MINEBK00124

• County: San Juan
• Document: Manager
• Suffix: A

~~~ ~ ~ - ~ ,
' ~d~ - __ -- _ -- _ - _ ~-- Enacted b',
t- Charac and calae of ore- ~1% ~ S$cTn
7~-;7~/'//~ ~ lent and
~ ~ , _ ~_4ba~.CC/-t/- t..ei - ~~'!C,r.E4~ _ ~<4~~~~4~7/_`_i/LL _ _ _ _ _ and when
with the
~~ address; ti
___________-_.___.-_________________________ with the
____________
___ _ --- be memo
' - ---- - r
I~ ___________________________ shall befl
' ~ .-------- 9sc'rr
- --
_ _ _ _._ - - e metallt
kl 1'
. ________________________________ forth, ore
- ------- be liable,
' +. Name of mill (if any), character and capaca _
~ ~ each prop
___.
_________________ shall bed
______________________1____________ .
~, ______
____________
____
..;g; V.. _..___..____-
___._
t` i
LI _____ _____ _____ ______ _._ ____
____. __
,,,, . .
lire name of ee MEN EMI
.y// It
_ Flll in urelully-
,
• ~ b ~ _. _- -___- _ _ __ -_-_ no a
i FIII cut blank o ppos
__ 1 Character of surface improvements _ ,~ - - -
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-- ---
~ - - - -- ---- BUREAU OF
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~~.-Cill_-C~_ - mob/!!- -
' Amount and character of under-grou development--- - -- L~i~~ t~- S
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Location _ _
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' - 1\Iining Di
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--------------
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' , - - ---- --- - Owner or
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- _ ___-__ Name of I
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-• ,' Leased to
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f'iP -------- Work in
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' }, 'a~4 Signed-- - - - -~-- ---- - - - -----..
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