2014-06-25_REPORT - P2010006

• Permit No: P2010006
• IBM Index Class Name: Report
• Doc Date: 6/25/2014
• Doc Name: Annual Map & FW
• From: Earl T Savage
• To: DRMS
• Permit Index Doc Type: Annual Fee/Report
• Media Type: D
• Archive: No

Fikd for reoud the_W..,_.,ds7
Reception so- -_..—_ 1By....,...,....,.....----._._..------,....�......._.W....DFiP91'Y• -
(=13 MAP MOIST-BE ATTACKED TO LOCATION CERTIFICATE)
MAPOF.......................................•-_'• ---------------LODE
attached to and hereby made a part of the Location Certificate,which map is prepared from an actual
field•survey of said Lode Claim.
1. Name and Address of Discoverer of Claim:
Nalr►e............ ..............---------.......................................................................,........................
Address-------------------------------------------
2. Legal Subdivision of the land upon which the claim is Iocated,if such land is surveyed:
...............---•--•Quarter of Section,....................... TowasWp------._..__•-•----)Range----------._------
of the_...........................-Meridian,in the Coulity of..._--______-__._..___..------..-------------------State of
Colorado.
3. The claim pattern with courses and distances of-the boundary lines is as follows:
i t
t• '
}
i
t r
REC IVE
JUN 25 7014
r DMSION OF RECLAMATION
MINING A I D SAFETY
i
Qesle: 1 Ineb sends NO feet
Datedat..._.--........................................................... Colorado, this............................................-day of
......--•............................................................19........... .
........... ...............................................................(SEAL)
.......----•................................................................(SEAL)
..........................................................................
(SEAL} I.
4 ------------......................................................I..............(SEAL)
Il .............................................:................................(SEAL)
.................................... .. . . ........................(SEAL)
�. LOCATOR.......
THE CLAIM PATTERN MUST REFER TO THE NEAREST SECTION OR QUARTER.SECTION CORNER OF
PUBLIC THEE CLAIM ONE THE GrROUNDUCAIN-DI& READ LY AANN'DTACCURAT LY ASCEORTA NEE)EO' 111
FORM t98 LOOK LOCATION MAP—Ma e.V. R s s LrrHe w„oa.+vrw,—6.