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233 <br />ry <br />h~,Uy <br />N <br />\atne of I\]iae - <br />Date of Original <br />Location _,~____t, <br />>Iiaing District <br />County of_____ <br />--- <br />__________State of Colorado. <br />~~~ ~ ~~ it'll <br /> <br />_Acres, <br />- ~ 1 ~ d P-a-o -~'-~ --' ------------- <br />---- <br />Principal Once Located at_______ ____ _s__ ___ _i___~!!t-~________________ <br />~ -°--------'-- ~1' <br />J3ranclr 06tce at____- _ ~ <br />__ <br />____' _ __G,-_---'_---'-Lt~t.<-P4~t~_~i!Z-~!Q.c/LVrw!vy _`___- III <br />\nam~e. a/nd- Address O~cers____ <br />-----------------------°----~OJ-D-------- -------------•----------------------- <br />Altitude at Main Workiags--_' ------- -- - ------- -----------,_°--_ ' --------_---_---- <br />Character of Couatr}' R --- -- --- - -- -- ------------- --- - ---- ---------- <br />Character of Veia ------'--------- -------'----------I------ ---°~~~-~~-~~--~~-~~-~~---- ----- <br />Character of Walls or Enclosing Rocks ___- °______________lC~_~t7___ ~~~~C^^"^!~ ~ <br />------------------ -----r- --~-------fl - ------~~~--------- -l` <br />Char eter of Ore__-y -j= _ __ = ° ----'----------------- --'~--Y-~~~'----- ----- <br />r ~ <br />". ~ <br />t ~ ----.._--- <br />~~~` ' U \ <br />--- - ------ <br />--- --------' - -r/ '----- - / ~ g <br />--- - -- - <br />- 1" `~`"`•------ <br />llevropnreut, Ventilatiot, Sanitary Condition, Exits-------------------------------- -------• <br />-- <br />-- ~------- -•----i-- =-------------------- <br />_ _.. - <br />- - ~ - - ----~~ - - - -~---- '--tr,U~_ . <br />-- <br />-------------------- - <br />