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zis <br />Name of Mine_ _ ~~ <br />Date of Original Location Jy_~`~ ___. _ `-'-°'°------- <br />! --------------- <br />Location _ 'LGC.. !~/. rf./ . ~--------------- <br />----- <br />Mining District____~,l' _ ~ ---------- <br />County of---~ ~-----'--------------------------------'-'------------- <br />-~'"`__________________State of Colorado. <br />Title. ____~a!Ge;...~i~ --_-- <br />"`-c-`--'------- -___. containing J[(J~__ <br />--------- ------Acres, <br />vested in_ _ __ n, m./ ' _ ~ „_ _, <br />-------- ------------ ____ <br />--------------------------- <br />Principal Office located at__~~~9 ~ --"°---'-`- <br />- --=~~:- <br />Branch Office at ______ ---------- <br />------------------- <br />Name end Address Officers.____ _ /~ --~ --'-""" <br />Q ~~ ~ _'f_J1-'--CILYa.'r~4._r.-l~.--.~~.....,,ue~.C~er, <br />---------- <br />- ---------- <br />M ~ ~ ____________. ___________ __ <br />_ _____..____~__~yi.;_______.. __ <br />arse of Claim ._ _ - <br />~~~~~ _ trike of Vein _____________________________ <br />Dip of Vein__~~ /p,~,~_ .L-_ <br />Altitude at Main Workings __.___1.9_~~ct___ <br />Character of Country R ck ___ `--"--"" <br />--~+.u-v.CC_ _- <br />' --- <br />Character of Vein __ _ _ __ _,~~~ ~'~""-'°---- <br />Character of Walls or Enclosing Rocks---• ~ ~"`i'-- r ' <br />Character of Ore.__._' _, '-"°- <br />pp.. ~ --- ~--` 'r--~--r~x,., c4~-u--m~,v---- <br />____________________ ~ __ ~w.lj_ <br />________________ <br />__________ <br />Ore Occurrence .___ __ _____ - <br />~~ /--~ - --'ccE7==-- ~a~.. <br />Ventilation, Sanitnry Co/uditim~, Exits __I~Xicta-irr~..~,t,~,y~~` <br />- ---- <br /> <br />.~--- <br />. <_a~,k.~.~_.. <br />P_~. <br />- ----------- <br />Ycc_~ ~.~,~.. ~rd~?_~x~ <br />