Laserfiche WebLink
~~ , ,~~ ~ <br />~~i <br />- MINE REPORT <br />Note-Please fill oat this report carefully, write plainlq aad answer all questions fully. Be sure to <br />date the report and sign it. Fill oat both aides of the sheet. <br />---•---------~4?C=__lc~------~ Colorado, -------------------------! 19~s` <br />BUREAU OF bIINES, STATE OF COLORADO. <br />T. R. 3ennhen, Commissioner of \[ines, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, Revised~~Sta``tutes, Colo"ra~doy,.1908, II submit report na follo~ve: <br />Name of Company-The__~~~5~~:'/~O~ l/~ ~2%~%~'vG~ <br />Incorporated in the State of_________~__________________________________________ <br />Principal ofIico ------------------------- ---------- ------- ---- --------------- <br />Capital stock _____=?C___________________ Shares, at:S____________ per share. <br />If ~ Comp~o), <br />en not 4 Name P. 0. Addressee <br />,pee; othetwW <br />Inre ft bunk <br />Presldent\----X------------------------------- ----------------------------- <br /> Secretary --~----------------------------------- ------------------------- <br /> <br /> Treasurer -------- ---------------------------- ----------------------------- <br /> ~Slannger ----------------- --------------------- ----------------------------- <br /> Title of Partnership---~9_____________ ______________----___--- <br /> Pattncrs' \nmev P <br />0. A <br />dress <br />d <br /> -- - - -------------- - ~ <br />p <br />~ <br />~ <br />--~~L~~~=y_.!r~l~~---- <br />n . erm <br />~~~L----------- - <br />-------------------------------- <br />or p~rtnmhlp, (/ <br />A!l out thb ______________..___-._________________________ _ ________________________________ <br />rprcc: othrrwW <br />irnrr Il blink <br />~Innugcr----------- ------------------------ ------- ----------- - ---------- <br />Names of Owners <br />art er ________________________ <br />cumpan) nor <br />;iortnrnhlp, <br />!ill out [:rl~ __________- __ ____________________ <br />rprcc <br />____________________________________________ <br />~ltnnngcr----------- - ------ --------------- <br />~tatc names of claims: <br />Patents <br />P. O. Addresses <br />Unpalented <br />--------------------------------- <br />--------------------------------- <br />---------------------------------------------- --------------------------------------------- <br />------------ <br />'futal serer e ~ -----------scree; unpntented______-~ Q-------- - ---acres. <br />g patented----___--- =-- <br />---Company. Do you own or leaso these claimsf______---~~/.G~~-----------------------4-----------------(/- <br />____________ If you lease them give name of company or person from whom lcaeed~'~~1/[~~-~f ~~~1=P"It=t~L~I <br />-- --------------------------- I <br />(Over) <br />1~ <br />1 <br />