MINEBK00025

• County: Chaffee
• Document: Manager
• Suffix: A

,a. MINE REPORT t,~ ~ f
Note-Please fill out this report carefully, write plainly and answer all questions folly. Be sere to I ~ il' ~~!
date the report and sign it. Fill oAt both sides of the sheet. I
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BUREAU OF MINES, STATE OF COLORADO. ~~,
-__ T• R. Ileaaben, Commissioner of Dlines,
__ Deaver, Colorado. I't
Sir: In accordnnee with Section 4299, Revised Statutes, Colorado, 1908,3jsubmit report s.f611ows: •I~.'.
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--- (Name of Company-The-~/-C.r=-------- --
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Incorporated in thMate of-----------------------/ _-; _ _-~ __-, ~ '~ ' `j
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Principal ofEce __'_-----
Shares, at $.:_________-- Per 611are. (,~
Capital stock ---/ --- _
It .CampW. _____ r __ _ % P. 0. Add;CaSCa ~ , / ~ f ~,
Gll nut thb V ~.me /, /l I
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1 Prestdent •~C_ _r_ _ _ _?~.• '
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Ift. ~ ~~_ -~i!_1r ~~ Y"7 x~~i i L?__t`_~_r _ ~"~ I i
ift. (Secretary if_/-=-- --' - -- - ~s ' '
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ift. jTreasarer ----------------------------- ----------------------------
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~'tlnnnger ,-------- --------------- ~ --- ------------ -
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(Title of Partnerehi ---------'---'------_--~------------ --
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II . GrV, ----- "-------- --
' or Vartnen6lV. ____________-._
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___ lerv~• It hl.nk __________________. II
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Numes of Otivaers P. 0. Addresses ~I)
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If neither i ________________________________-_____._ _-. "
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___ I,.rtnenhlp, ______.._____________________________________
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~t:dl~ names of claims: ' II
Unpatentett
/ Patented `I
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--- ; u~ _ "~ ~ =--~~~lr~ _af,res; unputcnted_ v --- ;) ' ~t
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9'ut• acreage tutented_LL-- j
any. Do you own or lease these clatmst__ pe-~~` - _ ~ '
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ht lease
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if v . t 1 e them giv am of com nn7• or pers Yro YJ1 ~ -- - I (~'
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