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[4-687.]

SURVEYOR-GENERAL'S CERTIFICATE OF APPROVAL OF FIELD NOTES AND SURVEY OF MINING CLAIM

DEPARTMENT OF THE INTERIOR,

OFFICE OF U. S. SURVEYOR-GENERAL,

19....

I, United States surveyor-general for ...., do hereby certify that the foregoing and hereto attached field notes and return of the survey of the mining claim of situate in .... mining district,

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.......

known as the

.......

County,

township No. .... Range No.

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U. S. mineral surveyor,

19. ., under my instructions dated ... ..., 19.., have been critically examined and the necessary corrections and explanations made, and the said field notes and return, and the survey they describe, are hereby approved. A true copy of the copy of the location certificates filed by the applicant for survey is inIcluded in the field notes.

U. S. Surveyor-General for

[4-688.]

UNITED STATES SURVEYOR-GENERAL'S FINAL CERTIFICATE ON FIELD NOTES

DEPARTMENT OF THE INTERIOR,

OFFICE OF U. S. SURVEYOR-GENERAL,

I, United States surveyor-general for

19....

do hereby certify

that the foregoing transcript of the field notes, return, and approval of the survey of the mining claim of

the

.......

......,

.....

......

known as County,

...., situate in .... mining district, in section township No. ......, range No. ... and designated as survey No. ......, has been correctly copied from the originals on file in this office; that said field notes furnish such an accurate description of said mining claim as will, if incorporated into a patent, serve fully to identify the premises, and that such reference is made therein to natural objects or permanent monuments as will perpetuate and fix the locus thereof.

And I further certify that five hundred dollars' worth of labor has been expended or improvements made upon said mining claim by claimant or ...... grantors and that said improvements consist of ... and that no portion of said labor or improvements has been included in the estimate of expenditure upon any other claim.

......

I further certify that the plat thereof, filed in the United States Land Office at ...... is correct and in conformity with the foregoing field notes.

United States Surveyor-General for

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