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<br />.MINE ID # OR PROSPECTING ID #: N-~~i"~~
<br />INSPECTION DA1E: 7~'l-1j~tq INSPECTOR'S INITIALS: JG`1
<br />~ OBSERVATIONS
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<br />I & E Contact AddrMess ~~n ~r~-
<br />NAME: ~LR~'gc~ µz.K['~1~~NC//~~,,,, T,n cc ^ CE
<br />OPERATOR: rrU~•1~RU KO~tG~ 7yU~N ~~NG ^ FS
<br />STREET: ~7~~~ ~ ~ ~~.~` ~ ^ HW
<br />CITY/STATE/ZIP:_ Y~yc~~ ~C.J W~tJ'i"7'"f~~ ^ WQCD(CH)
<br />p'f36 '19o Oa6 ^ OTHER
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