Ge'Ail lcD /~

1 (We) intend to hold the claims(s) and/or site(s) listed below for the calendar year 20 J 3, and I (We) have filed or willfile a Notice of Intent to Hold in the county where the claim (s) is located.Reason for filing a Notice of Intent to Hold instead of an assessment work filing (check one):0 Maintenance fee was paid to maintain daim(s) during this assessment year.0 Mill or tunnel sites.12% Claim(s) was located during the current assessment year.O BLM has deferred assessment work (attach copy of decision granting deferment, or pending petition fordeferment including date petition was filed.)

AMC COUNTY RECORDERLine CLAIM/SITE NAME TWP RNG SECNUMBER DATA (If available)No.

1 916163 14 /#irAGEr 3, 012034502 / 7 AJ 16 w lo2

Form: MCF110Revised Jan.2006

of 2--ects:n INTO COMPUTER

73 N --7- 2 ,NOTICE OF INTENTION TO HOLD MINING CLAIMS/SITESpage 2 65 ..1 50

E-CflyrEDDate I)-

Stamp „~- W '1D

1. State of Arizona, County of R o /4 /8 v K

2 . 1 (Name) b A v i z~ FAYRARGEW3. Reside at(Address) 515/6 RABU/2 73 Ri VE

City LAME HAvAcu County/h ot.1,9 uzz State Al Zip 2 6409 being duly sworn , depose andsay that I am a citizen of the United States, more than eighteen years of age, that all of the facts set forth in thisnotice, subject to the provisions and penalties of 18 U.S.C. 1001 pertaining to the filing of false, fictitious, or fraudulentstatements with the United States, are true and correct according to the best of my knowledge, information and belief.

5£-Co,va4 . Owners name and address ( lf not shown in ltems 1 -3 above). 5 -J-V P#ANIE Holm ES

27 4 5 9 Qvall kiNG bA. Uke HAY,%u clry Al 2 64045. Dated: 5-12 - /1 Signature: flu 441_ .64·rrk tkniZEALERne»·--

No. of Claims: 1 x $10 = */0. 02Bureau of Land ManagementArizona State Office Check No: / ·397 Init.

www.az.blm.gov Receipt No.: 614,3/ D/4For BLM Use Only

NOTICE OF INTENTION TO HOLD MINING CLAIMS/SITESWhen Recorded Return Document to:15/BviA FA y/3,3/~6#A BLM 3=7@„S / 0 A /v 6 4,5,? 5 A, Date (D N -Z

m h4,9,<6 M#vos, Clry Al Stamp Z 65 NI.-'11 6409 )< - 0, m

.rJ0 Check here if this is a change of address. ,», -0 -1~ 8Telephone: 9 PA Y 280-9030E-mail Address TJA #16:h F/ria,UGek CD dm/914. 60,+, AJ 350 rn1 (We) intend to hold the claims(s) and/or site(s) listed below for the calendar year 20 /3, and I (We) have filed or willfile a Notice of Intent to Hold in the county where the claim (s) is located.Reason for filing a Notice of Intent to Hold instead of an assessment work filing (check one):0 Maintenance fee was paid to maintain daim(s) during this assessment year.0 Mill or tunnel sites.3~ Claim(s) was located during the current assessment year.O BLM has deferred assessment work (attach copy of decision granting deferment, or pending petition fordeferment including date petition was filed.)

AMC COUNTY RECORDERLine NUMBER DATA (If available)CLAIM/SITE NAME TWID RNG SECNO.

