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~/J///f~,~, , 151 ~°~.,~ 4'j~ <br />e leasing enm- MINE REPORT ~~ <br />I•i.y :~ <br />frees <br />Note-Please flll out this report carefully, write plainly and answer all questions fully. Be sure to <br />---`-' - date the report and sign it. Fill out both sides of the sheet. <br />- ---- ------------. Colorado ----, 19--- <br />-____________ 6URF.AU OF' h1INES, STATE OF COLORADO. <br />T. R. Henntten, Commissioner of Mines, <br />Denver, Colorado. <br />!~""` - <br />___hour s}lift. <br />___hour shift. <br />.r{_hour shift. <br />g _hour shift. <br />_~ 6our shift. <br />___hour shift. <br />___hour shift. <br />___hour shift. <br />__..hour shift. <br />~_•_/_hour shift. <br />]rL/_hour shift. <br />D <br /> <br />un--- <br />~CD.~ _ <br />Z_ dt~ ~'ti9 <br />1- ------ <br /> <br />Cpo <br />J' ~'_ <br />Q---- <br />Sir: In accordance with Scetion 4299, ReviaedStntutes, Colorado, 1008, I suhmit report ne follows: <br />Name of Company-The-_Carbonero_L!ine & Redaction Co. <br />--------------------------------------- <br />Incorpornted in the Stute of__ COlOTad0 <br />--------------"------ <br />Principal office __-._____ Y9~9~ado_ SpTi71Ss_. <br />Capital stock X00 000 ~ 1.00 _ per share. <br />If • Cam aor. ,~ <br />00 °°''~'• Name P. 0. Addresses <br />ry.ce; otherwW _ <br />I..°" It bl.nk Stevens <br />President __H.._H~19.~-- ---------- - - -------------------- -- <br />Colorado S rin3s <br />Secretary --k'_•__Z•_ ?;Onee___----- - ---_--- <br />Treasurer _ '~ tr n <br />y..~.~Z-.-douse------- . __ -- ---------..---------- <br />ninnnger __ G9~x8e_ ~... Piekett__ Ophir~ Colorado. <br />of Partnership______________-_______- <br />Pnrtnors' Names P. 0. Address <br />If • firm <br />or p.rtnenhlp, <br />fill out [h6 <br />q~ace: otheMae <br />Irmo I[ hlan4 <br />Managr,r--------- ---------------- -----. _.. - ----- - - ------ <br />Names of Owners P. O. Addressee <br />If neither <br />n~lun9 nor <br />p+rtnrrwhl <br />1111 oul [nP <br />rpacc <br />11lnnnger-------------- ----..--- -------------------------------~-- <br />State names of claims: <br />lJnpntented <br />Patented <br />kmen,in tke CsrUonero -..-______ Casce.de-Vista <br />:~ ~~_ Cerbonad.o ____.Pnrtland-__F_~'rx9~i_____ __ ---------- <br />- ----------------------------------------- <br />Carbon Vivid icntor <br />- -- iioh4nk __,__Yii_~icntor_ _io._1_ .---------------- <br />------- - - - - <br />-- J-~_ - - ---------- - ------------------- <br />----------- ---~- -TaT.orth-~tar-=----------------------- - -._Caltnite--Gre<~_Y_iQ~?=------ ------- <br />~ 'total acreage patented_____-_____6Q_____-.__--acres; unpntented____.- _-____~~ __ _ --_ncrea. <br />__Company. Do you owe or lease these claimst________ <br />----------- ]t you lease them give name of company or person Yrom whom leased____YLOt . cESer3 <br />(Over) <br />