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Arame of 111ine --- ----------------, -•°--- ----------------- <br />----------------'--- <br />Date of Original/L/ovation _-___-_----~?'`_~------------ ----------------c 1 ____ ___-_----- <br />Location -------`--'~-- '--t-'-e'=rs~- `° _~---~~-Z-`-`-"-"-'-,~ ----------'~°------- <br />Alining District _ ---__--___ - - ---°-------°--------~------------------------ <br />---- <br />County of_____'___'_°"_'_w'!_______Sta~,te/of~Colorado. <br />Title______ ~-~=°--Q`-^-`-!'-=- ---- ~ -- contain/i,}.,g~___~_~~ Acres, <br />vested iu•--------(!~ +°r1c.i.P •~gQ!r'u+~~/'-'--°-'=-'__--/---------- <br />Principal Office Located at__________ ~ ~u~"'~'~ <br />Branch Office at----------------- --------f~-~~~ --_____--------°-' _' <br />Name and Address Officen____________ _______ v --n~--~~- -----~-~-•-`="--«'- <br />Altitude at ?Bain Workings____________ylf~ ~ ~--____-• __--~ -- -- .~ <br />Character of Country Rock _____G,~3~ `~=`=~~---- <br />Character of Vein--------°------------°- 'r.!~~e.c.yN---------°-----------------°------ <br />Cltaracter of Walls or Enclosing Rocks _________~~`=`-='~-'----------------------------- <br />Character of Ore_______e~k~!!t~srV_-~ - -~"~'"~-~`-'-`~---~'-=r'°----"-°-- <br />v" ----- _ <br />q`°y~=~l'-------° - -- - -----~-- ----°------ <br />Ure Occurrence _--° -~+~'"=-`=`-=""s'--°°• <br />~ _. __ <br /> <br />5'7 <br />Revel pmeut, Veutilntion, Sanitary Conditimt, $x~ts. ___---- ~' <br />----- <br />_- - ~ <br />~~~~~ --- <br />_ - <br />-•-- - <br />- -----------------,-r-x~ --°----•--------• <br /> <br />• <br />