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2"/1 <br />Name of Miae _______ - <br />------ <br />Date of Original Location _____~__ - ~!~ 9 G <br />n'. -o - - ---- =------------------ <br />--------- '~ [~i.~_~C .LC <br />---------- <br />}fiaiag District ______ _____ <br />Count}' of__ _________________State of Colorado. <br />Title______ ~__~-.~1'__~_--.~--------- ~ ~ -___ conta~mu 3 ~ <br />p -~-'-'--- g-- / \.--Acres, <br />------- _- J ~ --- <br />vested in-----•--iP---.G_U -- ~LGcIJ~=_=---•__!.U'a~.u.ay_------------- <br />"70 -------------- <br />Priacipal OHiceLocatedat_________{~CV+-~- Ce-GGa..a~y ~Q,~-(~i - <br />---------- ----- <br />__---- <br />Braach Office at------------------- <br />Name and Address Officers________________ <br />----------------- <br />Altitude at Diaia hVorkings______Q3 L!?~ ~- _ <br />CharaMer of Country Rock ______~~ ~-..~ <br />Chazacter of Veia _____l/_a--~ ~~ _,~~_ <br />Chazacter of Malls or Enclosing Rocks ____ _~Sl_~ss?s_! - ____ ____ ________ ____ <br />--------------- <br />Character of Ore_____~i~K ~,,_~_tr!~. _/__ ec_ 7~.._ F/___ _ <br />Ore Occuttence____~rt~__~k!-'_:°-!4'°--~4=~`-~---1~--~C---sue!-"-'`=`*=4L~- <br />De~•elopateput, Ventilation, Sanitary Couditiou, Exits__________________________________________ <br />, _ , <br />oo <br />/N/ <br />---- ------------~`- ~' d-•------- <br />_..._~ <br />---------------------- --------------------------------------------------------------------- <br />