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7~ <br />1?4 <br />----- <br />--------------- <br />Name of biine__-- ---------------- <br />Date of Ori final Location _-_ ~/ ~{~ <br />---`h'am---~-~~--~N"' _ - <br />I,ocation~ - - - ------------°- <br />------------------ <br />. --__ <br />---------- <br />~Iining Aist/n~cptt~ ~-~ <br />Countyof_~'+' ----L-o-`-=rte'"""""'---Ste of Colorado. <br />containing-~Q.Acres, <br />vested in_ - (~ ____-- <br />------- <br />principal Office located at.w- : - - ___ __________ <br />s <br />1 <br />++ 't <br />t <br />,, ~ , <br />~.~ t,'~ <br />iS`k ~' <br />Branch Office at ---------^--------- <br />Name annd Address O cce/rs--_ ----__ ____ <br />...t~~Z~tx~,~.__Caf7~tn's~tc--~/J°fisL`_~..2.- f~J_ 6I-` ---- - <br />~!Yuc~1-f` - ~ ------ <br />~------- <br />----------------------------------•---------- ~~ltr-_~_ x~.-- <br />_______________________Stril.e of Vein. . <br />Course of Claim .___._____- <br />Dip of Vein . ~'~` ----------'--------'-------------------------°------- <br />Q2f gs _`1_.`~~--- ---------------------------------------- <br />Altitude at Main Nor •m '" ~ ="may, <br />Character of Country Rock _~ ~~~-~'^°'~'~'-- ~"~~ ~------~--°------------ <br />-----'------ ~ <br />Characterof Vein- - '--"--- 1a~--yy~,~c__----------- <br />Character of Walls or Enclosing Rocks_ ------------- <br />--------------- <br />Chnarlacter of Ores-v~!~~~""""°"' _-ss .:y/_-p--` <br />Ore Occurrence ..G~~~"`" r ---^--^- <br />._.. <br />----^-- __r ~ -S"-mil/-~-~- <br />Ae~tfel~opmcn1 Ventilation, SanttarY Condition, Exits ~?»-_~Y___«~cM~-r'~~^° <br />--"i"""'% ~~.../J.--- .._.l~Oaevt,,,,ul,~F .ISO--a""~'•---- <br />_.~ilc~ -- ~~s~u- Irv --~1~- .u! ..s4s.-slkti"~_ <br /> <br />,:if' <br />~`,~ <br />a~ i <br />i. <br />~ftsvc~.-.1~~ _ <br />.tell <br /> <br />