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Chnrneter of nurfnce <br />Wore.-ri~W~ ert <br />Give Wort <br />Fill in cm <br />Fill ou[ h <br />!i <br />.`, <br />Amount and chnrnrter of ender-ground dove <br />------------------------------------- <br />i <br />-__ <br />higned__~ ~ ~~ MINES CO, ______ ___ __ <br />1M~ •ILLI~Y W~~YM~14 iu.. WILY <br />