1 4 //759 Ai TrLE tylift 2014034503 16 UJ

2 9135D,4 brrL~Mia¢144 3.611034504 1 7 N /6 w 163 4 , 99*) 2.i rrlg />7104 # 3 20 / 40395 05 17N 1 6 6·1 / O

Form: MCF110Revised Jan.2006

Page l of 2

' ITERED INTO COMPUTER

- RECEIVE

NOTICE OF INTENTION TO HOLD MINING CLAIMS/SITESpage 2

BLM -O *t £92DateStamp 0

1'77 2= >Z ~504..2 --. :n

0 .4:-971 t.D oW n

0 In1. State of Arizona, County of /*) n K.4 A V E

2 . 1 (Name) hAV / 3 /1 48AA 66.A3. Reside at(Address) 2 5/ 0 A A G LEK 75,1-City LA }cs /4Avasu County MOMA4& State A 2 zip 564 0 4 being duly sworn, depose andsay that I am a citizen of the United States, more than eighteen years of age, that'all of the facts set forth in thisnotice, subject to the provisions and penalties of 18 U.S.C. 1001 pertaining to the filing of false, fictitious, or fraudulentstatements with the United States, are true and correct according to the best of my knowledge, information and belief.

4. Owner's name and address (If not shown in Items 1-3 above).

5. Dated: 2 - ~ 2- (Sk Signature: 0~A.« , 11#,160No.of Claims: 3 x $10 = ~ ?50

Bureau of Land Management Check No: 13-3.7 Init. -t .U .Arizona State Office-.az.blm.gov Receipt No.. 363 / 0/ ¢2

For BLM Use Only

...: . ......... I I ....... I . hon or 6mce corrup,CKup BVELOPEPOSTAGEREQU/RED. ~. Print postage online - Go to usps.com/postageonline

PLEASE PRESS FIRMLY PLEA:U.S. POSTAGE

LAKE HAVASU CIT.AZPAID86103

AUG 13.'12

MAIL Mailing Envelope '°~ $ 18 .95EXPRESS' Flat Rate U.f...STME. AMOUNT

POSTM- SERVICE

00052170-05UNITED STATESPOSTALSERVICE For Domestic and International UseVisit us at uspscom affix customs declarations

When used internationally

(PS Form 2976, or 2976A).

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:,2*f::9

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I~1 EXPRESS Addressee Copy 1EG686924704US Label 11-B, M=ch 2004

VA MAILUNITED STATES POSTAL SERVICE , Post Officelo Addressee

• Mo Day 0 PM iPOZIP Code / Day of Delivery , 1 - Delivery Attempt Tine ~ AM Employee Signatumpoliag.

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Inn Alpha Country Code Accepla44 Emp In,Nals COm:r... 8 -EN=o 1FROM: *Ka~up,-ni p,40"" -1 ' . TO: *PLIASE PRINT] PHor= c I

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1 1 111111111111111'will91~ 44

ireceipt , Page lof 1

LINE UNIT# QTY DESCRIPTION REMARKS TOTALPRICELOCATABLE MINERALS / MINING CLAIMS- MAINT FEE1 1.00 NOT NEW-UNADJUD,ONE AUTH NO. ONLY / WAIVER (5) 2013 / -n/a- 50.00MINING CLAIM MONEY RECEIVED POL (5) 2012CASES: AMC411759/$50.00

TOTAL: $50.00

NAME: FRYBARGER, DAVID H 12510 ANGLER DRLAKE HAVASU CITY AZ 86404-2134 US

REMARKS

This receipt was generated by the automated BLM Collections and Billing System and is a paper representation of a portion of theofficial electronic record contained therein.

http://cbs.blm.gov/cgibin/cbsp/zorder 8/15/2012

PARTMENT OF THE INTERIC'l~EmhREAU OF LAND MANAGEME#~

MINING CLAIMSRun Date/Time: 08/16/2012 09:53 AIV (LIVE) Serial Register Page Page 1 of '01 05-10-1872;017STATOO91;3OUSC26,28,34 Total Acres Serial NumberCase Type 384101: LODE CLAIM AMC416023Claim Name: LITTLE MICA #5 Lead File Number

16.530Commodity : AMC416023Case Disposition: ACTIVERequired Maintenance Fee: $140.00

Name & Address Int Rel % Interest

FRYBARGER ROGER 2510 ANGLER DR LAKE HAVASU CITY, AZ 86404-2134 CLAIMANT 0.0000000FRYBARGER DAVID 2510 ANGLER DR LAKE HAVASU CITY, AZ 86404-2134 CLAIMANT 0.0000000Mer Twp Rng Sec Quadrant District/Field Office County14 017 ON 0160W 010 SW KINGMAN FO MOHAVE

