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Laserfiche Index Form <br />*Please fill out/add this form to the top of your document(s), underneath the barcoded cover sheet. <br />Permit Number m5 —03c) <br />Document Date l LA,( Lt;— <br />Index <br />Class Type <br />Document Name <br />Revision Type(?) <br />Check Box if confidential <br />From Keo- I•I CV eA <br />To 1pll� <br />Minerals Contact(s) 44-7e�5- <br />