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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 11,14 q,go l a/0 From 146 �✓I�/iG� �7�J� <br /> Document Date L4 —5' To P <br /> Index Class Type C"��� Minerals Contact(s) <br /> Document Name <br /> Revision Type(?) <br /> Check Box if confidential <br />