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LOCAt10II ...............................................__...................f//..°.........x`r..sr.•^....~-...
<br />Mining District .................t~'~}-lm.....ozr~~..............................._County
<br />Owner or owners and addreas .............................................................................._.
<br />I,nuwad to ................................................................................_.
<br />................................................................................_. lP. Q. APPUYaa)
<br />Woric in clrargo of .................................................................
<br />Iw proporty workad nontinuouely9 ............................ ..,...............................
<br />_ ............................................................................ luo.........
<br />Gomnroaaad work .......,........... _ ........................
<br />................................................................................ I n o......,..
<br />Stoppad work ......:.......................................................................................
<br />M]N 1;hiPI,QY1'.D,
<br />N9• &MriAY1W. I NQ• FiMNI,QYI'+n.
<br />1 •eldit
<br />~^~.1...'.,,hfuahina Drillmuu, rJr ........ ..........for........ ....1)ouraLift.
<br />y .............hluaLino Ilalporw, ~.....,.. ..........for........ ....lrourakift.
<br />Minorw, - ~ ........ ..........for_..... .....lrour wlrift.
<br />q ..............'1'Lnbarruan, - rb......• •-•--~~.for....... .....lrollr shift,
<br />ti..........'1'ruururarw, - - dr....~. ...........far..,.,.. .....1)aurwhift•
<br />u..,.,..,..Uro t~orWrw, )y ....... ...........Por....... .....hourwkift.
<br />b........`foprnan, . ry ....... ...........for...... _....hourahift.
<br />c....,......I~aborarw, ~ ....... ...........for...... .....bourwlrift.
<br />.,L,.......Awwuywrw, ~ ...... ........-fur....,. ......lrourwh[ft.
<br />.............._.._.. ~......, ...........for....~.....hourwhift•
<br />t1ts~:....TnHumarw, - - dr ........ ..........fol........ .., rum •
<br />,,,._.....:Purnpu)en, - dr........ ..-.-•-fat•...,..... .,lrourwhift•
<br />r,....._b`irau)an, - - d+--•- ~••......for...... ...hourwLift.
<br />,....7iluakwmitbw, . +b ........ ........far......... ...lmurwhift•
<br />.,,,.
<br />....'fanu)wtwcw, Rr......• .-•~--•for....... ....haurwkUt•
<br />....r,.
<br />L`orenian
<br />, rB....... ....•-~_fur..=.- ..•.hourwhlft•
<br />,
<br />,..._
<br />.....
<br />,.,,..Hupurluteudent, ~..._.. ..........for.,.._. ....iralrwkift,
<br />.....
<br />x.,.,.Utliaa help, sy .... ...........lor..,.w.. ,.,.LmtrwhUt•
<br />_...Cr..hlilhnan, - • r4 ....... ......••..fur....... ....i)ourwldit.
<br /> ~.., _,......fur...., . bourridit.
<br />._:.
<br />_.,.
<br />AvorwlCw nuuogor of anon onrplayed fur tl)w your 1SI0 , ,.. _ _
<br />(.%hurnoter and vwlue of nre ~-~°°~~~
<br />(ov-w.?
<br />
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