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Name of Mine__'tl_ ~[_ <br />---- <br />Date of Original Location ______ <br />-_--~ --' <br />-'----' <br />Location __P7n._______...,u„~f- <br />• _° <br />--'-- <br />Mining District___ ~_Zp~~ <br />County of__ ________ ______________ ___State of Colorado. <br />Title.__~ ~_jJ_p__ <br />vested inc2!~-~4_Qc~1~'1.(~ <br />Principal Office located at_ _____ <br />13ranclt Office at ____________ ~~~~~~~ <br />Namn~e ann~dt Address Officers._`'~~~~l'~`~~~!!~~s//L <br />---SFI--- ~~2adr~c~~__ <br />281 <br />-------------------------- <br />----.- _-,f-'y~ ___. containing_________~~_Acres, <br />--------------L?- ~------ ----° --- ---- <br />----T17~ :o ~---°-------------------------- <br />_~µ_~_______ ________ ______._______._.____rc- _..__=-m_av____ ____________.__________=____ <br />Coarse of Claim.__ ____~___ _____ Tike of Veiu_~`??cL~~S. _____________ <br />Dip of Vein --_--.-_ ~- -~ __ _:__ _ <br />Altitude at Main Workings -_--/~_~?~_._ _-______°------------------------------- <br />Characterof Country Rock -______ _ _ - ---__..-------------------.._---..___-- <br />Character of Vein---'----------'- - ~'- - - ------------------------'-"----------- <br />Character of \Valls or Enclosing Rocks.____ _ _ __ ------------------------- <br />- --- <br />Character of Ore.---- - - ~~'..--~-- -- 'r_9~~ ~------------------------------ <br />OreOccurreuce ._--k:.cc/J_1`L---"=--"~/j"'""""''_-"_"-------------------------.....----------- <br />- ---- ~Q <br />Developmeuf, Veutilntio~ , 5:mitary Coudiliou, I?zits __{.~~ _-_`~ <-"- ~~id <br />U - <br />Gt- ~ <br />.~ ~r..---_~~:~- a-~ -~--- - . <br />_ ~iJ-I e~ <br />-- - {~// , <br />- -- -api2i~r~D5~'~- c.. ~_ - - <br />/(AsszrAM.to_!___9_'._rSf4!--~-.d- ~./ // <br />leGt - - . <br />i <br /> <br />