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Name of \Sine ____~~"'=_"___~X!~....~___~~_____ ~ "^~`--' <br />--' <br />Date of Original Location ________~d_ _ <br />Location °---r/ D =7J -_ ~~c~---~~'!,f!!w-~~~/~__'__~__~J--!~G~{---------- <br />Mining District <br />County oL____. <br />vested in-____ <br />---------~--~!?-~-- ~ <br />~ ~~~ <br />~____._________________State of Colorado. <br />. - <br />Pnnctpal Office Located at-----=----------------- --------------------------- ----------- <br />,', ----- <br />Branch Office at---------------------------~'S!.`~j-~'~~`' -----p-~--~---~C- -----_____---- <br />Name and Address Oflicers_________________ / !-~ _-~! ~'~~---- <br />f3 <br />_____ <br />Altitude at Main Workings______~~a -------------------------~----- <br />1 <br />Character of Country Rock _______ °'~ <br />Character of Vein --------------------- ------~--r---~ ~--~~~------° ------ --------°------ <br />Character of Walls or Enclosing Racks _°___ G~!!-- ~-`-`''=~ --`-=e=y~~ <br />Chas ter of Ore____ _ ~~!_--- --~!'~"`~ ""__--~'-D-"~-e1`"`""~ -` 0°~--°-- <br />---- <br />__ <br />Ore Occurrence-°------~ -------_..--------------=-°------------°-....------------------ <br />Developuteut, Veotilation, Sauilary Condition, Exits..-__ ~~----~ <br />i <br />O /~ <br />- _ d`- -- <br />..I: ["~~_ R*rr~~~ `~ ~--PIN.-. - /.L~~^~°__._.'_____ _____________ .. <br />LYE l~,~f~//-.t/_~e'- --- =~~=--------- ~~ _v-s~cr_o-- _ _~~...~.-.~. <br />.. ........................ I <br />--.'___________________________ j <br />