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eme of 116xfte-----------------------------------°----°------------- ~-`---- <br />------------------------ <br />Da a of Original Location __---_-----. ------------------------------- <br />Loca on -_ ---------------------------------..------------------------- <br />Mining stnct.__------------------ <br />County of -- -----------------------------State of Colorado. <br />_. containing-----~---------Acres, <br />Title ------ - ----------- --------------------------'----- ---- <br />vested m______ <br />Principal Office Loca ed at_-----°--------'°----------°'--------------------' --__°---- <br />I3ranch Office at -.°- -"------------------~-------'-------' <br />- ------------ <br />- <br />Narne and Address Offic s - <br />- <br />----------- <br />-°-----_---Strike of Vein -----'--'-'- <br />Course of Claim .------------------ <br />Dip of Vein ----------~----'----------- -- ---------° ---------------------------- ------- <br />-- ------ --- ---- _ ----- ----- <br />Altitude at Main Workings ____________ _ <br />--------------- <br />Character of Country Rock ----------- ~ -~~----------------------"----"----' <br />_ - <br />Character of Vein--------------------...-- ------------------------------------- <br />Characler of Walls or F,nclosiug Rocks------- - <br />Character of Ore ._--~-- - <br />---- ----------------- <br />Ore Ocmurence ______________~---- <br />-----' <br />---°-_-° <br />Developutent, Ventilation, Sauitnry Condition, Exits-------------\- --___-------- <br />---------------- <br />_______________________y__-__ <br />(~ <br />I':, <br />i <br />~i <br />I4~'~~ <br />A <br />!~i:~,.. <br />~II'~ <br />II <br /> <br />