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MINEBK00045
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Last modified
1/6/2009 12:24:28 PM
Creation date
11/18/2007 11:52:24 AM
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:om• <br />hilt. <br />hift. <br />hift. <br />hift. <br />itift. <br />hift. <br />',lift. <br />I»ft. <br />gift. <br />hilt. <br />hift. <br />the <br />1~. <br />/ - ~ <br />MINE REPORT' ;~ <br />Note-Please fill oat this report carefully, write plainly and answer all questions folly. Be sere to <br />date the report and sign it. Fill oat both eidea of the sheet. <br />.-1 <br />-------- ~-=x'1,5,' -------------~ Colorado, --~CY_t__~~l~•c%_.S', 19!~ <br />BURF.:1U OP' DIINES, STATE OI' COLORADO. <br />T. R. liennhen, Commissioner of 1lfines, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, Revised Statutes, Colorado, 1906, I submit report ns follows: <br />L <br />Nome of Company-The-- ---~~_~c.rt~-~~ fi==r- ---- ~`f----------- <br />Incorporated in tltc Stnto of______-___ --------- <br />Principnl office _______________ ~ ~ o., v. it..~-`'la~nrl~t?~11.~(Q.~^I <br />----~------ ------~_ ---- --------- J\ <br />p Capitol etocts --- -- --------------•'- _ Shnrca, nt ~______ _-' per share. <br />ell nut lM1b ~ „~ •~ x~•'~~0. Ad/d/resset~~. ~ (~ <br />Irv •It blank a~ 1 -- <~.~.~.. V ~?-t-O"t`X ~~"~.Ll <br />Pres eat -=---- --~~------------------------- `~-~- 1------------------,::: <br />N --~ ~ ~ '~~i'- <br />-~- <br />Trcaeurer ~__-____ ~ ---- <br />- - - - -- -- --- --i~---- <br />--- ~,--------V ~ <br />--------------- <br />(,' <br />of Partnerehi ------------------------ ------------ <br />p------------------------- <br />Pnrtncrs' \nwles P. 0. Address <br />u . erm <br />ar partnen6lp, <br />all om tm. <br />.pee: athenlw <br />Irsv~ it Llmk <br />bfnnnger----------- -----------------------.. <br />Names of Owners <br />II neither <br />vuniVmr nor <br />pnrlnrnhlp~ <br />all nut WL <br />epxe <br />P. 0. Addressee <br />--------------------------------- <br />---0-- -----------z-- <br />-- ------------------- <br />A[unngnr-------------------------------._ ----------- -- <br />StuG: names oY clnime: <br />Patenteli Unpntented <br />~~ LQ~ <br />~7-r~ l~a~,.,:~~2--------~-:- -~Y-- ----------------------------- -----------. ---- <br />- - ------- ------ <br />--- <br />----------- •,,,,,~-,a~-.--~.-~ -- <br />~i ------------~ -acres- <br />Tolul acreage patentedl2s? Y~+=+~`~^----acres; unpntented_________ <br />Do you own or lease these claimat_______- <br />1P you tense them ~•^ name of company or Pelson from whom leased--------------------------- --- <br />gt - ---- - --~, <br />- ------------------- <br />(Over) <br />
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