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Fi1.J !or nrord Nr ..Aay or. ... ~. D. 14. o o'clnr4 nt. MA 'LEN BEI F9AR ~ ~ ' s
<br />1 ^ RECORDER
<br />. q ( "-~~~
<br />Rrretdion tiw._. ~:.tf.,l !l~l ~-.ry ~' r K1'~ Br._______. _._ 'Jt7T`, rr„C.4CER _"__. _-DEPETY.
<br />STATE OP COLORADO, III IIIIIillllllllll ~
<br />55. 999 i,
<br />".....-......Chd.ff.e.e •------------------..-.County.
<br />B.L.M. Before me, the subscriber, pet•sonally appeared-......-.~. ~..-H . L 1 o n e 1 1 e
<br />CMC who being duly sworn, saitlt that at least One hundred and no/100 Dollars' worth of work or imptove•
<br />SERIAL -- -
<br />No. Amen~'e~ were performed or made upon each of the follo,ving claims: _.. T!
<br />f ao67z o s e p h i n e N 0. l Lode, Location Certificate recorded in the reca~ds of said Counfy, Sook. ..29.5... ....Page.. ...4.08....
<br />140673 ~ 0 S e p h'I n e
<br />.................... N 0 .
<br />........... .Z Lode, Location Certificate recorded in the records of said County, Book.. .2.36... ...Page.. .3.21--...
<br />140674 o s e p h i n e N o . -3 .-Lode, Location Certificate recorded in the records of said County, Book.. .2.3.fi... ....Page.. .32.2....
<br />140675 i 0 5 e p h i n e N 0. 4 .Lode, Location Certificate recorded in tt~e records of said County, Book.. .2.3.fi... ....Page.. .3.22---.
<br />140676 '
<br />1406771
<br />140678
<br />140679
<br />140680
<br />140681
<br />J O S e p h 1 n e N O. 5 Lode, Location Certificate recorded in the records of said County, Conk...2-36.......Page....323.
<br />Iosephine No. 6
<br />.._ .......................................Lode, Location Certificate recorded in the records of said County, IIook...23b........Page...32$....
<br />~osephine No. 7
<br />........................................Lode, Location Certificate recorded in the records of said County, Book...23.6........Page...32.A......
<br />osephine No. 8
<br />............................................Lode, Location Certificate recorded in the records of said County, Book..23b........Page...32.9......
<br />I)osephine No. 9
<br />............................................Lode, Location Certificate recorded in the records of said County, Book...23.6........Page...32.5_....
<br />O S e p h l n e N 0. I N Lode, Location Certificate recorded in the records of said County, Book..29.5.......Page....4.1.U.....,
<br />situated in ......................M.On.dreh _.,...,___-..-_..,-____,_._,.._-Tuning District, County of
<br />Chaffee ..............State of Colot•ado, such expenditure made by or at the expense of
<br />Lily Corporation
<br />......................................................................................._........-:.....-- ~ -- .owners of said claim, fot• the year
<br />ending Sep 1, 19.86.-.,, and for the purpose of holding said claim. Such expenditure made between
<br />85
<br />_ ..1....{. f.i.r.s.t.)...... ----- ----- ----.day of-----S.ep.t.emb.e.r----- ---- ------ ---is.-- ---- and.-----.1....(-fi_r.s t~.....----
<br />86
<br />day of......Se.p.te.mb.s.r....- -- -- -19--------• :~ ~
<br />Jo h E. Lionelle as Personal Representative
<br />• fo the Estiate--iif--'J:N:-`CiiineTTe•-"--° .........................."
<br />-=.. ~ ,.
<br />Sub§ct~bed•eru3 sworn to before me, this........'!~LN...-.......day of.....~~~cl.*..!ir~...A. D. 19. ~6..
<br />`~i~... CI;.,~
<br />. 4 T I J" t o t'
<br />3C7 ~"LD1-f ST, sALIr~N, ~w7~i D~'~l
<br />t'- ~• p ~ .y ` ` Notary Public
<br />• :...,.
<br />... .:-
<br />•-.t•••.-yQ :~~.~' My Corrimissi-ori Expires: ~Z-~;,-g~ -
<br />~, ~ ....•
<br />!~'" ~~~ .
<br />6158~Rev y19fi0 .~ AFFIDAVIT OF VALUE OF LABOR AND IMPROVEMENTS-*wc e.r eocceu co.. oor.vu xroo,
<br />Page 77
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