MINEBK00334

• County: Teller
• Document: Manager
• Suffix: A

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MINE REPORT '11
Note-Please fill out this report carefully, write p]ainly and answer all questions folly. Be sure to
date the repozt and sign it. Fill out both sides of the sheet.
Cxip.: l.e_~aclc______________. Colorado, T°vF.m~r__1_______.__, 1913
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