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<br />MINE ID # OR PROSPECTING ID #: /''~- g ~-(~ ~,
<br />INSPECTION DATE:_ 3 -/ (~-pp
<br />INSPECTOR'S INITIALS: J
<br />OBSERVATIONS
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<br />I & E Cont~ncf Aadress~"L D 7b ~L¢rhOJ ~e Pre,2~rr2a1-7ZL~n?~, /.f- rNaTe,4' ~ rJ L S`} (<~e~.TY`
<br />NAME: 1~.t7-J ~u,P'(WGF-r--7- ~~'"(E'S J/~.U~1L~S
<br />cr. ^ CE
<br />OPERATOR:p~l4-7TZ.Q l~yu ~c.J9'/l-! ~e$OU,Q(re~i (rU~ ^ FS
<br />STREET: !'- ~ ~c~ir .~10 t'IA-~rLLOLrY~ ^ HW
<br />^ HMWMD (CH)
<br />CITY/STATE/ZIP:_ ~j,!-~,/J ("t,~ ! ,c~ H!~}2TlNE''~ ^ SE ~
<br />/ ~~. P.o , l'~ bk" `F~. ^ OTQHER (CH)
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