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<br />MINE ID # OR PROSPECTING ID #: K-77 ~/g
<br />INSPECTION DATE: `~~ ff -~ g INSPECTOR'S INITIALS: 'JD
<br />OBSERVATIONS
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<br />I & E Contact Address ,/
<br />/:Jre..^..~a_
<br />NAME: cc: ^ CE
<br /> ^ BL
<br />OPERATOR: ^ FS
<br /> ^ HW
<br />STREET: ^ HMWMD (CH)
<br /> ^ SE
<br />CITY/STATE/ZIP: ^ WQCD (CH)
<br /> ^ OTHER
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