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<br />Sir - I hereby snbmrt~ as foll~~O,M ~ 0 <br />~;.~ ~ <br />Location -`-`-~j3~, <br />Mining district---~ --- - - ~- <br />~/~ ~ :., - <br />Conrse of .claim ~elr ---'-~~--- ---- ----- <br />Dip of veia_ ~il--~ ` --- ~ -- <br />~ claim patentedt ~•~ - <br />-- - /q','~ <br />CbaraMer of ore----vr'-`- - -- <br />Grade of ore--~3-~- ~~ °-'~'9~--- <br />Is claim working? ~ --------- ---- --- <br />Will claim be operated this year? ~f ~"" <br />Gross tonnage shipped to smelters-_ <br />Character of surface improvements_-_ s ~ '~ <br />~-~~xx3_'__.c Z~-- - <br />5-.. / r,_ <br />se of vein/~---""?=~=-- <br />acres _~ ~ ~~ <br />~~~_~ <br />of mm employed_~ <br />~- <br />-- ~ ~ <br />~ ~ : _ «~- - <br />----- <br />Amount aad character o eve o en - , <br />~s,!__._ <br />-- - <br />,• ~ ,~ r~..~~ <br />~~--~-~- ------•------n~~-~-~-~--------------------• :---- - ------- ---- ---- ---- --- <br />Orner-o<-ow,ners-+nd addraa. (If iacorponted. amoaat ap{tal stock, number of ahara, <br />name and address of president, recreiary and snyeriotendent.) <br />~Y.lr-J'~~ _:'7..?.fr~= Qom` :V .~~ ¢~ ~' ~!- <br />liur~.-If ~or3tsd by lase. slats Hams aad address of~Y :itb r ~ e s t~~ amend <br />eil akttcb oet back of tbL report. tbs loestloo o(dsvelupareot <br />sod Ilan. <br />