Laserfiche WebLink
N <br />~, <br />~iib - <br />MINE REPORT ~-" <br />Note-Please fill out this report carefully, write plainly and answer all questions fully. Be sere to <br />date the report and sign it. Fill out both sides of the sheet. <br />-------------, Colorado, -------------------------,19--- <br />RtiREAU OF DiINES, STATE OF COLORADO. <br />T. R. Ilenahen, Commissioner of Tfinea, <br />Denver, Colorado. <br />Sir: In accordance with Seetion 4299, Rye~~~ned,,S,ta~tnft~es,Cl~ol~ora,~'dJjo, 1908, I suhmit report as follows: <br />------- <br />---- <br />Name of Company-Tha--%/Z°-'='-"_"_-~~_---__--~~--~~~ _ L/OJ <br />incorporated in-the State of__a ~ = ~ - --- - - <br />~,s.~ - - <br />-- --- - -- --------- <br />Principnl office --,- -----n°--------- - ~L17 - ~ 00 <br />Capital stock __~~ ~~4'! ~_ OD _ Shares, at $_ ~___- Per share. <br />-------- <br />If . Cmnpanr, 1\ me p P. 0. Ad esses~ <br />DII out t Ia ~ <br />A ~'' <br />ny¢e: othrnrW ~~. <br />Lnr It blank - !K___________ ______________ <br />President ___ -- --' - " -'- ., <br />----- --- <br />----- <br />/~/~.,~~~o .. <br />SccretarY ----`-~~r~ -------- ----------------------------- <br />---- -- _ <br />-----'~-- <br />Treasurer __L%~y -- ~`/~~~'--~ „ •. <br />---- <br />)fannger ---- - ----------- --------------------- --- <br />of Pnrtnershi ---- --- ------- - - <br />P--------------------- <br />Partners' Xauus P. 0. Address <br />u .urn, <br />ar IiartnrnhlD, <br />till aul Ihb <br />porn; othenrlae <br />irrvr I[ blank <br />Dinnuger----------- ------------------- - <br />------------- <br />___-. _____-_____1_ <br />rl <br />1. . ,~ <br />:I II .~; <br />r ,,,~ <br />• ~~ <br /> <br />t ~~ <br />~I <br />~ (4 <br />~' <br />I <br />i ~ ,1 <br />I,I II <br />'I,I'~ <br />i <br />'~~!h <br />i f ~i <br />I~ '' <br />4i <br />P. 0. Addresses ' I <br />Names of Owners ' <br />----- -- ..._ Ir <br />- - <br />-----__ <br />It nrllhur -________________________ I' <br />uumVnp nor _____-. <br />purtnrnhlp. - ______ <br />cu our ch. '~ __ _ _ '~ <br />____. r <br />.Burr I _.. --------- ~..--_____ ~.- <br />_-__-_._._- _.. r <br />~I;rte names of claims: _-_~. <br />linpatentrd <br />Patented <br />- - -- ------------------ -- --- -------= I, <br />'I'ulal It~g~a~te~~------//+ -er:rca; uuPUlented-- --- - ---- -_ .------ - +rcrus. ,..I' <br />Do you own or lease these claimaT_______------ -- _ ___ <br />if you lease them give name~f company or person from whom lensed___..__ _ ' I~„ <br />- - i' f <br />-- -------- ---- i <br />--- <br />-=---- - <br />(0 'er) , <br />