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t ~ .__ __ _ <br />.~, <br />y <br />~. ~` <br />~, <br />Name of Mine :.-t~----5`f`"'-==`~------_--°";-~------ _;.~ <br />/ - --- --- <br />~Date of Onginal i,ocahon ___~ ^~~~y _ -___ _ , <br />ou ~ --- <br />locati ss __ _ _ L__ _ ~ -1~~ _ _ <br />--- --- <br />Mining District___ _ <br />County of(. __ ___ _ _ ___________State of Colorado. <br />Title.---if' ---------- -- -- - -------- ----..containing--~--+4-' <br />--------- - Acres, <br />~ ,Q' _ .._ <br />---- <br />vested ia----~IZC----`-`f - - --~=------- - .__ C~ <br />---------------------------------- -----------------C~~2nL.~t~c~~fi-- -;~~ ... <br />Principal Office located at____~ _ • ~/j_.~~_____~ __-__-- _- _ <br />Branch Office at _______________!,.______-___ <br />Name and Address Officers._-_-_-_---------.------'--------------------------------`-------- <br />Course of Claim.(~__~/___ _ _ _____________Strike of Vpein __~~__~=~'__ `O~O~ <br />Dip of Vein ----- - -- - ---- ~G_t__--------------------'-- <br />--'--- <br />'------ <br />Altitude at Main Workings __.___ _.~-~'(1 __ ______ ____ _ <br />lam!) ---- -----------------°------- <br />Character of Couatry Rock _ ___ ___ ~ __ ~ _ - <br />Character of ~rem______V= _-~.~-...._,:..,~ =~___ yf.__ <br />Character of Walls or Enclosing Rocks_____ _ _ _ _a_____________________________ <br />_°- _ .__ <br />--------------------- <br />Character of Ore-------•-C~~ --- <br />~7~, _ i, <br />Ore Occurrence ._______ci{~c6frl~t<~n_ __________________ _ 1 <br />I <br />----°----'--------------------------------------------'- ~I <br />-L --------'•----__ <br />Dev o ment Ventilation Sa ' C <br />P_ r ~ Y Condition Exits __~,L~11___i,.t _--_ _ ~9_ ~- <br />__ <br />' _ <br />-f~- -- ----- - u- --- -- - ~ - ------ <br />---- - - <br />-- -- - <br />~----.,.tip ~.~-~-----~~-- ---------- -- ~ ---- x*~'`~ <br />- ---- - - -----~'~r~- ~.------------•-----------------~--- - -------------- <br />V. :J1 4. __J <br />