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-.... <br />r`' <br />Name of Mine _____~'Y~!1~__`~~?!~~ <br />Date of Original cation ______~~ pQ__ ~ <br />~~p~ -~ -n-------------------------------- ------ <br />Location________ ___ __'<XJr~,v~ Un~l~l <br />Mining District--~----- -----~=--------------------------------------------------- <br />County of_-______~,~.~,y~_______ _______State of Colorado. <br />Title--------~-~--~ -------~-----------. containing---~----------Acres, <br />----- <br />vested in-------- -- ---- ------- ------ --- ----- - - - -- - - ---- - <br />--- - - <br />-- - - - <br />Principal Office located at-____-- _ _-- 5„---------------------------------------------- <br />Branch Office at ------------'~~---------------------------------------------------------- <br />Name and Address Officers_.,----------------------------------------------------------------- <br />--- <br />--- - - <br />-- - - - -- <br />- ---------------o-------------------------------------------------------------- <br />Course of Claim-___~?__~ __ ~________________5trike of Vein ___~~_W___________________ <br />Dip of Vein -----"~'"~'~0----------- ----------------------------pp---------- ------ <br />Altitude at Main Workings ___ ~ ~~__ ~~__ _ _ __~j~.y~i_7.lw!~___,-_________-- <br />Character of Country Rock -~ - - --~--~ ------- <br />Character of Vein--------- -~.---Q---~-' --- -----~p-~------------ - ---------- <br />Character of Walls or Enclosing Rocks__S:~~s-__~._-~_S~ _ _ _________ <br />------------------------------------ ------------ <br />----------------------------- ----------- <br />Character of Ore __________________-_ <br />----- -------------------- ---------------------- <br />----------------- C~-- <br />-- <br />-------------------- <br />a- <br />------------------------------------------------------- ------------------------------------- <br />Ore Occurrence -____ ____ _ <br />------ <br />- ---- ----- - --- -- <br />-------------------- <br />-------------------------------------------------------------------------- <br />Development, Ventilation, Sanitary Condition, Exits_______ _~___~__Q_ __ <br />_ -~_ ~ _ <br />~~~~--tom - ...~ <br />- --- - -- - ~~~w.r- -- <br />_~ ~ o <br />-- ~~~ - <br />,_ <br /> <br />µL',1 - -~~D- ----~~~ V <br />-- `1 <br />\ %~ <br />