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13 <br />//~~'' --- ' <br />Name of dfiae _________13~--~~~- <br />Date of Origiaal Lo/cation ---------------C----L--------,-------------------------p--e-~--°---- <br />Location --------/--~ _ . ~ '!a'.Q_'~ =~'-' ~ ==^'~ r "'U_' ~!!~' <br />dfining District __ ~fir~='-="~ ------------------------------------------------- <br />dru.~-.lrf________State of Colorado. <br />County of-----------°------- ~' %„ _ <br />25t1e---- ~ -S' ~~~ --- ---------~^J---- ------ - -- containing---------------Acres, <br />(/~e_t---------------------------° -'-------------- <br />vested m-----•-----------~tc_Cc'-------- <br />_ Principal OBce Located at___-°------- ~` "-'-~"-----------------------------------"--_-- <br />Branch Office at-----------------------r---- n----- ---------------------------------- <br />Name and Address Officers--____________________-- <br />Altitude at 1.Saia Workings________-- ~O `~----------------°--" <br />-n °------------------- °------ <br />CharacterofCountryRock__________~-a---"""'~" - <br />dt--------------- --- <br />/i~l~-Yr~ --------------°-----------°°°--- <br />Character of Vein --------------°---------------------- <br />CharaMerofWallscrEnclosingRocks_____ _____________ <br />__. <br />/~ - -- ---- - <br />Character oC Ore---°----'r'----~------°---- °- ----------- -- <br />Ore Occvrrence.____:~~-=- == -'=-'~ ---'- <br /> <br />_ r'~ <br />-- --- <br />Developmutt, Ventilation, Sanitary Condition, Exits--__-------- <br />---- <br />---- <br />..- <br />'~~-------- ---- -------------- / pp <br />.a.'..__ ~~~:Y_..__f. ... <br />---- <br />__. - / <br />~.,i,_~ ~ ..._ / f r, <br />!! ~ :vr~ <br />.._ <br />__ --yr '----^ <br />?~~ OYiH-~ dC4~:t : ......... ........ ....__-_._-__.... <br />__. c i' <br />_.__ ...-.. yy <br />