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~ i~, <br />MINE REPORT <br />1 Note-Please Sll onL ~ . carefully, write plainly and answer all questions fully. F sere to <br />date the report and sign ouc botch sides of the sheet. <br />• ~~Q~J---------------,Colorado>ir--- ---J~/--,19 <br />---- - <br />BUREAU OF i<fINES, STATE OF COLOR.iDO. <br />T. R. Ilenahen, Commissioner of ;clines, <br />Denser, Colorado. <br />Sir: In accordnnee with Section 4299 Revised St tutee Colorado, 1908, I sub it reQyrt s follows: <br />The_~ ------------- <br />----------------------- <br />Name of Company- ------- <br />Incorporated in the State of__ __________--- <br />Principal office r------------- p25 <br />Capital stock _`_~ 0 O i9-o______________ Shares, at :~_____~__'- per share. <br />---'-- <br />u . Compavr, N P. 0..~ddresses„ <br />en out t b -~ /~~~ <br />,ace; otherwW •---A/. ~~ ~! - (~Q__.__ <br />_______ <br />leer It Ll.ok I ~p 7_' ~7 ~ ------ <br />Preatdent _ ~°----------------t3----------------- <br />Secretnry/ , <br />( Yn o-+'!--- ----- <br />=---t-- <br />Treasurer ______-- --------- <br />`Manager ~~'YV--~~=~9~=~--------------- ' <br />------- <br />--------------- <br />Pitle of Partnerehi '-"--'-- <br />p---------------------- - - <br />Partm•ra' dames P. 0. Address <br />u . erm <br />er D.rtnrnklp, <br />ell out lhl. <br />gixce: otherwiw <br />lase It bl.vk <br />`d anuger _--_----- _-- <br />Nnrnes of Owners <br />lU nrllher I"-""--`-------------------------------- - <br />w ~ <br />" - <br />pxrtum6lpp. ___.._______________________________._ ._ <br />all oct [ulx .I <br />xpxce <br />P. 0. Addresses <br />~ _ _ _ <br />I _____....___________..___ <br />~Jlannger__..-.__ .__..._.. <br />tilatr, manes of claims: <br />lJnpntenteA <br />Patented <br />-- <br />----- <br />--------------- .acres. <br />• -- _ . <br />___ncres; uaputcntc ____ _.. <br />'I'ot:d ucnagc patented------------------- <br />Oo you own or lease these claimst________-- <br />__ <br />__ ---- - <br />- --- <br />if you lease tbem give name of company or person Yrom whom saes ____.-. <br />- - - <br />-- - - ----- (Over) <br />~~ <br />,, <br />i ~; I. , <br />,sl,~ <br />;y , /ri <br />~.~ <br />~, <br />,p ~ . <br />~, l' <br />~`~ <br />'I~'; <br />'+~ <br />' ~I; <br />~d <br />11 ,dip <br />IA <br />