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MINE REPORT ~,:. <br />Note-Please fill out this report carefully, write platnly and answer all questions f y. Be sere to <br />date the report and sig''n~~it~~~~Fill o//u-t both aides of the sheet. `/~n / <br />livVY11~C(A -- ~---- --- -------. Colorado, ll%~G_•-!_ ~--------__-, 19~~ <br />BURP©U OF bIIN1;S, STATI; OF COL~OICADO. <br />T. R. Henahen, Commissioner of Mines, <br />Denver, Colorado. <br />Sir: In nccordnnoe with Section 4299,~/RJjevisedStntute~s,,~C~olo~ra/do, 1908, I submit repo77rAAt as follows: <br />Namo of Company-The__C=~!f~--~~-"_-`--`=-~~~~~~~ ~~-`~'~~'nJ~ <br />Incorporated in the St to of______ -- ~ - ----------------------" <br />----` <br />I'rinoipnl ofRco _ - -----------OCLO---------------------------.. <br />Capital stock L11Lld_•_~~-'-~~, -------Shares, at $-f__~~__----- Per shore. <br />' c°'"~'°r' Nnme P 0. Addresse>; <br />aI ovt t I. t ~ .{ <br />yat; othenrl.e - <br />4ne it blink N _ .J L <br />President _ -"-- - -------- ------ <br />Secretary -~~'- ---"~- ----- ~~ --------------..__. "-- <br />.. ----- ~ - ----- ~t--- <br />Treneurer ----------- <br />r. -------- -,-- ~--~ ----------------- <br />\fannger __ ------------------- -----s-----------~------~'--- <br />It . arm <br />°r mrtnenhip, <br />nn °m tnl. <br />.n.ee; o[kerwba <br />Irrtt Il klmk <br />n neither <br />mmP.nr not <br />nvtnmhlpp• <br />all out thi. <br />rP. ce <br />'title of Pnrtnerehi --'""'------------- <br />p------------------------------------------- <br />Partners' \nnus I. 0. Address <br />--------------------------------- <br />-------------------------------------------- -------------------------- <br />__________________________________ _________________________________ <br />16nagC[____________________________________ <br />Names of Owners <br />____________________________________________ <br />ninnncer -------------------------------~---- <br />State names of claims: <br />Patented <br />---------------------------------------------- <br />_---- <br />-------------- <br />P. 0. Addresses <br />--------------------------------- <br />--------------------------------- <br />_________________________________ <br />Unpntented <br />- ------------ <br />- -- - <br />-r,~__,~ ~~•-- ---------- ~------------~ <br />J- ------~ --------- <br />-------------------------------- <br />- ~~-r---lf.« <br />Total acreage patented------- ----------------acr a; unpntcnted_ _ -- - ~ <br />-- - ------------ <br />_~ <br />---------- <br />Do you own or loose these claimet__ __ _ -- - <br />------------------- <br />If you lease them givo name of company or person from wtlom le se ___-- <br />------------------- <br />------------------------------- (Over) <br /> <br />t <br />