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<br />MiningDistrict. ~o_~<!~~G.:~y-..._ _ _
<br />County of.. _______~>!~~ _____ _____State of Colorado.--_----__- -------------------
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<br />Priucipa] Office located at._ d*.u~P~.~-~!ti_~~~
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<br />BrancU Office at _..____._°q~ty/_rj~--'------_°----'----'----
<br />Nam and Address OfScers._~,Y!L~~~y_~iq~~~~ ___
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