Act Date Code Action Action Remarks Receipt Number05/19/2012 403 LOCATION DATE

05/30/2012 395 RECORDATION NOTICE RECD 1 257873305/29/2012 484 LOCATION YEAR / MAINTENANCE 2012 2578733

06/25/2012 669 LAND STATUS CHECKED

06/20/2012 635 AMENDED LOCATION FILED MAP 259277505/29/2012 501 ACCT ADV IN LEAD FILE AMC416023;

Line Nr Remarks

NO WARRANTY IS MADE BY BLMFOR USE OF THE DATA FOR

PURPOSES NOT INTENDED BY BLM

==05~PARTMENT OF THE INTERICI.%4" ' ~BREAU OF LAND MANAGEIVI®~85*MINING CLAIMSRun Date/Time: 08/16/2012 09:56 AN (LIVE) Serial Register Page Page 1 of ' I01 05-10-1872;017STATOO91;3OUSC26,28,34 Total Acres Serial Number ~Case Type 384101: LODE CLAIM

AMC41175920.660Claim Name: LITTLE MICA Lead File Number ~Commodity :

AMC411759Case Disposition: ACTIVERequired Maintenance Fee: $140.00

Name & Address Int Rel % InterestHODGES JACK 3656 WINSTON DR LAKE HAVASU CITY, AZ 86406-7253 CLAIMANT 0.0000000FRYBARGER DAVID 2510 ANGLER DR LAKE HAVASU CITY, AZ 86404-2134 · CLAIMANT 0.0000000Mer Twp Rng Sec Quadrant District/Field Office County14 017 ON 0160W 010 NE NW SW SE KINGMAN FO MOHAVE

Act Date Code Action Action Remarks Receipt Number10/22/2011 403 LOCATION DATE

11/03/2011 395 RECORDATION NOTICE RECD 1 2455893

10/27/2011 484 LOCATION YEAR / MAINTENANCE 2012 2455893

08/15/2012 392 MONIES RECEIVED $50.00;1 263101607/02/2012 635 AMENDED LOCATION FILED GPS DATA 260157806/20/2012 635 AMENDED LOCATION FILED MAP 259277505/17/2012 669 LAND STATUS CHECKED

10/27/2011 501 ACCT ADV IN LEAD FILE AMC411759;

Line Nr Remarks

NO WARRANTY IS MADE BY BLMFOR USE OF THE DATA FOR

PURPOSES NOT INTENDED BY BLM

NOTICE! !

Box Number= AZ15047

6 Location Notices-Amendments and Supporting Documents

Illl'llil'lillilll Illill'llillillil AZ15047-12 AMC415557-AMC416189

MINING CLAIM STATUS REPORTMTP Checked by MAY 3 1 2012 ,$DATA

ENTERED MAY 31 2012 ~ GEO Checked by MAY 3 1 2012 ~

LEAD SERIAL NUMBER At,AC C -1 1 6 11 B -5> thru AMC

# OF CLAIMS & TYPE CHARGES

# / LODE Location Fee @ $34 = $ 6 4 .00

# PLACER Processing Fee @ $ 15 = $ - IS . 60# ASSOCIATION PLACER Maintenance Fee @ $ 140 = % 116 , 00# MILL SITE Overage (+) $

# TUNNEL SITE Shortage (-) $

Other Fees $

TOTAL $ L 'Scy . 0L-j

ARE THERE ENOUGH LOCATORS?Yes [34- No[ ]

DOCUMENTS RECEIVED VIA - TIMELY FILED?Over-the-Counter [ ] Mail ~ll Yes ~(i-, No [ ]

LEGAL DESCRIPTION - T R SEC

T R SEC

BLM [ ] FOREST SERVICE [ ] SUBJ TO PL 359: Yes [ ] No [ ]

WILDERNESS AREA: No [ ] Yes [ ]

