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<br />MINE ID # CdR PROSPECTING IO #: <br />' ~ ys-. <br />INSPECTION D.gTE: <br />r"~ ft ~15t'~1~74"T l ~ C "TF"1 R-{' -~h t "t W.t) <br />1 L iZl) dim I j -{v Hfr~ t ~r~ <br />(Page 2±.'L <br /> <br />INSPECTOR'S INITIALS: <br />OBSERVATIONS <br />-~ ~+2,e s 4Y1 ih~ I rn uM DI Siu RP,R~t C~ U N D r~jh~ <br />E~~~'©c'.D • S It~l c.r fl- c-~oeD I I~r G -tv +in ~' <br />)~"e~RJ '~l-~ C BUR!=*~-t SC'2V I C,r l,Jn I CH HOLD 5~ 't-N.c . 2c ClPtn'~,4+~ ul~~ WfiQPM1-nlt\I <br />~Q ~t Sly ~1.~ 5~-!ISF~t~ W rTFf' 'tlnF iZ~Lln,v+f;f-IO~I" ~.1-w2+S~ '~C O~E52.Mv12 <br />)+~Sy~~G;\~( t~t-t_w~ oP+I oNS •O ~ ~v~-t A F ~ ^I HIV C I ~L wnp.eM\1~~2c1r'tk5~ <br />M ~n ~r_€~ ti ~ ~CoeDirrJ c..~ w~ '2u l.t y- • 16' or ~-+~~ <br />.cN.~jtQ;.un-,.t1N.-,,M-A..:t~"~,,~,~5::;.,(~tkt:r-S-~-IE1-{S l:r{~LA~}rt~l5 p~~~i~"~' <br />E <br />h r -~ r I f p [r) f~r~m I j /,J 1U A 110 (d~ Pc'4m I ~' W H I C_ rl w o(,~~ ~ <br />~~l.ot,~. -}~~ E o~~4.+tiv;~ ~ D/ S-IuQB u~~N 9:.9 ~c2c3 ~~'D'~oSt 1~ r <br />~Pr'~o~R, ~-}t= i.LJf~~ R hN-E\f W 171-1 -tvt ~ 102 c~,t~ S14~(~ Lr ~ 2. stn c , Ncetrro>rA <br />RC12~(rt: .. , <br />\ >-Z- "f-Gt r 2 Ez LPr I M F ~-~l p~~ srtc.~ R a r-0 ~ A FFc~"c~ A c e E1°~ G-r W A S (,., P L_ k c~ij R nl ~ <br />1US PtZ-(~D , ~I ~ ~n woe 'D2 0 ~l cm ~ 6tL~) • .. (Y) ~ F 0 a c"'P m i T S, ~, ~\I w A S i 2 ~ D r1~ \' <br />'cli1~ I N ALL /~ F-~-C'1 L~ ~ ~~ I ,~fC4 ~ ~ ~ 141Zf'1't 5 <br />=oe~+".st~xv/ct- 2t~erst~,+,~+Iv>:S war ~~-~c-tc~ X21 u~ t~ -±,-t~ -~~s~~on <br /> <br />CERZJFIED MAIL NO. ~~Q g(c 5~ <br />RETURN RECEIPT REQUESTED <br />I & E Contact Address <br />OPERATOR: S~t711C ~S Fr'3~Vr: <br />STREET: ~ ~ I L l t) A C~`pr~~ <br />~j `~ <br />CITI'iSTATE/ZIP:/1[/)~~O ~I~QI!\/~r~ ~ ~~ ~f- ~Uf`~ <br />.. <br />~ J' <br />cc: d CE~~ ~ S-ft~rl.~S <br />a BE <br />^ FS <br />^ HlN <br />^ HMWMO fCH) <br /> <br />^ WQCD (CH! <br />O OTHER <br />