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EnadEd by ~ G <br />$g,OTION 2(f• <br />and wtie stoPPe <br />with thO the naa <br />address; <br />with the numbe <br />bermon, ore saes <br />shall be furaish <br />ggeTION 28. <br />a memlliferous <br />forth, or either <br />be liable W e fl <br />each provision <br />shall be deeme <br />ae dete rePON• elelm belon <br />name of eaoh <br />~In wretollY-ME nHM sid <br />cot blank on oPP <br />BUREAU OF MI <br />E <br />SIB: <br />gaxpe of~el~an <br />~/lilu-~ <br />Location _ _ <br />~i~g Dv <br />Ovcn„eT °T <br />Name of <br />Cap~it~a st <br />_ ~,' 1',- ~~, <br />~_ <br />Leased <br />~1 OTk <br />Is pxo <br />Comas <br />8topp <br />No. E/I <br />2_/ <br />_L <br />