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/~ _ <br />• 1~l1INE REPORT <br />264 <br />OTE-Pleue date report. <br />nlrt name or neh claim bdoatlap to 000DaeY of trouD• <br />Ft71 in earefdlY--MHN HMPLOYHD. <br />Fdl ou[ black en oDpocite dde sad dya report. //~~ • <br />~a cccc~~~~~. cold ____~~__.G ~ isle. <br />,_ ..:,..r:a, a.~.,_ <br />;: R.. 23srre~a, Co>zxlssloNrac oe 711NPS, <br />Dsxvm, CoF.oaeoo. <br />Sla:-In accordance kith th~ejLn ve sect'on, I submit ~por~t Its Foll~•s: <br />~alne of claim or claime ____.;,1_J.v4........../.._.'U..~L.S.~ '"ti:`" ?~-~`~ - -- <br />~J <br />Location __L__~!~..---L.__..._. _. __.---.._.____._...._ ~.._.._--..._..._..._......_._........_......._._..._._..._......_....._.._...__. <br />7fining District _~___..._... ~.. ~C~-L.!~t/~4.___....._ County ...~........_......._ .................................._.......__...... <br />Ouver o~ow~le ~ and address. ~....~':?f....._.._J.~ ._._'~~C~Y~.~~(_....._`L_~.c.._.....___.._~._..._.....__ <br /> <br /> ;~0. Ii Al19I,YI.7,. <br />~O. I:IdI'1//Y17,. <br />7hu:hine.llrillnu:n, ~k ... ............fnr.._. _..hnurxhift. .---- I;nkinrclx, ....... ~__, ...Por,_. . huurxhift. <br /> <br />96u:hine Ilelporx, . <br />+k <br />for...... <br />....boureluft. I'uw uncn, ....... <br />1 +y . --_.for_ _ huurxhift. <br />__Dlinrre ~. . _ ...for..._. __huurxhift, - _ I^ireuu•o, ........ IM-- fnr __honrxhi[t. <br />'1'ind,ennen, ,..... ~.. .....__ _fur._, .._JunlrrlllR, IShu:kxrnithx, ..... ~ <br />1 .for ._ huurxhift. <br />Trnunnerx, ....... As <br />for., <br />. <br />_. llUllr Mhlft. <br />~I'L'11111xtU1'N, ....... y <br />q -- <br />---. (gl.. <br />.....hllllr Mh{ft. <br />Ora FSrlrlrlr k_.. <br />_for..... <br />hour xhift. <br />~ __F'orxuu:n, ........ <br />_. . 4 for ....honrxb(lt. <br />- <br />, ...,, <br />" <br />I <br />~ ~ <br />f0 .11411rehlfb <br />/ - I'{IlperigtL'rlde/lt, .. /b - -.....fur... .....IlnllrYhift. <br />. <br />UIlllle/l, .... ..... ..... <br />~. . <br />...... <br />Of(lul llrlp <br />~6 <br />..fur.. <br />_..huurxhift. <br />falx,relr, ..,...,. qs <br />fqr... <br />_.... <br />... hournhlf6 <br />, <br />'N <br />.fur. _._ <br />_hrulrnhift. <br />Alewyere <br />..., ly-_ _.~fur._ _. Julurehifl. <br />7lilluum, ..,..... <br />_ <br />, ,... / ~ for... . bunrxldit. <br />_......._.......__............ ql.,._......_G/r......._.hnurxlllft. <br />Averupe uunlher of uleq eugdoylrl !or tbu yrur 1U1.... ._... .... <br />........... . <br />Cherueb•r end velua o1 ura _...~..,. _.... _ <br />_. _.. _. (Over.) <br />.'~ <br />~~ ~j <br />f I', <br />Fj; <br />rv fl, ; ~~ <br /> <br />L I ,I ~ w <br /> <br /> 14 ~9 <br /> ii , I`f <br />; <br />. <br /> 41 <br /> <br /> i <br /> <br /> ~ , <br /> <br />' ~ <br /> <br /> .. <br />