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0 <br />z <br />1/ <br />Q <br />N <br />F~ <br />i <br />1~:8 295 <br />Name of Mine____ ________ <br />~~ ----- <br />Date of Original Loc~atei_on _________ -------'"'--"--------------- <br />. =v~-~ - ------------------ <br />I,ocat;9n -------- ---------- <br />-- <br />---- --- <br />Mining District___ __ --' ------------ <br />------ <br />- ------------ <br />County of-•---- -------------------- <br />'- =------ ~ - __ tate•of Colorado. <br />Title. _. _ _ _~%~^'~S___ , _ _ _ _C~~~~~"`"'`~ <br />--- ------ __. coutainin <br />ve3ted.in___ __ <br />, g--- --~-~-_7._~A~cres, <br />r----- -------- - ----- ---------- <br />--- --- -- <br />~ 1~'~ %~ ------- <br />Principal Office locate at__ ___ ~ ___~_ ~~~~' ------""'-- <br />---- - --- <br />Branch Office at __~~%~ / ___ ~• <br />-- --------------------- <br />Name a d Address Officers.___ _ _ _ ------ <br />----- - _ <br />---- - - ---P9__~~ --' ---- ~f__ --- ----------- --- ------------ <br />---------------------------- ---------------------- <br />---------------------------------------------------- <br />--------------------- 'i <br />----------------------- -------------------- <br />Course of Claim--- ---- -- --YQ/s-~-+L~[__---Strike of Vein ~.:~~Y___~~---- <br />Dip of Vein -----"~w!?!L___----°------ - <br />p------------ ------------------------------------ <br />Altitude at Main Workings _______ ______C ~~~ _______ <br />- - --- --------------- <br />Character of Country Rock _ _ <br />Character of Vein_______ !~-~%X/Lct~~,_ <br />- -- ----------------------------- <br />-------°----------- e. <br />Character of Walls or Enclosing Rocks__ _ <br />Charac r of Ore___ _ __ _ __Q~ f <br />- - - ---r- ~---------- f <br />---- ---- --- - - -- ~- ---~ G~ --------------------------------- <br />------------ <br />------------------- --- --------------- ------------------------------------ <br />Ore ccurrenc __ _ ____1{%u____~__~~___~~_ut~cti___Q__~_c_'..._,~_~?.~vcr_,f~~__ <br />Devel ment, Ventilation, Sa 'tary Conditio Esits__ ~ ___ __ __~~J_____ ___ <br />-- <br />------ -- <br />- -- - - -----L2~:'~~-- -- - = ~- ~--- ~ --=--~~~-------- <br />- -- <br />- - ~ ----- --'~-`-~-----~''='~1----------------------------- ----- <br />--- <br />.~ ~ ~ - <br />---- - -- - ----~ ---°~"-- ---- -- ---- - - ----f~°- ---- --- ----/-~ <br />- --- <br />- - ---~~- -'~~c-----~-~~-"-rte` =-=--- - --- ~"G~~~2 <br />- - ---p- <br />~~~~ , - <br />-- - , <br />Q L <br />