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Location __°__-`~ -- ----------------=- _ __ ' <br />Mining district _ ____ _ ____ ~ Couut ' ~_____ ____ <br />- - ---- Y -- - --- ' <br />Course of claim .__ _ _ _ _ _____ _______Course of veiu____________ <br />Dip of vein-- --- ---------° ------- --------=- <br />Is claim patentedT _ -- :----------°---___No. acres :~0 <br />Character of ore----- - •- -r------------------=---°-------------------------------- <br />Grade of ore-----~ - ----------------------------------°---------------------------- <br />Is claim working? ___ _____________ _______No. of mea employed__~~ ___._________ <br />Will claim be operat this year? ___yy_jj_~~~~~~ ~~ ~~_ _ _ _ __ ~y______~_____ <br />Gross tonnage shipped to amelters_ ~'wH_c!_Gr to age mil _!`:°_~_'~•- <br />//~~,~, -- ---- <br />Characjer~urface improvyneats_~,la~'= =~'/~,r __ ___~______________________ <br />--- ---------- <br />--°---- --___.°- --------P --------- -~-~-~--~-°--- - - - - - <br />AmDu~nd_ -aract rod elo meat____~ .~'r!~•!1______ __. ~ :-__- <br /> <br /> <br />Qwner or owners and addrar. (I! ineorporsted, amount ca (ul Mock, camber o shares, <br />_r dad • f pr s nt, secretary sad snpedasrndAent~.) f? <br /> <br />i <br />.,,_~B, <br /> <br />ril *kr vrt-If wortcad by Irrsea, state name aiod sddrase of acme. Iadiatc by rooK6 Vew <br />.cls cn trrY o! this aycrt. tks twcatkia rif dsvs4~jwasat w.wia with rsfersace io ode and <br />emd lice. <br />