SPLIT ESTATE - N/A [ ] SX [ ] PX [ ] SRHA [ ] OTHER [ ]

Proper Notice Filed if Located on SHRA Lands? N/A [ ] Yes [ ] No [ ]

RECONVEYED MINERALS ON BLM LANDS REQUIRE OPENING ORDERS FROM 1944 TO 1993 -Open to Entry on: N/A [ ]

COMMENTS/STATUS - VOID [ ] PARTIALLY VOID [ ] PVT MINERALS [ ] WITHDRAWN LANDS [ ]

OTHER [ ]

A 11 C 6023

Claimant acknowledges that portions of fhe following claims(s) site(s) may be void or voidable.

Printed Name of Claimant Signature of Claimant

************************** FINAL ADJUDICATION **************************

DATE 6 - 6917 INITIALS 75-

*0 H S N R .- t. oA 060 Nf-- s . Rerun AJ To -.

A066 R FRViSSAGEAA 6/6 AN 62,-A 15/2 1 KE

)-0 ks HAvosu LITY #41 36969

Am ENAMENT ARC 9 160 2.3-LOCATION NOTICE FOR LODE MINING CLAIM -

NOTICE IS HEREBY GIVEN that the BLMDate -- .1..k 1 rTLE f¥) 1 64 *f5 lode mining claim has been located Stamp

RFPE ht

4/600-5

71 irsby IR. o GeR FR YaA R 6 £/R whose current mailing 1 I

address is 645- 10 ANGLEA Th A JVE2-) in'2 JLANIE FIAv,sto c trY A -1 2640 61

The general course of this claim is S E fo /V w and it is situated in rn 0 14 1 Im

County, Arizona. This claim is / A 00 feet in length and 600 feet in width. This claim runs

from the location monument on which this location notice is posted approximately 600 feet in a

/U W direction to the Og 6 sT end line and 6 00 feet in a SE direction to the

EAST end line. This claim is marked by six monuments, one at each corner and one at the center of eachend line of the claim.The location monument on which this notice, is posted is situated within Section 3 6 , Township _liz-_

N , Range / 6 td , Gila Salt River Base and Meridian, Arizona and this claim encompasses portions

of the following quarter section (s), section (s), Township (s) and Range (s) -5 ov 7* - ou Gxr (DUARTE„/<

SE <11*loR j 5 S cT- io* /0 , 1- o w N 1 01 9 17 N , RANGE- 1 6 #

Gila Salt River Base and Meridian, Arizona.

The locality of this claim with reference to some natural object or permanent monument and additional information

(Ifany) concerning its locality are asfollows: 1.ociTED APPROX/rne,-5-LY O/UE /n/LE

Sour14 - EAST OF 1-11 0 ANTLe/k fliNE IS Tea NUALAYA; 13#g)-Alor

DATED AND POSTED on the ground this 1 9 Ild day of rn a 9 :20/K.LOCATOR (s) /1 . GER FA 'r /3 /9 /26 ,ra j 64vlt> FRY ,BRAGER

Rup f o ta*-4 ff:>Q- Form M('FlOORevised July 2005

l'his form is available from the Ari7.on:I Department of Mines & Mineral Resources and may be reproduced.

AMENE>peENTAMC 4/6023

MINING CLAIM MAP 3

Lode *2 Placar ( )' ' ~4 1 mile I

5 E cr; 6.- i oA X DiscovjERY /90/Vvint,ur

G f S Co- 0/K a I N aTESN 39°52,030' w //3'57·707'

NW NE 106 *iT-( 6 iN TH € Sw QTR SECTION

- A)1 Fou/K 60 KNEAS ARE Lock/Ea

1 mile

*3>6 400 . ) F TH E 5 UJ QUA Afea 5£'C-TiON

sret Nw <soANFA is A£50 7-/4£SE S E CoA N GA opTHE LITTLe/n/LA LLA te

*He /UE LoRBER i f Al5% THES & CeANSit OF Tl-/£ 4 i TflE /nic'3 # 3CLAIM

Scale. 1" = 2000 feet zt1 . The above map depicts the ~ i ·r·rLE MICA 4 5 mining claim , which is located in Section (s)

/ 0 , Township / 7 N , Range / 6 W , Gila and Salt River Base and Meridian,

9108Ave County , Arizona .2 . The type of comer and location monuments used are as follows: ~ ~a· ~ UJUIlre eva PITE

3. The bearings and distances in degrees and feet between claim corners are as depicted on the map.Form MCF10Oa

Revised July 2005This form is available from the Arizona Department of Mines & Mineral Resources and may be reproduced.

