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<br />{Page 2) <br />MINE ID # OR PROSPECTING~~/ID # ~-77-522 <br />INSPECTION DATE r/j3 f`2i'~' <br />~~ <br />INSPECTOR'S INITIALS <br />vn~anv~aii~w.~ ' <br />~`~ .{y,~_ ~a-~w~a-QCc/,wyoti.~....c1C ~e., F~N,st.r. ~ ~~2 / lc~w, <br />J~'~ ~ ~. p~.s-~ /a/cx. ate. , /~ ~s ~ <br />•-N_ lL ~•~/1-/•TOY ~ S/riCQ ~2~rIStTS_ ! ~ ~~ ~~ o <br />/lOul /'2./ -t'~~ Tyra-`rccr,~,s ,~o~ Gl/ua/1-. a,~ea~ d?~f-~~- '~- <br />~.A- ~a,E„- ~li^'d °~ ,o.(,u.~" i•s v /.Y.,i~fao~ tic. <br />A~~e- <br />,~e~~"`~ ~ ~irn,~ Pxw.~~o ~irs,~ <br />/- 7j,~~~ ~'~sx,Q lam- ur}-aA- ~ 3,'( a~ .FY,,#~i- <br />$S' `jD90 5lo-~r~i- ~ ~.r .fG.rt_ ~~hrx~-Q- /s r 'rc, <br />77ta- ~ /oy~er6,~~,.~-~U~~4D°~ s~~ .J s°I,~.R' <br />.~..p~ti R,,,,.Q_ .ur~c.~.t.~-1C~( ~' I"R~CO.o(R.(~ <br />/S <br /> y c ~ <br />yy <br /> <br />^ BL <br />^ FS S//~(~'t¢ 7~L.R S~a.~i Enr~~zce1 <br />" <br />~( <br />g~8 <br />~ <br /> ~0,~3 <br />i vlr~au~ <br />iy~ <br />^ HW <br />^ (CH) ~ <br />T7 ['.,+~/er~ ~-'o/era~o~0203 <br /> E <br />~ <br />~ <br />'~ <br />~ <br />^ OTHER ~ / <br />ix. <br />•• <br />-o <br />o~(o 4G?O <br /> o <br />~ <br />~~-rti ~~ Q~ADGO <br />I ~ E Contact Addre6s <br />NAME ~y ~P~ ~~~/~c6/../J.r,~s.p~ <br />OPERATOR /C!V'~f' V~•^"~'-y /~oc.1C ~ ~KG, <br />STREET 3~?~O ~ill2S't ~Oi ~~7••~~ ~K ~67 <br />CITY/STATE/ZIP `-l ~'Q'!•~1 1 """ oVL3Z" <br />