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22 <br />Name of Mine_ <br />Date of Orig~inja <br />Location __[-L <br />A -------- ----------------------- <br />~ v[~( -------------------------- <br />Mining District ~^ ~' <br />--------------------------------------- --- <br />County of_.___ _ _________________State of Colorado. 'l~ <br />Title. _ _ -~_ <br />----------- -Q/~ <br />-'---------------- -----. containing-_--- Acres <br />~j Q ~ ~`------- <br />vested in-- - - --- ----'iG~`- ~` ~. <br />Principal Office located at__ _ _ _ ______ <br />' , __ 11: <br />- '--------------------------- 1t{ <br />Branch Office at -- --- _1,___---------------- <br />iV <br />----------------------------------- ~i. <br />Name nd ddress i&cers__________________,_________ <br />--- --------------------------------- I <br />~ ~~ <br />- - - ---- ----- -------------- <br />- - ----- --- <br />---------------------------------------------- --------------------------------------------- <br />Course of Claim .~{_~~_______________________Strike of Vein _________________ <br />------------ <br />Dip of Vein ----------------------------------------=--------------------------------------- <br />Altitude at Main 1Vorkings _~0,1~U___________________________________________- <br />------------ <br />Characterof Country• Rock __ _ - -~ _ _ _ -__-. <br />Character of Vein--------------•-°--------------•--------°------------------------- <br />-°---- <br />Cliaracter of Walls or $nclosing Rocl:s _________________________________________ <br />Character of Ore. ~-^____________________________ <br />-------------------------------- <br />------------------------------------------------------------------------------------------- <br />---------------------------------- <br />Ore Occurrence -~~------------------------------------------------ <br />Deve opment, Ventilation, Sanitary Conditio~n~, ~P.,,xi~t~s~_-~ ______________________ ___________ <br />..----- <br />231 <br /> <br /> <br />