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n 137 <br />15 ` Name of Mine____ ' <br />Date of Original Lo_catti~on _~a%i`~2~^' q_ ; _ ,~---------------------- •--------------------- <br />I•ocation =~r11!t__ y/_it ~ ----~~"'= -------------°------------- --- --- <br />- __~_'du-'T`om -.~"~-~ p-~--- <br />---- - -- -- --~-~-='=='~=s~_ <br />--- - <br />-- -- - ---- ---------------- <br />_llining Disttict.__ '-'-"---------------- <br />--------- -------- <br />------------------- <br />County of_.----- ------------------ <br />--------------- <br />~-- ~--~'-"-------------State of Colorado. <br />Title.---- /~~~~''~t~ <br />--_- -----.. containing _______~,.~Acres <br />vested in______ <br />---------- - <br />---------------------------- <br />Pnnc~pal Office located at____ --_ ~~ _ <br />--- - <br />Branch Office at _.:__ ____. <br />---- - <br />~1'rfLtsrr~ ------------------------ <br />------- _ <br />Name nd Address Offic s. _ ~ ~----"-' -""""-" <br />__ __ _ ______ <br />Course of Claim .__ __ ____ __Strike of Vein _~s~ts _C1____.___ <br />• --° ---- <br />Dip of Vei~r ._ _ <br />---- <br />Altitude at DIain ~ orkings _._.Q f _~~ 3~_-~ ----------------~----~-~----- <br />-------------------------- <br />---- <br />Character of Country Ro • .._-~_ C+ __ cy s~~ -- ---- <br />~L~ -~---`----------- - - <br />Character of Vein-----~'/C_:--..G~~~--~~~`~-y-~°-'-~kE~/-~ =.[~~li_., <br />Character of ~Val1s or Enclosing Rocls.~~~c .,_,~, ,~,~____~w~~1 <br />- ------------------ <br />/r -------------- <br />Character of Ore.___ (t,.:kyHer~•----------- <br />--•- - <br />------ <br />Ore Occurrence . <br />.~ _ <br />::~ <br /> <br /> <br />~I <br />s: <br />~9 ~ <br />t <br />t' <br />~ ai~ <br />~f ~~ <br />~~i Y,: <br />i' I+'f~ <br />j t; <br />~. <br />,~ <br />i i' <br />-. <br />I ~ t~ <br />{~~ <br />~ti~~ <br />~I <br />men Ventilations ~itary Condition, fsxits _1~1,1.~1,r,y ~s .e,,..~.~ . ~~•~ ,.~ `,'' <br />L <br />• /~ ~~r <br />____ --! <br />~G~~/K <br />L~ ) ~! i , <br /> <br />