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'~, '~f`P/jC <br />MINE REPORT <br />date the report and stgn rt. LFil~l~ou~t~bo~th aides of the sheet. ~f f ~ <br />~~~~~~Z-Ciuit/c •1~-----------. Colorado. --f _C_~_J~___/e _~ 19 /a <br />BtiItFAti OF MINES, STATE OF COLORADO. <br />T. R. Henahen, Commissioner of Diines, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299,~Rje/v~i~'ed/S,tatu'tes, C~ojlolrado, 1908, I suhmit~frepo/rt as foil~e: <br />((Name of Company-The_!~ ~_'t%C!~`~!~!~! y~"~~~--~~ ~"-~~`-l'-~•---- =~-- <br />IIncorpornted in the Stute of__=_~~ 3~~ ---------------------------- <br />Principel olBce ~!!!~'ra'~_~Llis~tG~ '~~~e _- __-- <br />JCnpitnl stocks~a?_~°_°_________ -_--Shares, at ~___~~__ per share. <br />r . c mGanr• P. 0. Addresses <br />cu oar r r. Name <br />ry•a; orhvwlr ~/~ /y~ <br />I.n• It blank ~///k //~~ ~~Z~!! ____ <br />President __ 'sl•_IC _ - - -------' <br />Q, ---------------~ ~ ..~,~r,.~ <br />Secretary ~ ------- - --------/-------- <br />Treasurer ' --- '-~'- ' y <br />-- - ----------------------- <br />--~- <br />~~ ~ +. <br />~3ii2S l <br />Note-Please fill out this report carefully, write plainly and answer all questions fnlly~-S~sure to ~ <br />of Partnerehi -- ---------'-- <br />p---------- -- - ----- ---------------------- <br />Pnrtncrs' Xanlcs Y. 0. Address <br />Nnrnes of Ownere <br />II , erm <br />a p.rtnmhiµ <br />E9 om thla <br />olbenriw <br />Inv II Glank <br />1lanngcr_________ ....___________-_____.... <br /> <br />_ _ , <br />I'. 0. Addresses <br />-- -- - - __ <br />r i..uh.r <br />.~~pui)' nor <br />htunagur__.._.._.. -- - - - --- - <br />~Int~• numes of claims: <br />UupntrnUed <br />----"- Patented <br />nen in the ~(,l <br />----- <br />_ c"C. _ .------------------- <br />--------- ~-y_~~ie~_ //Q v----------- <br />---------- <br />~'a._ G,s~~ - <br />_Company. <br />/' <br />--- _ _ <br />----- ----------°-----g~ ---------- <br />acre~ <br />3 rv-_-- ---acres; unpntc ted_- - - - <br />'f~,(;d acreage putentCd__3____-~--- -- <br />__ <br />Uo you own or lease these clnimst___ G7!!'-y - ---=j------- ~_.. <br />- - <br />If you Icase them give name of company or person frmn whorn lease ___ ._-- - -- <br />(Over) <br />