Chapter XVIII: Appendix: #9

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| FOR RECORDER’S USE ONLY |
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Recorded at the request of: NOTICE | |
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________________________________ | |
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When recorded please mail to: | |
OF | |
Name ___________________________ | |
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Street _________________________ | |
LOCATION | |
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City ___________________________ | |
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State __________________________ LODE | |
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|_________________________|

TO WHOM IT MAY CONCERN: Please take notice that:

1. The name of this claim is the _____________________ Lode Mining Claim.

Said claim is situated in the vicinity of _______________________ or in the

________________________________________________ Mining District, County of

San Bernardino, State of California.

The date of this location is the __________ day of _________________, 19___

2. The undersigned locators are citizens of the United States, or have
declared their intention to become such.

3. The said locator___ do____ hereby locate and claim ___________________
(Not to exceed 1500)
linear feet of this vein or lode, together with surface ground extending

___________________ feet in width on each side of the middle of said vein (Not to exceed 300) or lode and more particularly described as follows:

Commencing at the monument where this notice is posted, which monument is
at the point of discovery on said vein or lode and on the center line of

this location _________ hereby claim ______________ feet extending in a (I or We) ______________ direction along the course of said vein from the discovery

monument and _______________ feet in a _______________ direction from the

discovery monument, along the course of said vein.

The general course of said vein is in a _________erly and ___________erly

direction.

The discovery monument is situated about ________________________________

___________________________________________________________________________ (Distance from natural object or permanent monument and give direction)

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

4. All dips, variations, spurs, angles and all veins, ledges, or deposits within the lines of this claim, together with all water and timber and any other rights appurtenant, allowed by the laws of this State or of the United States are hereby claimed.

LOCATORS

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

STATEMENT OF THE MARKING OF THE BOUNDARIES
AND OF PERFORMANCE OF DISCOVERY WORK

NOTICE IS HEREBY GIVEN by the undersigned locator--that in accordance with

the provisions of the Mining Law:--

1. There has been erected at the discovery point, at each corner and at the

center of each end line of said claim

___________________________________________________________________________

___________________________________________________________________________

2. The Locator has performed the following discovery work: ________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

DATED _____________________, 19___

LOCATORS

______________________________________

______________________________________

______________________________________

PA 1561–-4M–3–62 ______________________________________