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1. ~ ~, <br /> <br />Nnuie of mill (iF ratty), eLnrnetor and enpncity---------------------....._..__._..._.._.._._._.-_. <br />--° <br />CLnrncter of eurfnen improvemonta______-__ <br />_ __ .... .. _Y <br />Amount-rand chnrneter of under•ground`dovolopment___ ,y ~ ~~r ~/~~"----• <br />------ <br />_ ~ <br />vr_ /2~ca-~--------- <br />m[ w~wwawa•awrxaaa co., n[xvsa <br />i-/ <br />.. <br />,~ <br />Signed------- ~ --------- _~ - ------------------ <br />----- <br />