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~s of the lensing com~ <br />. O. Address <br /> <br />___for____hoar shift. <br />___for____I~our al~ift. <br />___for____hour shift. <br />___for____hour shift. <br />___for____I~ourshift. <br />___for____honr shift. <br />___for____hour shut. <br />___for____hour shift. <br />___for____honr shit. <br />___for____hour shift. <br />___for____hourshi[t. <br />------------------ <br />------------------ <br />------------------ <br />----------------- <br />1913 <br />.. <br />Ft., $«------- <br />Ft., g- --------- <br />.. <br />ft., $.G--=~ --- <br />S <br />to workmen in tl~e <br />------------------ <br />_: _i ,_ .. <br />MINE REPORT ~ <br />Note-Please fill oat this report carefnlly, write plainly and answer all gneationa folly. Be sore to <br />date the report sad sign it. Fill oat both aides of the sheet. <br />--° -----------------------------• Colorado, -------------------------,19--- ~ <br />BURL " ""'F" rm ""R OF COLORADO. _ <br />T. It. ~ ~ •ner of i.. _ <br />DF ..olo "' .w/' /r /J ,.. <br />L (~~~ <br />fJ1r ~ 79: <br />~~ ~ /f'- ~/c3 --- <br />v <br />Total acreage patented-------------------------acres; unpatented______---------------------acres. <br />Do you own or lesao these elaimst_______-.-------------------------------------°----°---'---- <br />lf you ]ease them give name of company or person from whom lenecd________________________________ <br />---------------------------------------------------------------------------------------------- <br />(Over) <br />