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III IIIIIIIIIIIIIIII~ <br />999 <br />DaU <br />ROUTING AND TRANSMITTAL ~.~IP i0/2/7y <br />TQ ((Name, oftiea symbol, room number, <br />building, Agency/Past) <br />1, Nlr. Dean Massey Initials Dete <br />2 <br />9. <br /> <br />0. <br /> ion File Note and Retum <br /> p royal For Clearance Per Conversation <br /> s Requested For Correction Prepare Reply <br /> Irculate For Your Intorrnation See Ma <br /> mmant Investigate Signature <br /> Coordination Justi <br />REMARKS <br />Vacation - fJ.O.V. 7}V-1-12 <br />Violation No. 6 of 6 <br />issued to: Sheridan l~terprises <br />McClave Canyon Mine <br />Inc. - J' <br />~~ <br />DO N07 use this form es a RECORD of approvals, wneurrenees, dlsposala, <br />clearances, end similar actions <br />FROM: (Name, erg. symbol, Agency/Post) Room No-Bldg. <br />Office cf Surface Miting, DenverlPhone No. <br />X37-57~ <br />6o~1-1b2 OPf10NAL FORM 41 (Rev. 7-76) <br />Pnicries0 D7r GSA <br />{~~ s~rn.~n%:.~n-^~,-. i, aa,a FPMR pl CFR)101-11.206 <br />