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<br />150
<br />Name of Mine__~r ~~~
<br />Date of Original Locatioa _./_~'~9___.___________________________________
<br />Locatiov __~-a_~_~ ____ .~- -~ o ~~~_ ~~ ~r~~~~
<br />Hfining District. _ _.__ _ _ _ __ 111-c~N _______~_________
<br />---
<br />County o(f~_. ______~___ ~ _ __;_ ______State of Colorado.
<br />Tit]e---"-ci_L~"~~.QSQCF[~.Jp-----------------------'-----------_. containing /0~-------'-Acres,
<br />vested. in __:~/tf.` GC4=e~7r.~sGa~F?-:211a~-~-r,~_ re~~°-_-----°'------'------
<br />Principal Office located at__Pi>~cs_zr_s~~_~t ¢Q-L~
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<br />I3ranch Office at/__W!Z S~cKt-_~.r~-•-ae~~..t_1L; ~4 __,
<br />Na/mf{ aAad Address Officers _/C; Cy, _ __ _~11~c( ~,if¢..,.,k~,r ~z:~._____
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<br />Course of C]aim ./_vIf1N_!/.~ <c«oli Slr+_...~:_, Strike oC Veiu .?1-a-scat<_
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