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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 <br />Document Date <br />Index Class Type <br />Document Name <br />Revision Type(?) <br />(II Zoo '073 From l <br />(10(2((c' Dpin,- <br />To <br />ifk(r C'( Minerals Contact(s) /1 <br />Gr-60,yi )O(1 ilort h.) Pr5ra <br />Check Box if confidential <br />