(/'J H<P' Mt<-0* fhes P Le_ Rer,As 7-6 :

~ 0 GER F/rt 124 R 6/£.AA 516 /9 61 GLER D/R i, A

LAKS *AvASU Ory AL 964104

LOCATION NOTICE FOR LODE MINING CLAIM 1.. , :

NOTICE IS HEREBY GIVEN thatthe l. i rf L Es BLMDate '.

77,6 a *5* lode mining claim has been located Stamp ~' .43

by ROGER FRYaARGER whose current mailing _01 , VU

address is 2 5/0 /3 N 6 1-SR D> R ir E 23 33 711

6AAE /4AVA 30 C\TV Al 26404 ~~~ "0

The general course of this claim is N U RY S ·E and it is situated in M o 4/ A vE

County, Arizona. This claim is J ADO feet in length and 600 feet in width. This claim runs

from the location monument on which this location notice is posted approximately 600 feet in a

A W direction to the Ld B sl-- end line and 600 feet in a 5 4 direction to the

FAsT- end line. This claim is marked by six monuments, one at each corner and one at the center of each

end line of the claim.The location monument on which this notice is posted is situated within Section ) 6 , Township / 7 N

, Range / 6 W , Gila Salt River Base and Meridian, Arizona and this claim encompasses portions

of the following quarter section (s), section (s), Township (s) and Range (s) So v r#4 W,ss r

S geri o /O /0 TbwNIHIP 11/0 R RAGE 16 uj

Gila Salt River Base and Meridian, Arizona.

The locality of this claim with reference to some natural object or permanent monument and additional information

(if any) concerning its locality are as follows: GPs Ea- aRDI <vATE ForK

ANC 4 1mAAHER / 5 /\; 396 -Sh . 63 ' 0,3112* 57 .-701 '

DATED AND POSTED on the ground this / 9 7.4 day of (Y) A Y , 20 JA .L-·J

LOCATOR (s) R 0 6ER F/1 4 8 ,9 $ 6/TA , 64 V / JJ FRY (3 AR 62 g

Reg.+ f/Pu--1 Form MCF100Revised July 2005

MINING CLAIM MAPLode f><) Placer ( )

4 1 mile b GPS 60-ONOINATES

W N W 6 6 K N /5 A

1/v 34*' 50.14' 94,13° 2- 7,16'

(5) b.·> c sr C E /v rG/\

N 34 * SA. 1 ' Gu 113* 5 7.9 '~ ~ 6.) C,/656~

AN.3'46 50.06 ' 44 /120 57.33'

NV\/ NE 8 CER 'TER/9 340 51 . 03 ' w 1 * 3* 57 .-707 /

SE N 390 61.96' N j/3' 57.6/'* ~ E Le/z = 5-/2,/\) 34' Si.gr w /13° 57.452

r -1/-0 -

Scale : 1" = 2000 feet zi -.D , i-,1 .3

1.The above map depicts the 2 4 rr ZE /71,'LA A I mining claim, which islocated in Section (s) 11 -,1-3

/ 0 , Township / 7 N , Range / 6 W , Gila and Salt River Base and Meridiam .. 1

M o 14 A V E County , Arizona . Z>

3 . The bearings and distances in degrees and feet between claim corners are as depicted on the map , Ce-CD

Form MCF10Oa 70Revised July 2005 L·.J

This form is available from the Arizona Department of 1Mines & Mineral Resources and may be reproduced.

