Claim Name Select Claim Name Not Applicable ----------------------------- Soldier Boy/Double JJ Morris Town Lucky Linda Golden Gobler Forlorn Firehouse Congress Group Beau Star Bull Tales Abbey 1 Abbey 2 Abbey 3 Abbey 4 Abbey 5 Abbey 6 Abbey 7 Abbey 8 Abbey 9 Abbey 10 Abbey 11 Abbey 12 Abbey 13 Abbey 14 Abbey 15 Abbey 16

 Member Name (optional)    

 Membership Number (optional)  

 Date Claim Visited   MM/DD/YYYY:

 Your Email Address

 Vehicle Used to Access Claim 2 Wheel Drive 4 Wheel Drive Pickup Camper Accessible Trailer Camper Accessible Hike in Only Other

 Directions/Finding Claim was    Easy (1) 2 3 4 Very Difficult (5)

 The Condition of the Claim Markers  In Place Down / Not Readable Looked for but could not find Didn't bother to look for markers

 Were the Claims Guide Directions Accurate (check for Yes, unchecked for No)


Mining Equipment Used

 Gold Pan       Dredge         HighBanker       Dry Washer        Sluice 

 Metal Detector       Crevice Tools       Dowsing       Vacuum     EyeBalls

Type of Material Found

  Nuggets       Flakes       Flour        Black Sand       Garnets        Other Neat Stuff 

Condition of the Claim

  Good       Okay        Bad        Trashed


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