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<br />Glva name of eao MEN EM PLOY ED~ ~ '
<br />Fill In oarofu lly~ ,
<br />Fill out 61onk on op POalta alas and al7n report.
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<br />BUREAU OF MINES, STATE OF COLORADO.
<br />T. J. DALZII.r+, Commissioner of hjines,
<br />DExvm, Cozoneno.
<br />Sta: In accordance with the above section, I submitreport as follows:
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