Laserfiche WebLink
i,~~ <br />f the leasing aom. ~ MINE REPORT <br />;;>i. <br />dddresa <br />Not~Please fill ont this report carefully, write plainly and answer all questions fully. Be sure to <br />--- date the report and sign it. Fill ont both aides of the sheet. <br />- _ ------ <br />- ---------------------------------. Colorado,-------------------------. 19--- <br />- --------------- BUREA' - - <br />'------------- T. F 'Q~_ <br />---------------- Sir! d~Y wa: <br />• nl <br />:___ __-____-__- c ~N' <br />It a Cam <br />'or____hourehift. eu sae t~ <br />rvrer otb <br />br_..__hourshift. 1°`°`itbu ~~~~LLr~ ~ ---- <br />or____hour shift. J~ ~ ~ ~~/y <br />or___-hour shift. ~l• /~• ~ ~ ZL' / ~// / ____ <br />or____hourshift. n/e /~ <br />or____hour shift. <br />-~cic)L~r ~- -fe <br />or____hourshifL 1 ~~ ~ - - <br />or____hourshift. ~]~-~Y" <br />. - 6-1_t.-va R~ , ~ c ct-~ti ~~ c -~ ~-f <br />~r____hourshifl. / 0 // /J <br />rr____hourshitt. u a an, `^' ~'~"`^ c` `' c. c~~%~/~./(~o-~~a,~~.~y~(\ ~ ~ L.c.".-.. -~ r~v~-~ ---- <br />fill aul thl D rJ ~ ---- <br />or DartoR I~'~. !i_ .' -tom/ ""`^~_~ ¢// <br />-•---------'--- Ieve It bb l///j' <br />-------- -- ~~i' to ~ ~ d <br />~ - '---- <br />______-.__-. ___ ~ ~ /~ ~ ~/ ~ / 1 <br />C/// '~ ----- <br />t,., .,.tea ~;., ----- <br />----------_-- If ncitba ~~ (. wCi<' ~ jY!<il L~-~-~-~- `~/ w. t c.YLaI ,~ <br />mmpaar : : t : ~ .. t~a_t~-~ .-_.-__ <br />011 out tb ----- <br />rDtc~ - ~ ~~ lfI f_ .~ ~~ ~ ~ V-Y CJ ~i. ti.... 1 , 1~--~4 ~ _- <br />~/ f ~~ <br />-.-t ~n~li / _____ <br />C <br />--------- ~ ~~ ~... y ~ ~ ~.~..:.. ~- ; ----- <br />7L S4ttc t <br />orkmen in the <br />~,~ <br />~~ __ f~ ----- ----- <br />.f!_Y~=r__ __ _____ ___________________________________.____ <br />________________ <br />JJ g pntented-------------------------acres; unpn[anted-------------------..._- -.--acres <br />7~Otal !!ClCa C <br />2?1!Company. <br />Do you own or lasso these claimst______________------------------------------------- °--------- <br />y give name of compnny or person Yrom whom lensad________________________________ <br />~"~"-"- If au lease them <br />-------- <br />------------------------------------------------- <br />(Over) <br />