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<br />(PAGE 2 ~G <br />MINE ID x CR PROSPECTING is ~: ,r - Z Z - ~ ~ !~ _ <br />INSPECTION DATE ~~l_ Z ~1' <br />NS=:.:'CRS INITIALS L~ O <br />J65ERV1A'IONS A / / <br />1~ua~ewvy r,~.,. ~~ /Js~,--,~e-~f-r ~•s~ s (~f o .F/ M~ Y~ To 6e /~ <br />IGG~rp~ • ~`~,-e cY~s f~ P/e+~~¢l y o 6 fef-~ve~ wf~G~ i ~- f/~~ e 2 ~~~ ~rX*til' <br />d~-cL fo ~e atae~~ J 7r~i~s~e!'y.•.-. ~ w~ ~.,.'rs...ri+-~.~. 10~ ~~-o//~jf/iks~~/*ceJ <br />~1 s~r.~~rt/e YGQ~~csr-.- ~py~l~~LGw ~-GI~/~Y~ h~ l ~G~'Gr 1'lces/S[~f <br />Ow_ft/3[L~ C o ~ /~ Q r TL~~C L ~~o-mac.-~ a ~"'- //tie Go/ri v~[7`['14+~- at-/-+P-Q b~ <br />w/lui~,. ~-e y f/dr,~z.~ Z ods'~v4~t~ aYEl~f wGc-~ TL~-~ f~~e <br />b e eH. o~s~.~-/9 ~ by r4 ~c~.., f>~ ~c.,,~Gd,,,~:1~~['~1 fo fC~ ~e~j-ee ~~ <br />!7 wprrX~' roc i ~ /~rca~i~- w~ 7~o y~e~../~/ (l ~~ r t I~ ~s ~cre~ <br />wtLj e~~o+-~ f2 roa.(' ~s...]Lq~~ty~ ~e n~[ke KOf1~- -~ f~~e r.~rKe-P~al~-e>~ <br />a~-~ r:.a ~e 1h°I`~/.~~.~.~/ a ~ ~Ve rcvrH-e .. Il- 6.i./~f e~~r~~...I ~ Y>zT ` ~ivL-•- <br />y4o~ G~-QsC tJe~ wf~ ~c e,C~j~ {Q~/.~ ~fGGGS ° // <br />'>~e 9u~-I~C-~ fkce 7`~~s .tfl~u•~.~~e ~s wf f//~ru 7~-e ~rv~laf ~X <br />Stae a,^'~ ~,ss.~rs«z f 7~0 ~tn.~~ f eirr 9~f`~`~/f ~d`sf~G~•-tee! rf /~1~~ <br />b e x~c ASS ~ ~~fuD~..-u~.:~ /3n r fa acao+~--e 452/ e 7Z~e IJ'o~f G72Y~ <br />g[~i.- /~r'J3n/~lZ ca-,. .1t~ 7~1.~:s ~iy ~~r;~ TGze P.y~~s~ y-~."`. ~~ /mss <br />to ~ l~o4r' ~v,_ ai~'~a--~ Sl i+:.e ~o p/e rr~ e ~ ae ~~ KeCeflQ~i 1 t-s~ f <br />c2se 5~.,.._.,.~lir~c(~ ...~. ~ ~~/><° ~ [ fs /fir /« ~a..-~~.- ~ ~~. <br />~o tH-c~~~ rec~as-~'~~«-- o~ ~( di-G.~S GY~f~~4~ bC/ 1~+~.-Arco--- S~~ <br />~/[f~,i,~¢. ~..e P Q ~~i~. ~ 7`~/i/S <S ~.~-Q ~/ .Sfjrt/JG~ <br />1~e1•w^,+~1~ r~ w~L~up~` ~`GGFu~//~ t~'-~- 2~+-OS-~ w~'~ ~"'~f~y'tf «"~jt°.r <br />f~ fm..-2 n.i7r•}z` idL~ ~ ~"lvee w ~PO~E~u~l sl Q kCw j12 ~Qin---~~ <br />I & E Contact Address <br />NAME CC: <br />OPERATOR <br />STREET <br />CITY/STATE/ZIP <br />5149E <br />