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<br /> MINE ID # OR PROSPECTING ID 4:
<br /> INSPECTION DATE _ �"I4,q
<br /> INSPECTOR'S INITIALS
<br /> OBSERVATIONS
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<br /> I 6 E Contact Address
<br /> NAME bC>f.) 1TYZ2 CC: J1t t STeUet.Ts
<br /> OPERATOR 0-O t"TP12. CC))eloj
<br /> STREET I A ` -5L Lo. 6f}y4L(b 469- 4 SLI
<br /> CITY/STATE/ZIP L,4Keul mn Co . '96329
<br /> 5749F
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