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Character and valne of ore - -------------------------------- <br />Name of mill (if and), character and ca aeit -------`---- <br />P 5 ------------ <br />------------------------------------------------- <br />------------------------------------------------------ <br />------------------------------- <br />Character of snrfaee improvements _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ <br />---------------------------------------------------------------------- - <br />Amount and character of under-ground development ------------------------------------------ <br />Signed------------------------------ - ---------------- <br />------------------------------------------------ <br /> <br />ri <br /> <br /> <br />