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<br />MINE ID # OR PROSPECTING ID #: 3 _p a /
<br />fNSPE(:TION DATE: ~- 03- f f INSPECTOR'S INITIALS:~jIS
<br />OBSERVATIONS
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<br />I & E Contact Adtlress//~~ I~ _ _
<br />NAME: i'L)'ll. /L.~1.. cr ^ CE
<br />/t ^ BL
<br />OPERATOR: G/~3'//I~S t„~.(~.L{~ I .~., eC ~~xQYI'tbu,°•~ ^ HW
<br />~ DmC~ ^ HMWMD (CH)
<br />STREE": s/v05 5 /,C. //e./~/+~L• d ^ SE
<br />CITY/STATE/ZIP: ~-c L~,~_._y ~-t~ • ~ ~3 5/ ~F~ ~~OW ar cl ++ ^ \NQCD (CH)
<br />I:M lei w.,,9 /}ld r,t f~,~h ^ OTHER
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