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~ ~~ <br />(PAGE Qa <br />M: NE ID x GR PROSPECTING is =: M - 7 3 - O ~ L - <br />i^ISPEJTIJN DATE ~ 7'% a o 9 3 <br /> <br />`+S'~~TCR S I'vITIA~S ~/ C' y <br />JBSERVA'IONS <br />~G.e_ ~wo Sl ~ `~~ is GL taQcA ~so, G12~: La.~.f:Q <br />~~A~ ~Q~ ~_ /n1 ~ ~ g -th ~~ t.,n/l <br />~~~ <br />a-~o>' is `"'`-~' °'"' ~~~~°" ~ / ~o <br />~ j~~~ ~v //d~nn ~,,~ s to~ / /l. wr ~l <br />_ '" _ " • "" _ - " ' • vrV /I / S7Y~tt~^~- B~' O~N /~ k~/ce Pcv)7npti~ <br />~L <br />~~ ~/ <br />~„2 fev~Stcvf CP-acl~i- ~"-7tn.i~~ ~ ,rY~"~•. Se <br />s l~ f , SO r ~-P~LLGCi -e-S <br />,~ ~- ~°~ y <br />to ~~wy !S °CG~I~-`.v`s~` ~/,a~ ~~ <br />1 p~_ ~ /T~ Ce., ~ <br />leer ~ I~tlnrn <br />py1 r n \~ ~ r 0`~'~`/°fi, ~ C:eU /'eC~aa-7 at-~-o„r . <br />r ff.2~~r vn `r ~"Gv~c~1J~c~/w7 "F Gtv~ ~a~vr.a'riDZ rvr~-~ T~ T~- <br />~~anpO,vt7rai.~ ~~c~r/an.i ~„L~/vtr^"`q ~l ~ ~ /in~'~ <br />/~Q ~ ~~(~""' -fa ~ cam. ~~, r~ ~~!f«r- - <br />~/1~/~iriOC to ~~ ~ ,A<.l-~o>•~ ~ T~ l~t/lSl/m <br />I & E Contact Address <br />NAME' <br />CC: <br />OPEF~ATOR <br />STREET <br />CITY'/STATE/ZIP <br />5~49F <br />