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Name of <br />Date of <br />Location <br />Dfining District _ _ _ -------------------------------- <br />County of___~ ____-•-----------------State of Colorado. J <br />vested m.____._ .. <br />- ~ =' ==' ' =_ - - °---r---=-------------- <br />ti ' <br />.Acres, <br />-------- -- ------ <br />---------'----------------------------------------~- ~ ~ /f ~ ,y <br />Principal Office Located at_____ ---------------°-- <br />--------------------------- <br />Bmnch O(fice at----------°-----------------------------------° <br />Name and Address Offcers--------------°---_____--_-------------------------- <br />-----------------°-----------------------------'---------r-------------- <br />Altitude at Main Workings____~.,~-C_~ ~ -------------------°-------------~ -" -- <br />-- - --'-°----------- .j------- <br />Character of Country Roc '-""--"'-"_--"- ----~ ~~ <br />Character of Vein ______~fif~-~'~ Z "--'"'-"- <br />Clraracter of Walls or Enclosing Rocks ______ <br />Character of Ore_ ____-____-- ~----- --_--_- _ <br />Ore Occurrence____ _ ._ _______________ ~~ry_---------'--° <br />- - ~ •--° <br />Development, Veutilaliou, Sanit_^ry Condition, Exils____.-- <br />--°--r -'-- <br />~.~y~ -- -------- •--------------• -- ue <br />U --- --- --------- ------ <br />-------•-------------• ----°---°-------•-------•-------°----------r- <br />