STATE OF ________________________} } } SS. } County of _______________________} TO ALL WHOM THESE PRESENTS MAY CONCERN: Know ye, that _____________________ ___________________________________________________________________________ ______________________________________ citizen_____of the United States, of _____________________________, County of ___________________________, State of ____________________, do hereby declare and publish as a legal notice to all the world, that _____ have a valid right to the occupancy, possession and enjoyment of the ______________________________________________________ _________________________________, located _________________________, 19___ for the discovery of mines and the development of lodes, and situate in _________________________________ Mining District, ________________________ County, State of _________________________, described as follows, to-wit: Mouth of tunnel situate _________________________________________________ _____________________________________________; from the mouth of the tunnel ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Size of tunnel ________________ feet wide by ______________ feet high in the clear. Course of tunnel from its mouth, __________________________ 3,000 feet to the ________________ end of said tunnel, at which end is set a substantial ______________________________ being the end _____________________________, and between the tunnel mouth and the end _______________________ the center line of the tunnel is marked at _________ feet, __________ feet, _________ feet, _________ feet, _________ feet, _________ feet, _________ feet from the mouth by marked stakes or blazed and marked trees. From the end ___________________________________________________________________________ bears _____________________________________________________________________ bears _____________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________