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`„ G tom..'.. ~,' ~"~„„C <br />3$6~ <br />MINE REPORT <br />Note-Please fill oat this report oarefnlly, write plainly and answer all gnestiona folly. Be sore to <br />data the report and sign it. Fill oat both aides of the sheet. <br />---•- ---------- -------------~ Colorado, _!r_~yu v /U----~ 19~y <br />BUREAU OF i1fINES, STATE OF COLORADO. <br />T. R. Ilennhen, Commissioner of r[ines, <br />Deaver, Colorado. <br />Sir: In aecordnace with Section 4299, Revis/ed Statutes, Col/orado, 1908, I submit report ae follows: <br />Name of Company-The_____~~___t7_=Y~ O ~^• a <br />------- ---------------------------- <br />Incorporated in the State of_____________________________ <br />------------------------- <br />Principal office --------------------------•- <br />------------------- <br />Ir. Com .w, Capital stock ___________________________ Shares, at $ per share. <br />au une t81. ----------- <br />n.°.`ii nl.n`ewtl" Name <br />P. 0. Addresses <br />n.e~ <br />nil out t6h~0. <br />~V~ee; a~herd~~ <br />leve It bunk <br />--- r----------------~--- <br />--------------------- <br />Dfanngcr _~~~Qwf~r~-r_ <br />Prceideat --------------------------------------- <br />------------------- <br />---------- <br />Secretnry --------------------------------------- <br />Treasurer -------------------- <br />------------ ---------- <br />------------------- <br />i`linnager ____________ <br />--------------------------- ----------------------------- <br />'Title of Partaership____.,~ (~ <br />- ----- <br />------------------- <br />~,Q~ Partners' i\'ames P. 0. Address <br />Q~"x"'~--------------------------- <br />___________~t ___-______ !4. <br />_______ _ <br />_ _______________________ <br />______ <br />__ ________-_/l_________________~l__ <br />Names of Owners P. 0. Addressee <br />Ir neltbee <br />mmp~N nw <br />eil`ro~i'keal~: <br />~~lY <br />~~[naagl'r ____.____ _______ <br />Stntc anmea of claims: <br />Patented Unpnteated <br />the ...LY_ri_~4~st--------------------------- <br />_ ____ _ 1J <br />__________________________ <br />___ <br />_ _________ _______________________ <br />________ <br />___ <br />Total acreage patented_~'v 3 ___acres• unpntented__________ <br />~. Do you owe or ]ease these claimat___~,f__-~-~=-_~ ------"-------~--acres <br />---- ------------------------------------------ <br />_ IP you lease them give name of compnay or person Yrom whom leased______________________________ <br />----~r _~__ J-_ 1!v_~~h -------------------------------------------------------------- <br />(Over) <br />I t <br />~.I'L j' 4~1.: <br />~~ <br />w~ <br />j 1!~~ <br />