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P'S <br /> <br />z <br />.~ <br /> <br />~;~^" ~"" MINE REPORT s,~s <br />,y~~'{. <br />~~" Note-Please fill out this report carefully, write plainly aad answer all gneationa fully, Be sure to <br />date the report and siga it. Fill out both aides of the sheet. '. <br />--------------------------------- Co]orado <br />' ~-------------------------~ 19--- <br />BUREAU OF bIINE5, STATE OF COLORADO. <br />T. R. Hennhea, Commiseioaer of lliiaea, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, Revised Statutes Colorado 1908 I a mit report as follows: <br />Nnme of Compaay-The_ ~~-- , <br />-------- '^'Y*• <br />~/ -- <br />Incorporated in the Statt+'of_2~-~--r~--a--r..Le. <br />---- -------------- <br />/~ ~ -- -------------- _iTLt~ <br />Principal office __= t!~[-~ <br />-----.. <br />Ir . Com Capital stock <br />8'° ---------- Shnrea nt $ <br />all Dnt t 1. ' ------------ Per share. <br />•v!•: Dlhlrwb! Nnme P. 0. Addressee <br />lens It bi•nk <br />President --------------------------------------- <br />Secretnry ______ <br />Treasurer ----------------------- ----------------------------- <br />~Lanager __~~~__ -~-- '- <br />~__----- <br />----------------------------- 1 <br />!r . erm <br />ar D•Rnenhlp, <br />X11 out t66 <br />!p•ro: othenrl•! <br />lens It blot <br />lr Delther <br />°^mDW nor <br />wrtnenhlyy~~ <br />ell out tiW <br />•D•b <br />----------------------------------------- - r <br />------------------ <br />Slanager______________ <br />--- --------------------------------- <br />Title of Partnership------------------------------------ <br />---------------------- <br />Partncrs' Vnmes P, 0. Address <br />-------------------------------------------- <br />------------------------------- <br />' Names of O era <br />P. O. Addresses <br />------------------c-------------- <br />_________________________________ <br />_________________________________ <br />IlCanngcr------~~----------------------- ---- --------------------------------- <br />-------- -------- <br />- ----- -------- <br />State names of claims: yr~.,~,~~~~_ ~ uGe <br />Patented /~/~ ~ UnpntenteU ~'- <br />____________________________ <br />Total acres a °-------- <br />g pntented__________________ ___aeres; unpntented__________________ <br />Do yon own or lease theca clnimst___ ~ ---------scree <br />If you ]ease them give name of company ar person from whom lensed______ <br />i~. <br />I ' <br />1,' 1 1j <br />1 1 <br />1 <br />1i1 <br />~~~ <br />?~~j <br />i I~i <br />~` I ~ <br />i tl~ <br />~:,~ ~ . +I <br />I <br />I <br />~I I~~~ ~ <br />1~ ,• ~ ~ it <br />(Over) <br />