|
~~ • (Page 2) ~1 •
<br />MINE ID # OR PROSPECTING ID # ~•I~~3'"/~/
<br />INSPECTION DATE 7~2 S~9 Y' INSPECTOR'S INITIALS
<br />~7 OSSER~ VTTIOr7 a / (oC /
<br />-~,~_ [7~ w std- ~is/S~ /.~e~ey'/coy, /y~o A-~e_ %~ CoY~e ~zvC/W'~ aa..cvrzo.~f-
<br />die.2n ~~Q co~w,~1~~.~,.R ~ [~'+//sc'y^n ~ •rK,d./K-e-/cm;
<br />,'t~~~/jn ~ T-f.,,a,, ~ loth/ /~~ . Ti.r 6fttr-/( , ~,,.,- o l~vtrf~s
<br />C~U~h ~/'asz~-/ l'o/Y// /nom- -D. f~ur~(~ 17w-~o Me~afs
<br />136 Maso-v~/TowK c1 Caa~f.QL~t/~ ~ ) /~.c~
<br />~,1~- aar~ a e,-e4.r~° Gtc ~~- ~ ~
<br />-f~~~ J~,` ,~py,,L2r/1rr~S ~I-O~-~'^'4." un '~'Gc.2_
<br />~,Qe.pz~ ~/~ "~//~~~C Cl~77e~~yrttC0.C L2.MaX/% !~ " /y / .
<br />qL,v.~ ;rt~~.QrQI,L//1~ TG~L Vi /lSror~ s[ 7lnr[, /`~u.12 /E~~- d~ D~~y
<br />7 rNN ~ 0 9uX /~n n of A- r-taK ~wr.., y~ X00 7ierrv~- ~A.~ ~-7
<br />,•- rk~/~,,,",.J ~4. /Y1o Towne! u..,~zr U~fn.t_ ew1.t~Pcslae~~.,~
<br />,j(~ -~ (n~ ~~"~.~ /n~nin ew,k~~L2e ~ ccr /her ~;~c/v~u.~.S~~ .~ ~6
<br />I ` ~_ p~rZ crvr~ nSo o .{~_ L. S~G~d-_
<br />~-l~w.aQvw2~0 ,Fv~.u~G ' C.v,.L a.~~a -~u-~lcs ~u,Pite_- rem.Fn/.~ R"ca~~
<br />6rvt ~ualc, (~CV~enn 1-grater maL~c~~ -~.oi?~ •fhe v~-r C°"""' ~ (o~-
<br />Soo r1 ~ CAD M~ 1 h e-,. wiu ~¢i.-~m/e ' t~ ~
<br />© ~ 3' l~.v„--~ u/w~ Cov~az~r-+.-~~ v~.. ~i.~ do~.~.wl..~..GQ d0~
<br />'{fi-e or2 0/~ G</~~ ~yl~,ee~co;,, YS'-en'~r,~ ~ 7T/- -/~..c.~,.-can ~t-~iin~~r~~
<br />/ / C~.ou~~ ~Z..e ore y/c~ ~.e
<br />~ ~" CN I~
<br />~,y sP~ ,e.,~.~ •~ fla- are.qa~~ ~ ~~ ~ a,~t~~,~ A
<br />a~,..~ cam- verb laL/ "`
<br />~in,.~,,~u,,,,,c~~- ~ r.,.a~r~ ~ rte.,, fug /n~.~ >~ rei-kca..e
<br />4 _ ,~~~ ~+„max o~ /h~ ~-
<br />f~l.~- ~ o~ yCr.,v~aK w~t.,.e P. o, l3oyc So9eS
<br />•~ 5~; WA 98'/08
<br />-fu.nr/ /~+~s-Q ~ _ /y~r fc sfcen
<br />I 6 E Contacyt/ Address cc : ^ CE /Y1 t V~~ ~~ r` ~ ~"~"
<br />NAME /~~/h e- ~ C4 rJ'V~ Ri'! ^ FS Lc~~mOn. f' ~O
<br />^ HW /_
<br />OPERATOR ~O/Yl~ lrie-, ^ HMWMD (CH) ~ eci '
<br />r1/~s cit:VYL~iwJr~G_ (..G'iY7,vjo+-.. ^ SE .O. 13a ~[~F7~ ! /"
<br />STREET 7 ^ WQCD (CH) Z1o uRdP,Q,r~Cp
<br />~^+,,~.,, ~ ^ OTHER 803ab
<br />CITY/STATE/ZIP ~/ W ~03oz - '~06 m"SO~
<br />~~fgvwn o~ (a(d Hr~
<br />Lla~~, ~~080306
<br />
|