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------ <br />Character and valne of ore_ _ _ _ - - - <br />--- /~_ _- ~ ~j__~7C~lse(.C~-~__ --- ~ ----- ---- '--- ---- --- <br />-"-- <br />n ___.._. __. __ <br />__"___. __.__ _________.f.____.___.. ____ <br />Name of mill (if any),eharactar and capacity-------'--" <br />__________________ <br />____, - <br />-- <br />- - .. '/0 . ~ ~ ~4 - - - - - <br />Character of surface improvements _ . " ~ - - <br />-------- -- <br />---- <br />Amount and character of under-ground development_~~~/ ~~ y - /^ "/Z /yl <br />------- <br />- " <br />- - <br />"~ G7G~ " _ _ rir/ <br />---- <br />~ - -- _ - <br />--- <br />-- -_--- <br />• '- <br /> <br />Enacted by ~' <br />8aomroa:9A. <br />plant and emplo <br />and when atopp~ <br />with the names <br />address; the net <br />with the nnmbl <br />barmen, ore ass <br />shall be furnish <br />$scxrox 28. <br />a metalliferous <br />forth, or either <br />be liable to a 81 <br />each provision <br />shall be deeme~ <br />date roPOrL <br />me e/ esoh elpim belonD~ <br />~arolully-MEN EMPLOYI <br />blank on oppwlte side ~ <br />BUREAU OF MINI <br />~~ <br />SxB: In <br />Name of claim <br />I,oeation _ _ _ Q! <br />Mining Distric <br />Owner or owns <br />+ Name of Com <br />' Capit stac <br />'-----~ - <br />i <br />---~~ J <br />Leased to___ <br />Work in cha. <br />Is property ~ <br />Commenced <br />Stopped wor] <br />~No. EMPLDYED. <br />____~' achln <br />_ _ _ _ Machin <br />_ _ _ _Miners, <br />_ _ _ _Timber <br />_ _ _ _Tramn <br />___Ore Ai <br />_~ _Topme <br />____Zabore <br />-_-_aaaay, <br />e7,_ 7_2Zo_~cz <br />Asarage <br />