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~~~~~ <br />~i , . <br />----'- <br />Character and valve of ore___c___-- -~- <br />___ __ _ <br />_____ <br />t ___ ._____- <br />_________________________ <br />{ ----- - <br />~g,il ~ __________ ____ <br />_ __ <br />--- - -- <br />__ ____ _ <br />______ <br />----_' <br />i~ Name of mill (if any), character and opacity--- <br />,~d -,.. _ _ _ _____ <br />_ _____ <br />Character of surface improremen s _ _ _ _ _ ;_. <br />--- -~-- - <br />- ------------ <br />-- <br />---------------------------- - _ <br />fl_~-s - ------- <br />-- - <br />Amonnt and character of under-ground dove oilmen _ _ _ _ _ _ _ _ _ _ - _ ` <br />- -G/~i.~s~~~ <br />r <br />! w <br />j:1; <br />s <br />,- <br />~:, <br />j;E <br />;` <br />II, <br />p <br />r,; <br />,j:'.I, <br />~` <br />'~'. <br />{;,. <br />,. <br />'i{ W~....aa....a.~..a..~ <br />F <br />1 <br />S1 ned___ , -_ <br />_'___'____S~..C.'~.!'Z.G <br />Evaded b~ <br />Bscrco <br />plant and f <br />and when <br />with the t <br />address; tl <br />with the t <br />barmen, of <br />shall be f[ <br />8acrr <br />a metallif <br />forth, or e <br />be liable ~. <br />each prop <br />shall be c <br />pe dab roPOrt. <br />, Dame of eaoh eidm <br />out bl%nk onMODOafM <br />BUREAU OF <br />Srs: <br />Na~~+me of e <br />_; <br />Location _ <br />Mining I <br />Owner o: <br />Name o'. <br />Ca i <br />~_ <br />~~ <br />Leased <br />Work <br />le pro <br />Comm <br />Stopp~ <br />No. EM <br />~- <br />~v <br />