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i h <br />165 <br />,~~.- Go- ~ 3 <br />,. ., ~-0 3 <br />Name of Mine________ <br />Date of Original <br />Location ~- <br />County <br />District '~--------- <br />of Colorado. <br />containing___1~ ______Acres, <br />vested in_~. <br />Principal Office located at-----------------------=-------------------------------------------- <br />Branch Office at -------------°------••--------------------•--=------------------------------ <br />Name and Address Officers.------------- ----- -------------------------------------------- <br />-------------------------- ----------------------------------------------------------------- <br />---------------------------------------------- -------------------A---~----------------------- <br />Courseof Claim./~~~------- -------=------Strike of Vein.~zGr.~wt-.________________ <br />Dip of Vein -yEl.~~.--~ -n"--J!„x~ --------------------°-------- <br />Altitude at Afain Norkiogs _:j,~1!=Q____ __ ------ <br />- -- - -- - --- <br />- -- -- -- --- <br />Character of Country Rock _ ~ _ _ ---------------- -- ------- --- <br />Character of Vein ~ _/.c4~oe.x~---------------------------------------- --------- <br />Character of Nalls or Enclosing Rocks._~~r~lJ2~------------------------------------ <br />-----------------~-y--- ----°---- ----- ---------=---------------------- ----- --------- <br />Ch'~.a~r-acY~te//r oC Ore.a!/~/-QILaO.L 1~--s~• --~-- G ~- ~--~-- "~''= <br />_CC~IK(el.a -(~y_~Il~v'S?4.~1M_ ~. __~.1~_~Y.~e~JC!K~Yr~~~~Gi..I.~c._ <br />- - -------------- ------- <br />O[e OCCUfrenC! ~~14~~ -~ __Y ----------------..__---_-____ <br />Development, Ventilatio , ~S/n~ry Condition, Exits ------------------------------------------ <br />-- <br />.r°~3n <br /> <br />~ ~ ~ :::: <br />'~--~~-~ <br /> <br /> <br />