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• (Page 2)~ • <br />MINE 1D # t?R PROSPECTING ID #: ~Z <br />INSPECTION DATE: ~JI(QIQG~ <br />OBSERVATIONS <br />~~1ll~Qp~l%-1 1,1Rd ~.~~ fill, p~ AQfit <br />~,-~e~.uou D~ few ~~m,~ ~~aw~o~ <br />P~ -~ ,~u~een-Ec~~tk ~ud-1z~ ~pe~c,~ <br />INSPECTOR'S INITIALS: OI<<i <br />Q ~~~ ~ a ~~re~eu~c`~2 ~ <br />~~ ~~ <br />~vt~-a, `fit) D; vr~is~t ~ '-c~ a mpo~ 1~ ~- <br />1ryui~.e ~ iw ,~~ ~, `il+,~ ~~r, ~a~n N>Acva.~a~,u. ~zuea ~ uan ~~ <br />~,u~:~t~e t~'nl ~~ Rau ~~ . <br />~~~~~. <br />F1,+ , ~G,auw~Q ~u~+ ~~ c¢~~ f,1~tt P~ ~~ ~ u~a u~ll'~ t~t~h ~ ~ <br />`!P~ a.d, u~t~.0(~ a~ act a ,~eoZ~.~u, (~~ ~ ~ ~ Gzt1~P <br />Dig a~:~r'G~ o`tG:~ ~cc~ -~+, ~n'u~-C~ ~,+~.~~~'~P <br />h~.~rJkt~uncol~P,~~ G ~tG~ I~ P~ u-~ ~e cQC~.v~+lQ c~~c , dew cb s~.~ <br />lit 1t~ 1 P~`I-~t~ ~,u~ cte- ~c~,~~; Try ~ fnc~ e~.P,o-~" <br />~+~ . <br />U3r~t~ Q tM.~¢ ~ ~ (~dek. ~ t;~n~ uBF~~ t3F- 5 M~~ F 7 ' `(~i,i~ U-ti b~,~,~ ~ <br />U~t~.~~ 7G,a~ 8,~iz', lei, Ka t~ 3g, 4Q; ~,Pi~1, -~itl~nm ~~Q v.e~'~r ~ tG.Q <br />Lv~ C~siiu~. <br />. ~ ~~ <br />,uiti~tG¢ UP,~wwmti A~{ae~$G 1~ V.~o~eco' A~eeefia~b~~uuar,~,~ UPS. <br />I & E Contact Address <br />NAME: MRS ~~ ~N~?v~ cr ^ CE <br />OPERATOR: ~J~'~ ~"tDI~`T~II, ~~}" URLEri .~.11L', CI BL <br />9~ CI FS <br />STREET: I~~O~ ~~~0 CI HW <br />CITY/STATE/ZIP: <br />7~N~-U(S CD ~f~ri2-O~fO !!((Cil'WQCD(CH)IXat~IeLNER <br />~~~ ^-~~ ~ C ~~ C OTHER <br />Cc~=STIFIED MA{L NO. Z 1,1 J <br />RETURN RECEIPT REQUESTED <br />