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