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Sir: I hereby submit re rt as foliogrs, /~-, <br />~~ ~f <br />Name of claim_____ ____ p ' <br />L/_ /' ------ Q-4-~ ------- <br />Location -------- - f ~~------------- ---- ; <br />1lfiningdistrict___~ _ ___ -___Count ~ ~ 1 <br />y ---- - -- ----- <br />Course of claim._Xi~~~%1_~~s;c~y_~_Course of ein°- a-,~=---_=~r------_I <br />Dip of vein---------_---_______ / <br />L~ claim patented t ------°!1!V_tf _------- --No. acres ---_A,f~-~-- --- <br />Character of ore--_-__---__---,(a~ ~.( V ~'---------- <br />Grade of ore___________________~~.d <br />Is claim working? _______ _ No, of mrn employed___lZ_R_?~t~_ <br />- --- <br />Willclaim be operated t ~s year? __________ _________________ _____ <br />Gross tonnage shipped to smelters---L~/~~~oss tonnage milled__Q~--- <br />Character of surface improvemen~,g`yC~tts~~t ~~~ _~~~~ __ <br />---- <br />--- - <br />Amount and character of develop ent___ ._t~-_ :_,r..,~,_,~~.s _ __ __~_ <br />Owner or owners and address, (If incorporated, smouat ca ital stock, Aumber of share+, <br />Aame and addfeN Of esideA /CCr_ttiry_aAd fLL AICn~At. - <br />---------------------------------- ....~.rr_-~a--•--------- <br />Bi~Atd..:: f. YA. ~~:~iGSlle~.---- <br />~i! *k ~ t cY~ct tbEs~ ~ tccat'~ Cc:t~dress of same. Jedicats fiy rouY¢h pes• <br />cad lice. ~' .LftT~tAt t-orY with rsfercACC t4 si4s scd <br />'-S <br />