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p~'k Buckskin <br />MINE REPORT sss <br />Note-Please fiII ant this report carefully, write plainly and answer all gnentioaa folly, Be anre to <br />date the report and slga it. Fill oat both aides of the sheet. <br />------------A~II14---------------~ Colorado, -- ~ !~ ------, 19I,~/ <br />~~=L ------- <br />BUREAU OF bfINES, STATE OF COLORADO. <br />T. R. IIenaben, Commissioner of 1liines, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, Revised Statutes, Co do, 1908, I aubmrt re ort as follows: <br />~j~ P <br />Name oP Compaay-The___ ~!'!!___ <br />----------------- <br />Incorporated in the State of_________________________ <br />----------------------------- <br />Principal ofAce _________________ <br />a . Cam Capital stock ___________________________ Shares nt <br />mI ..t tg`i.°r, $------------ Per share. <br />Imw~~ Dlu~w Name P. 0. Addressee <br />a.em <br />or pvtnentlp <br />es ..t aa. <br />.P•n:.,n.r.w <br />lane It DLwk <br />President -------------------------------- <br />------- <br />Secretnry _____________ <br />-------------------------- <br />Tre°snrer -------------------------------------- <br />bfanager ________ <br />------------------------------- <br />Title of Partnerah{p__________ <br />--------------------------------- <br />------------------- <br />Partners' Names P. 0. Addrees <br />----------------- --------------------------------- <br />------------------------------ ------------------- <br />______________ <br />________________ _________________________________ <br />__________________ <br />_______________________ <br />ifanagCC____________________________________ <br />_________________________________ <br />Names of Owners P. 0. Addresses <br />-_______W.H._Bean _ Alma, Colo. <br />--------------- - - ------------------- <br />If neltDa -----------°---'--------------------------- <br />mmP.N uw ___________________ <br />______________ <br />a oen yy, <br />Il out tD4 _______________________________ <br />,P,n _____________ <br />_________________________________ <br />____________________ <br />________________________ <br />onager____!'t,.E._BtL1l1------------- -------_Al:ua,_ COlo. <br />•---- <br />- - --------------- <br />State names of claims: <br />Patented Unpatented <br />---~~R--Q,ILQOA----------------------------- <br />-------------------------------------------• ---~Y-$LQft3i_1'L4e~_-@_ inclusive <br />--------------- <br />-------- ---------------------------------------------- <br />--------- ---------------------------------------------- <br />----------------------- <br />--------------------- <br />Totnl acreage patented_________________________ncres; unpntented____~.Q_______ <br />-------------ncrea <br />Do yon own or lease these claimst____ Q?-n <br />-------------------------------------------------- <br />----- <br />f you ]ease them give name of company or person from whom leased_________________________ ___ _ <br />------------------------------------------------------ <br />t' (Over) <br />~~ <br />