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Character and valve of ore_ ~~ -- <br />- ------ <br />---- <br />Nama of mill (if anf), character and capacrty_~J~~--~ - ------ - <br />~~ - -~o.~~ - ------ - - -- -- ------------------ <br />_-.___- <br />_ ___-. __ <br />7.. -_..__. _____.. -_. __-. ~ 1 ~ '. <br />pp ___ _ <br />Character of surface improvements _ ~"h~~- ~-~~ ~'- "' <br />- - ----------- - <br />-------------------------- /~ ~ <br />9mount and character of under-ground development_lo~~ -~~~~-~---- <br />_- <br />-- 18_'va- - -c~~ P~-u'° ~z~ - - - --------------------- <br />U ~ ~ ~ <br />Enacted by <br />BsoTrw <br />plant and e'. <br />and when e <br />with the n <br />address; th <br />with the n <br />barmen, or. <br />shall be fu <br />8scrca <br />a metallife <br />forth, or ei <br />be liable 4 <br />each prow. <br />shall be di <br />ae dale roporl. <br />name et eaoh~ EMI <br />In osrolully-la odle <br />out blank on epD <br />BUREAU OF <br />Sr$: <br />Name of cl <br />------y <br />~, <br />Location <br />Mining D <br />Owner or <br />Name of <br />Capital s <br />_C/ (i, <br />---- <br />Leased ~ <br />Wo;k i~ <br />Is prop <br />Comma <br />.b ______________________ _________ <br />i. ___.._ .. _.__ .. _. __.. _-_______ <br />I. <br />"i <br />r.i __. <br />i` <br />Ire .. .._-. -_~ --~__ <br />~~,' Signed- l/L,jl~<z~o-i,f!~vr_r~~~G_f- ---- ------------ <br />,i.. <br />a'M ...,....~ooyKa.~.,e..... ~ <br />,. <br />No. EMp <br />~u-11'1 <br />`~__~! <br />7 ~ iQ--~ <br />~~ <br />~- ~ <br />-~ i <br />~/- <br />Ave <br />