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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 />I"1 ?dG/d From /L) yies <br />/6 26'4s <br />To <br />/za/ )9(j /.`14 <br />Index Class Type Minerals Contact(s) % <br />(-) <br />Document Name <br />Revision Type(?) <br />TkV1 <br />Check Box if confidential <br />