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<br />1~11INE~ DEPORT
<br />-Plead tlau roporc.
<br />~,ra nama of saa MEN EM PLOY ED~ Com pany or prou p.
<br />fill In oara}u lly- Its altle antl alpn rePOrt.
<br />fill out blank on appoa
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<br />i f ,_ _';•:.... ....._ _...:._:: °:.°.::.. Colo., ~ .r
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<br />2.191 Qso_._
<br />BUREAU OF MINES, STATE OF COLORADO.
<br />T. J. Derzeia, Commissioner of llfines,
<br />D]R7YII2, Coronano.
<br />Sta: In accordance with
<br />Name of claim or claims..__......_,
<br />I submit report as follows:
<br />Location _.....c:1~NCC....Y.V_k[. '.S'_i<•:.L:.....w.......lJ ..................................._........................_..._..:.............. .......................................................,.............
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<br />Mining District .............._wr.:, r(.::1-~........................._..............._...._County ..............~::_../.....~..._..............................._............._.............._
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<br />Owner or owners and address .........._C ....:..._... .. ' L(1. ........................................................................................._......._......._.....
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<br />Name oY Company 1i1E, f,.,.. .`. ~ ,
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