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I <br />io <br />Name of Mine__________ ___ ___ _ <br />-° <br />Date of Original c/~~_~`ton~_g__--__ / _.______. <br />Location ~_ ]~~i:C.ctiG[r~st~~_ <br />County <br />~_~d-~ 3 <br />,. .~ ,---,~0 3 <br />-------------------------------------------- <br />-------------------------------------------- <br />---------------------- <br />_____State of Colorado. <br />___________. containing___1.,~ ------Acres, <br />vested in <br />Principal Office located at______________________-=------------_------_-__---- <br />Branch Office at --------------------°•-----------------------=------------- <br />Name and A~~dd-rpenss Officers.----__//------------- ---°--_----_---------~-y_--- <br />~~S/~bauiJJ_~cL_~ _/.!~'~cti4f_~_~.~-~_~-=clL~iie <br />---/L~~t:~~~ ~~~.~~.'~><acr2CeGC~/ -.'t~Fs~l/lr._v_~ - - - <br />-------------------------------------- <br />Course of Claim.//~ir,~ 2~____.______ <br />Dip of Vein .~L,.,~~.__~_.~y~r. <br />Altitude at slain Workings _ ~,'11!~~_. <br />Character of Country Roc~k/. <br />Character of Vein r~ _/.'.~c420.-v~P_4_.. <br />Character of Walls or Enclosing Rocks._~ <br />-------------- <br />-------------- <br />-------------- <br />~~ . <br />~--~--- <br />-------------- <br />Development, Ventilatio , Sani ry Condition, Exits ------ ------------------------------------ <br /> <br />____~__/__+Strikeof Vooein~r.~ort.:________________ <br />.__Ql~.~wCc --------------°-------------- <br />CharacterolOre~._~lL..vx._s~ s2-~ _ ._-~ <br />~ ~ ..~ <br />~~ - <br />Ore Occurrence ._ ._d.~---~ <br />.--. <br />