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~- <br />'the leasiag com- <br />Address <br />---------------- <br />-- ------------ <br />~~~`~' -- <br />or____hour shift. <br />or____Ilour shift. <br />or___ _hour shift. <br />or____hour shift. <br />or_ _ _ _hour shift. <br />~r__ __Lour shift. <br />]r____hour shift. <br />~r____hourshifl. <br />>r___ _hour shift. <br />]r____hour shift. <br />~r___ _hour shift. <br /> <br /> <br />MINE REPORT ,~- j/4.~1~ <br />Note-Please flll oat this report carefully, write plainly and gnawer all questions f~ Be at~•e to <br />date the report and siga it. Fill oat both sides of the sheet. <br />---------------------------------+ Colorado, -------------------------,19--- <br />[3UREAU OF MINES, STATE OF COLORADO. <br />T. R. Heuahen, Commissioner of Dlines, <br />Denvor, Colorado. <br />Sir: In accordance with Section 4299, Revised Statutes, Colorado, 1908, I submit report se follows: <br />If ~ Comyytar, <br />GII out felt <br />,Dtcc~ otherwW <br />Ieve It hltnk <br />ame of om an T le_ s' <br />----- -- -------- --------------------- <br />Incorpornted in the State of______________________________________________________ <br />Principal ofTice -------------------------- ----------- --------------------------.. <br />Capitol etoek ________________________-__ Sllnres, nt $____________ Per allure. <br />Name P. 0. Addresses <br />PCCa1dCIIt _.-._________________.-__________________ _____________________________ <br />Seeretnry --- --- -------------------- ---------- <br />Trenaurcr ------- ---------- ----------------------------- <br />~fnnnger ----------------- -------------- ----------------------------- <br />of Pnrtnerehip-------------------- ---------------------------------------- <br />Parhurrs' \;uucs P. 0..lddress <br />e t e.m <br />or Dtrtnenhlp, <br />hll uul thlt <br />,pace; otherwW <br />leo'e Il hltok <br />If oeiNer <br />cOmptOr OOt <br />yrttnsnhlp~ <br />III out tLlt <br />tPtce <br />\fanngm•------------ ------------------...-- ----------------- ------------- <br />Names of Owners P. O. Addressee <br />- -------- lMunngur---~------ --- ---------------- - -- -------------------- --------- -- <br />---------- Stntc names of claims: _ <br />~' q Pate~Ied - Unpatente~d,,// <br />orkmen in the V'' .~~~~ ~- -------------- ~- - - -------- -- V'~ -Q --`-~------ <br />--- ------------- <br />.~u_~-1---~-e--------------------- - ~D ~t~_ <br />--------------------------------------------- ---------------------------------------------- <br />------------- <br />--------------- -------------------------- ----- <br />----------------- <br />/~ .,L / ' / acres. <br />--_------ ii'fTotal ncrongo patentedLd~+_~?S!t_Q--J~!~----acres;~~nt~o ~te~d_~d __ _ --~-~~`-- <br />-~ f/Lfo you own or leaso these claimat__~-----~~~'=~~~L--------°--'---------"-°° <br />_____________ nr'If you lease them give name of company or person Prom whom leased____________-------------------- <br />---------------------------------------------------- <br />------------- (Over) <br />' `o, <br />~~ <br />