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ls9 10~ Name of Miae__________ _ __ - - ---------------- Date of Original Location ____________________ ____ --------------------- Location _ _ _ ~~_ _,~Q -- County of~/~L' _ --_ _State of Colorado.---------------------------------- - --- Title._~1'sllt~n.C<.f._4--------------Q~-t!~~,~=oaf -----• containing---------_----Acres, --//-/I--- vested in-_ --l~~u~eerirssY_--(~„iL~y___ _t ~ ~~~y~_ -~--- --------------------------- ----------- ---- - - ----- -- -- - -- --- - -- --- - - --- ------------------ Principal Office located at_ __ _ - --- ---------------------------------------------------- Branch Office at ---------------------------- ---------------- -------------------------------------- \lining District_ _ _ _ Name and Address Officers._________________________________ ,,//~~ --- ---- --7~-~--- `- - ------------ Course of Claim.__ _ __________.___ ____Strike of Vein __~~~_~ ---------- Dipof Vein_ __ _ _ ___ Altitude at Jlain ~Vor•ings --- ----`~--~~~----------------------------------------------- Character of Country Rock - _ _ _ _-~ „a~0_-------__--°° ---------- Character of Vein_ ~`~~°------ •-°----- - -----------=--------------------- ------ - Character of Walls or &nclosing Rocks. _ _ __Ct,L__ _ __ __ / _ ___ ~ -_ -- ---------- - ---- Chas ter of Ore_ _ ~~ _ Ore Occurrence . .. _ __ _ _ -- .t~.~t.__. ~. ~--- - -- - - ---•-------- --------- ----- - ---~1~--~~-~-------------------------- =`~-= ``-v---=-=--===------ Devc ent, Ventilation, Sanitary Cond~~itihhon, Iix//itss______~__( __ ___________~~_~~_,__________.___ ~ ~_.F~~~~d-~J/1.uea.__.~J- ~~.l~.fyr~c_.cs~.rsa~~ +~../ ~~ ~~ ~~""~~ __d~sL_.lF._~.~!!4:-L~J._en.a~ ~isn:[is.i.. -_C/tt~~n.._Citisi~4..--_---- a ._ p~,,:(ist~!O__.'~/!t-_-~_._~.~ts_~i~_~'1rQ:_ff_._ ~:tis~YlC~_ ~6~ ~' `: i' ii r :~ 5 ,:~ {' A~ 7 1i aa ~;,:~Y g~ ,. ' k f. Y kp:Pd1l F 8! L ~ '.}TT}}'I