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ss <br />i <br />\azne of Aline ____(~~ti ~ ~`~~ - <br />Date of Original Lo uo -~---------' -f D`o--------------°--------------------------- <br />• ~~Y•-e.-Y/l~ <br />Locarion------------------------------------ ---------------------°-------°-------------- <br />diiaing Distri [ ---^--^--_-- ----------------------'-------------___--'--- °-------- <br />n --- <br />-i- [.QR~w.-v <br />~ County of_____ J~-~ ~- -~~- ,~-- State of Colorado. <br />Title---------I--- --_-'!r/=~= =i--- ~--'-°,~---~--~--/-'--n-~-`--- ntaining__S_~~/D /~ _Acres,(/~~ <br />tested in-__ -ti \C-~~wf%~l_Clt~L C~AM/ _%~~-o_~_c_~-~-Q---/_f'L~!?.l[---' --`^' <br />~ ~,,/y~ ---- <br />Principal Ofbce Located at---------------- - --------~--==------°------------------------- <br />Branclr Office at------------------------------------------------------------------ <br />Vame and Address Officers--------- - -- ------ - - ----'---------------F- ----- <br />tM/ _ ~__ <br />Altitude at Alain Workiags ___!!s~~-~---~~-~-~J~~'!/~'-"v "vS.~ <br />Character of Couatry Rock <br />Character of Vein __-____---- ~-"'r'N-------------i_ -_---- -°--- --'---"---'- <br />-------- - ---- -- - <br />CUaracter of Walls or Enclo 'ng clfs __ --_-- `~~%--C-=="K~'~-' ---~ -------°--- <br />Characer of Ore-------- - --------°------------------..----- -- ---°-------------° <br />---- <br />----- <br />- ---- - -- <br />------------------ ~o~;,.~,------- <br />---------- ------- -- <br />Ure Oc rrence----- ------ ---°- -°'~ --' -- <br />------------ <br />-- ---- <br />--- - <br />Le~•elonatent, ventilation, San' ry Co_ydillot, L ts-•_•---_-,-] p " p"r f <br />- •- 't----`~ -----•--- --------------- <br />~1~.-0 0 .-.c---•------------------•-------------r:- <br />.._ .--..- •' .- ~~.r.-- <br />