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<br />Name of Mi ~ ~ .PA - <br />Date of Original Location ___________. _________ <br />-- - -- - -- <br />~1~ ~~ ---------------------- <br />Location_~!t!_.~?~r~v!2y=Rw_c_:d~~°~_~.~Lir~U/~gi~ <br />Miving Dist ~~t--~-(-----~-----;---------°----- <br />~~11~__ <br />County o _.~.0_Z_ k ~??'t~!-P!v________State of Colorado. <br />Title----_.-~ /// '----'-------°'-----___.. ----_. cootaiuiug __---..__-_-_-_Acres, <br />vested in Ll!YYI_C4~..~7___~-~FUy~_'Q~~.~~_- ~ a~-'--°jG--°-~""---- '---- '---- <br />____ ___________ _ ______ ______. / u~ <br />Principal Office located at_-__°-_----_-_----------------'--------°--------------------- <br />Branch Office at --------------------"--------------------'-----'---------------- --------- <br />Name and Address Officers?%--~------;h-fr}--------~ ---------%---------°--°----'----- <br />--------------------- - <br />---------------- -- --- <br />Course of Claim ._________________________________Strike of Veiu _____________________________ <br />Dip of Vein --°-`------------'--------------------------°---°--°--°---- <br />Altitude at Main Workiogs _.___________________________________________°-------°---------_ <br />Character of Country Rock ----____--___-----------------------_ ~ _-_---_--___"- <br />- ---- <br />Character of Vein-------------'-----'-------------------------i;-~--------------"---'------- <br />J <br />Character of Wallsor)~nclosing Rocks__________________________t~_._ ___________ <br />--------------- <br />- - -- ------ <br />Character of Ore---- °-'---------~l-ti 1 CL._i-------~~------------------------- <br />------------'-------- E'~"-- <br />..----------------------- --~ 1 ~------,~-~-~------ ---- <br />-------------- - --c- ---'v~"~!--------------------------------- <br />,,, <br />Ore Occurrence .__________ ^ ____________ ----_--_-- <br />~~~_ ~. '~~J--------------------------- _ <br />---- -1,~~-~"----------~; ~-------------------------- <br />Development, Ventilation, Sanitary Condition, L'xits__________________________________________ <br /> <br />