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a <br />. <br />I <br />~ottnty D'~i; ~ ~'~'~ ~ <br />I <br />C0~- MINE REPORT ~~~ (!~ ~' ; ~~ <br />,~ <br />Note-Please 8ll oat this report carefully, write plainly and answer all questions folly. Be sere to ;~, `~~ i ',, <br />date the report and sign it. Fill oat both sides of the sheet. ;s ~ i ,i <br />_ _ /, <br />6UI{EAU OF 1VfINE$, STATE OF COLORADO./uy Jam,/- ~ / <br />----- T. R. Iiennhen Commissioner of Mines // ~ /off,/-~ III <br />---- Denver, Colorado. ~ 77~/~_~g ~9~3~/ ~~ "~" ~I <br />----- Sir: In accordance with Sectioa 4299, Revised Statutes, Colorado, 1908, I submit report se follows: .~ <br />G-,„F Name of Company-The__!1_~__ _~' ___!L___ ~~//° ~-_______ ;: <br />--- <br />-- ----- <br />I, <br />Incorporated in tlto State of _ _____ _~ _ _____ <br />I, i <br />---- ' <br />Principal offieo __ __ ----------- -- ~ . <br />- -- --- <br />Capital stock _~6G G_ 0 U ~ - ___ Shares, at ~ ~~~ _____ per share. <br />If • CampW, ~, <br />au nnl NI. Name P. O. Addresses ~ , i <br />Shift. ~vn: oWer+in <br />Irve It bLnk <br />Shift. President __ -_ ~~ - ----------------- ---~lt_!'_"=_°_-- -~----- <br />3111ft. _ _~_______ _____ ____ <br />Secretary --------- ------~~----------'~---------- I, <br />shift. Treasurer - -`-- --~'----------'~---------------- ------=~---------`-'---------- ~ ~ .' <br />shift. \fanagcr <br />1[~ <br />shift. <br />r <br />;Lift. Titlo of Partnerehip-------------------------------------------------------------- <br />Ihift. Partners' \nmes P. 0. Address ~ ' - <br />shift• ---- --------------------------------------- -------------------------------- <br />shift. <br />n . eon <br />shift, o. r•nnaz.mp, <br />Ills ou[lhl• ____________.________________________________ _________________________________ <br />span; olherwW <br />loin Il blink ~ ~~ <br />---- ~Innngcr- --------------------------------- ---------------------- -------- - I`~~ <br />---- Names of Owners P. 0. Addressee i I <br />111 <br />---- <br />----------------------- --------------------------------- I <br />---- - <br />----- <br />----- ---------------------------- <br />II nellher -------------------------------------.-- <br />-'~ romrynr nor <br />--_ P+rtnrnhl , <br />____ _________________________________ <br />All oul tn ________________________________________ <br />.p.n <br />, <br />t <br />-Inanger------------------------------------ -----------'-------------------' <br />Stntc names of claims: <br />Patented /J - Un ntcated <br />the vC~O ~~ ~..} G'? ~-~~------ <br />- --- -------- ------ --------- -~ ,eE. <br />~-e -- <br />---- , <br />-'-- ----~~-----------~~-------------°------------ I ji <br />----- / -- ------ --------------.- rr <br />-___ <br />°___-__'--------------° ~ r <br />____ <br />T ______ <br />---- ---------------------------- <br />Totul ncren-e--- __.____acres; un ateated_•_! -~-------------------acres. ~, <br />B Patented_~Q------- ~~ -- -- ------------------- ' ,' , <br />-- - -- -- <br />any' Do you own or lease these claimei_~~~---- - <br />I, <br />____ II you lease them givo name of company or person from whom leased-------------------------------- `',~, ;' <br />---- --------------------------------------------Over)--------------°---------------------------- IIIt ~{~ I <br /> <br />