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<br />MINE ID # OR PROSPECTING ID #: ("[: - g7-~ 01'1
<br />INSPECTION DATE: 5-67- ~
<br />OBSERVATIONS
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<br />I & E Contact Address
<br />NAME: ~ ~ LL Y`2
<br />OPERATOR: L~(~/LF{-tJp~ l~C A-R2./eS
<br />STREET: x,76 S0 _ I ~`TN
<br />CITY(STATE2IP:~/,~9-~ l.~ L~ L.B-, O ~ ~ oZ
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<br />C~/kR(.L2 ~R ^ BL
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<br />3 470 ~''~ ~'~ O SEMWMD (CH)
<br />~J4rA?D~ ~T~Y ^ OTHER (CH)
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