Form Mine-Cert - Application And Affi Davit For Certifi Cation And Approval Of Mineral And Coal Exploration Incentive Credits Page 4
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7Applicant Name__________________________________
Part V. Exploration Activity Data List
Please provide a summary of work completed during the year that includes, but is not limited to, 1.) the number of core
or rotary drilling holes completed, 2.) chemical analytical data available, or 3.) aerial photographs or a topographic or
geologic map showing the location of drill holes, sample locations or other exploration activities undertaken. Attach as
many supplemental sheets as necessary.
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