|
(Page 2) •
<br />A ~~
<br />MSNE ID # OR PROSPECTING ID //# ~ -~~ - ~~
<br />INSPECTION DATE ~ - ~ R'-'l-l INSPECTOR'S INITIALS$~
<br />T1n.~._ ~1.~,~-~.~,~.,v, w,,~d.~,~~ ,cam ,~ns~.J..,-}e~•~a`' •u,,v,.~~-~,~}~ ~,;6 ~~
<br />Z~ ~~. ~ ~ ~ S ~ ~ ~a-Cc ~. ~n,c,~-h.o~n ,,,~ ~,~,c.tn ,;,,p ,wv,,,~,,~d~
<br />.~,,,,.~,,~~,,,,~,,,~.~ ~,~,- ~ per- ~..a.~;.,~ ~~~.,~, .
<br />© ~~ ~'~~~ i~ --ems- ~~,,~~ ~. m a.~lnn ~2,`~ o~-~e~,
<br />--~8 Sl ~ -~Q,`~ W -~,o ~ .~1-~~, ~b -1~ rnn:r~..~~n '~-} a~t~xvx~
<br />~tY~.v~rcr~ '3.~uv~~ ~ W-e,afi ~i`~Pn wn,Q~ u~ ~~ ~,~.~, ~~~.
<br />su.QQ -~Q,,-~ o.~.x~ -R,~ u~ /~a.~sw~n~ ~,~n -~n-t, P a~-}~ -4e~J W es~K-o .
<br />5~ J~~ _Rs~~-',;,~...._~ ~~ WL-v.-11C9`I~-~ C~.~TZT~e~I~~-J•M ~`^'~~"`'~-rv`'~1.:
<br />~~ M o.>,v~ ,~..~ ~ "`"~~ ""~~©~~- -b -~vc~nr2- ~usUn /~-R-~c~. bti-~ ~
<br />~ ~ S1-ec_,~ ~e-~n~ ~-e-~1,,,~. ~n ~. a-e-cll. (~~-F c~~c~., w ~ ~~
<br />C.6~4~nn~..e~n ~~~-c.a.~~^^~ -~-~. P aid. waAC.~r~~~~~`'"'~".c 1'~~a,r, a~~.SL.~,r~` S-F~-k
<br />~~~~ o~nc~LJ~k""" S~-}~.~4~ ~e""~`'~`~ J~ q"q,~ I,(,.o-1.~.
<br />~.~„~-t ~~ ~.~.~ ~ own rn ~c~..~o 1~`'~ _ -- U
<br />CERTIFIED MAIL NO. ~ U3 yo2
<br />I a s contact Adf~e~~ I~ RECEIPT REQUESTED °°~ o ei J~,~ Ind
<br />NAME 1'Yl (~ • ~ a`-d J Ol't.110 o Fs
<br />.~-~ ~ D
<br />OPERATOR ~ l) Wl, lit (^17l)l~{' I -1 0 HMWI~ (CN)
<br />O S6
<br />STREET I ?, L n 5 Crt1?H/~ ~~ ~ o wQCS (Cfi~
<br />(~ l~.Lll~~ l !l~ 61~/rlla ~~7, O OT't[fiK
<br />CITY/STATE/ZIP
<br />
|