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~ry5~~ ~. <br />- Go~r~~,~~, ~hr.~ ~4 / - ~' .'~ <br />f the leasing `Dta. MINE REPORT <br />sl,~ <br />Address <br />~' Note-Please fill oat this report carefully, write plainly and answer all questions folly. a sere to <br />=~ -~~~%a-,~ date the report and sign it. Fill oat both sides of tha sheet. <br />/f~aa ~ ~f,~ / <br />-- ---- - ---------------------------------~ Colorado, ------------ LL V"~~~! -----~ 19L.,~~ <br />Ceis_____________ BUREAU OF' iSIIN1;S, STATL'' OP COLORADO. <br />T. R. Hennhen, Commissioner of Dlines, <br />-------"-"- - Denver, Colorado. <br />---------------- <br />Sir: In accordance with Section 4299, vised Statutes, Colorado, 1908, I submit report ae follows: <br />------------ --- ~n~~.tt ~ <br />---------- --- - Name of Company-Th -------------- - ~'-~----t-------- <br />- - -- <br />__________ ___ Incorporated in <br />Principal office ------------ -- --- -=----- ------ =- ---- ---- ---- <br />----------- <br />~ • <br />Capital stack _~`~wjTP7i___...___ -_ Shnrca, ut !Y~ __.- ~' _.~pcr share. <br />II . cow ter. <br />pn one tit. Nnm P. 0. Addresses <br />for____hourshift. .p.ce:ntkerwL. <br />kue It bLvk <br />For----hourshift. President --- ~`_-C!L?_S.!~^~!t - ---_---_-- _ -----------------..----- <br />p --- <br />°r----Iwurahitt. Secretary ---'."`_- ~`'~?~w,-.,`-r='-,-`b.-'`--------- ---+rss~~.--ff -- ------------ <br />'or----hour shift. 'Cas~w~eet _-- _ d._2~~tic~yo _t-M. J?~Gt~+?x _ ~ r~~!l-~et.~~ ~C~tn~t~~ <br />'or__ _hourshift. 111annger __----- --------------/--- ------------------ --- ----- <br />-------------- <br />or_ __ _hourshift. <br />or___.-bour shift. Title of Partnerehip_______________. <br />------ -------------------------------- ------- <br />or__-_hour shift. Partmvs' i:nnu~s P. O. Address <br />or____hourshift. _..._. ----------------- ---_----.._.._ <br />or___ _hourshift. <br />u .ern, <br />Dr____110nr alllft. er p.rtvenhlp, <br />fill oul thl. _-____.____-.__.._______.____._.________________ _____ <br />_ __ _ __ _ _ Il.vn It Et\nk <br />___. _ _ <br />____ C <br />-- 1.lfanuger-------~7r~?---~-~~La1~'1_.--- -__..------- -----. <br />----°----- Names of Owners P. 0. Addresses <br />l~ - --- --- --- _-- -----------. -------- ------------- - --- _ <br />.- <br />~y ___ _.c. - -- <br />x/_40_ _ _. If wither _-_ _ __ .-_-_. <br />f ~ampmr vor <br />00 perlnenblp, <br />~~__________ fill vutt~ -.-__________________________________________ _.-__________.._____-._____________ <br />.pece <br />/l. 1~J ..____.... __. .________. __ <br />---------- suttc names of claims: <br />---------- <br />~-- -[ Patented ~ npatentcu <br />orkmen iu the __~G~-r ~m ~ ___e?~fe~ t.GC-~:,. ~-yj!_~_.,.~_____ <br />,`- <br />------=------ l~~t. ~~-~-~; ------- <br />- 41ect3a~L~^aa_ 159___________ _____________________________________________. <br />______ <br />_____________ ~ c t0~ ~ _________.-______--____ <br />- "'`~~ ~r-,tit. --~r-,l:~+------------------ <br />---- <br />_ ...- P <br />- --------------------- <br />------------- <br />~ 'Total ncreuge pntenled________________ __ ____acres; unputuntcd_____-.------.----- - ----- -_ncres. <br />~mpaRY• Do you own or lease these clnimaf____ ~lC~/?'S--------------------------------°----'-------'- <br />// `~,f,,~______ if you lease tbem give name of company or person Yrmu whom lcaeed__ _-___. __._____--. --- --------- <br />~- <br />c ~,/ J ---------------------------~---- <br />------------------ <br />(Ot er) <br />