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e <br />315 <br />Name of Mine ______ ~a-~ <br />Date of Original Location _________~rf6.a+~-__ /~Q6______________ ____________ <br />.. _. ... <br />Location _ _~_ i__t__!-~ _G~r~.-.---s,--a~~~~~-p-_,-,,~"~ !~--21~,~°- <br />--~~+" ~!~C~i~.as a~_s... _r1?~ a!~,_C_~t,~,z__Q_/~, _~__.._4.2~~ SK~ <br />1<finiag District ---•~~- ~"=----------------------------------------------------- <br />. -County of______!„/_:'2_!•~<___-__________State of Colorado. <br />Title_-----1!t~~_ ._~_ci_ C%~±QQ_~-t~'__"~'!cC/c~~_-_ •---------_ containing-----_-°-__---Acres, <br />- vested in.--------------------~"'T`~`t'--- x-"~- -. .... <br />Principal Office Located at_________________°-------- ~'--------------------------'---------- <br />Branch Office at..----------------------------------'-------------___------------------------ <br />Name and Address Officers--------------------------°--------------------------------------- <br />Altitude at 1lfain Workiags___/_s~3~4-~ ------------------------------------------- <br />Character of Country Rock ___ ~.,~i~__________________________________________________ <br />Character of Vein --- ~'-~'° --°_-=---------°---------------------°--------°-------°------ <br />Character of Walls or Enclosing Rocks __ ~f~a-s~~a_______________________________________ <br />Character of Ore_____''i°="=='°l"'r~.~_____~rr_=~___2+_+..r=_:!e, __ c! ~~YS-~____ <br />Ure Occurrence.___.1foe~°ofsa~.i~s_~~A_~----------------------..__°_°--_---__-_° <br />Deg•eylo(pJme/n~t,~~Veutilatimt, S~an/itar/y~~,C/oudiliou, Exits___________________________ ______________ <br />___~//. tSeL. _~1(['ir/CI.CY.rC/~~ ~~1.G1..._KO~~~"___,f!~~._.L'~'__s~4~dA~a~____ <br />__L[..___CM ___LYYYJ ._._.L ~!Yw ~'Yl~___ {{{_~~r.~_.r"' ._~~-__LZO ~YWCY:-__ /_..__•Ll~..r...._ <br />w <br />__f_~r_r___rf~so-u~ara>~.a __'___-_~Spte!t.~~_r_!!n!-~ __-r y-r_..~.~n..__-~~_--__ <br />~,~ /J _° <br />__ot,c~ e!_._rsxst.~_..:~ ~!~--_-3a~ =_~"`~°--'="''-'---sc~~~/.- --~--.?S/:!estTiu~V <br /> <br /> <br />