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:, <br />- ~.. <br />~, --~ . <br />- . _: <br />x. <br />r-' '---- <br />Gharactsr and valve of ore___ __-------------- <br />--- --- <br />,'; ------- Vic`-P~- ---'-~'-°- ~.- -- ---- ------ - --='---- <br />' ----__ <br />----- <br />t..: -- ----- <br />- ~,~i: ~- ------------ -_~-----' <br />Name of mill (if any), character and capacity---- "" <br />_ _ -- <br />:g <br />.f;;; <br />I. <br />v-~:1; - <br />r !: 'r <br />.II; ', <br />,i <br />;1;!,. . <br />~'~ <br />~{t <br />,~ . <br />~.., : <br />ii l', 1 <br />`:~f`~I ,.: ~. <br />,.... I~ <br />i <br />' ~ <br />j~ i <br />i,h l <br />E~~ii~ ~ i <br />qp~'~ J, i <br />{;r i I <br />,~ <br />~~~, . <br />;.,. <br />;:;'ire';' j <br />G E~ <br />,~.; <br />I:: <br />:. ~>, . <br />_ _ <br />____-_ <br />_ - <br />_. _.._ <br />Character of surface im rovemen s _ _ _ _ _ _ _ <br />_ - y.... _ <br />---- <br />___ __--- <br />- - <br />- --- - -- <br />Amonnt and character of under-ground development____-------- - - J ~ __ ~~ <br />1/~--"-- <br />1 _ - ---------- --------- .._`~ <br />(? _1-~~ /~_~G-- <br />- ~~ - ~..-~"`~ - - --'- --~ _~- boa <br />~ 2, _ _ <br />--- - <br />------------------------------------- <br />6sox:o' <br />plant and e <br />and whon t <br />with the. a <br />address;. th <br />with the n <br />bermen~ or <br />shall be £n <br />Bacrn <br />a metallife <br />forth, or ei <br />ba liable t <br />each pprow <br />shall be d. <br />by <br />)TE-Pleeee As/e .report <br />Glee name of eeoh EN NI <br />illl In oerololly--Ml <br />Flil out blank on eppoeNe <br />BUREAU OF <br />Srs: <br />Name of ch <br />~~a <br />Location _ _ <br />Mining Di <br />Owns or <br />_ i~!?#s <br />Name of <br />Capita at <br />/,l ~ s_I <br />N_!~ - - <br />-----'f <br />Leased t <br />Work in <br />Is propt <br />Comma: <br />Stopped <br />No. EMPL! <br />nsZ'`-~--MT <br />~O~i <br />/,let!<!T <br />2cs~uz <br />~~ <br />Aoar~ <br />