RUN TIME: 07:47 AM RUN DATE: 05/31/2012DEPARTMENT OF INTERIOR Page 1 of 1

BUREAU OF LAND MANAGEMENT

Input Parameters for Geographic Report with Land

System Id = CR

Admin State = AZGeo State = AZ

Casetype Begins With

Case Disp Txt = AUTHORIZED, CANCELLED, EXPIRED, PENDING, REJECTED, RELINQUISHED, WITHDRAWN

Mer Twp Rng

Section

Mtrs = 14 017ON 016OW 010, 14 017ON 016OW 999

Commodity =

Commodity Txt

Pending Org =

Pend Org Decode

Total Rows Returned: 0

NO WARRANTY IS MADE BY BLM FOR USE OF THE DATAFOR PURPOSES NOT INTENDED BY BLM

TOWNSHIP 17 NORTH RANGE 16 WEST OF THE GILA AND SALT RIVER MERIDIAN, ARIZONAMOHAVE COUNTY STATUS OF PUBLIC DOMAIN

139.65 LAND AND MINERAL nTLES

4 -906 3399: '2 3985 1 3979 4 39.703 3955 2 39,7111 1 / '.1 :V .

1 3936 9/ 3 39.30 2 3964 13"7 4 396: 4 12 39.70 <X //43965 3 39.70| 2 39.76|1 3981 4 398~3 3990 2 3951 1 3999

- _ i 596545 1 -L- -~39 76

5 '.7 5 3926 -A.. i 0 '/3 965VZ- ..99

1 6 5 r - -4- 4-=f··F~ +--3 -Sf 2 1 'NOEX % SEGR~GAM =B

16 hz, ..A .3217-/ 5 9/7

I..·4¥ ORK NAL V'·tv

6'f Pero~ . 0-/ g ...7 W T . SEC 9.53,1934

(*n C>ly)

ID ...3 A SDI/ A 6079VD #le,~ WD ./.-

39. 1 39.2

L7 39227

el,X C34352

856546

r._<-4. -7- 8 0 10 11 123 3914

FOR ORDERS AFTECT1NG DISPOSAL OR USE OF_ 1 , U.or.L.G ...625 :..........54397*f/76/

4 .. 4 / 6/7/ REFER fC te: /' MISCELLANEOUS DCCUMENTS.I .20.0

4 6/79 MJNERALS. W~ TSR ANO~OR O DIER PUEE-,C PURPOSES

* Ppro~»j.. D/C .DIST NO 2

3.. AZA 2578 ''6-

GRAZING D:ST NO 2

I MDS 419 IE2/

420 NW

- , 18 17 16 15 14 133 39271

3 i 'll /).A /19/23 e~ 2586' * 2.El

4 3939;44jr 604,397 . .r

895545 = *V.

i \ A :7494

01*66) 1 Eq-25' +Il

- 4 BI20 21 22 23 243 39 51 11

- 4z 3555 I 1%.11

~D Ret<.

5555·k

3059' 11

H. g. 11 N.25. -/1 ' AZA 262/6

11 I11

2 39.5

- 4 30 " 29 28 27 26 253 397[ 11

- 4 *-5.14 3977 £..cer * .tur.-... .MINV

4 *2,6 1,~13982 AZA ...6-

21 ~*/ .... 1A M.'23

596$46 / .*4 Reco~ PY'2 39.8 ...2 ...

M 0/5583 ocrR*rc~•CCD Reccr.

- H 31 32 33 34 353 3992

0Sr Or,ty :923

*51 . .Ill4 3998 Ne *.r, ~eed Re*„vx 080.3 DRX 075458

mi 884462 SCI Reur~CD Re-ur 3~·48 '06-NGCD Rercr Lot

Long 11355'35 W

5 LE „che;na WNE~MS ST~TE»% CURRENT TO GS./ T 17 N, 7-12-2002 R 16 Wm. ..--' ....-, ...K'= -I -„ .- ,-

Illl'llilll'llilll Illilillill lillil AZ15047-12 - Bureau of Land Management

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