Laserfiche WebLink
\~ <br />,~ ~ y <br />1. <br />MINE REPORT ~:. s <br />Note-Please fill ont this report carefully, write p]ainly and answer all questions f ly. sure to <br />date the report and sign it. Fill ont bo~th~siy~7des of the sheet. (/,~/~n'~ ~ ~~~ <br />--------------- --""~~.------, Colorado, -_! ~'_--n"'`_`!'!!"`:l-J °---~ 1913 <br />BUREAU OF bIINE5, STATE OF COLORADO. <br />T. R. FIenahen, Commissioner of .lIines, <br />Denver, Colorado. <br />Sir: In accordance with Scetion 4299, ReviseaStntutes, Colorado, 1908, I submit report as follows: <br />If a Compavr. <br />EII oul t b <br />.pace; oWer~lu <br />lravt It hlavk <br />If . Erm <br />or partnerahlp, <br />1111 out thb <br />parr, o[herwp. <br />leave It Llank <br />If velth<r <br />rvmpanr vor <br />ponner.hi <br />'l11 vu[ WP <br />•Pan <br />Name o4 Company-The---------------------------------------------------------- <br />Incorporated in the State oP_____________________._________.-______________.._______ <br />Principal olTice -------------------------- - --------- ------------------------°.. <br />Capital stock ________-___..____e_____-_-- Shares, at :$____________ per share. <br />Name P. 0. Addresses <br />illnnager ---------------------- ----------------------------- <br />----------------- <br />(r /~rl.. <br />L' <br />___ ___ <br />Title of Partnership______ ~ _ !~_`~`_^-~-~-_]k_~.C~~_ __________ <br />Partnv Vn lcs . O. Addr- essn <br />,~~, } , <br />- ----J ------- <br />- --- ~ -- J <br />--- --- <br />President --- ----------------------------------- ---------------------------- <br />Seeretary ------------------------------------- ---------------------------- <br />Treasurer ------------------------------- ------ ----------------------------- <br /> <br />lfnnngcr---------------------------------~-- -----------------------------'--- <br />Names of Owners P. 0. Addresses <br />tihttc names of claims: <br />P nted Unpatented <br />_ ~~~ <br />_ __-_ ~~.-~ - ---- °n 1 ----------------------- ---------------------- <br />. ~. , <br />'I'otnlncrea•c ---------~------------------ acres; unpntented_----------------- -- --_acres. <br />6 patentee---- ~ ------ ---------- ~--_. <br />- ---- <br />--- <br />----- <br />Do you o~vn or lease these claimsi_____ ' <br />1t ou lease them ive name of company or person from whom leased___-l?~~____l_A~~•-----___-- <br />_-- --- --- ---------------------- <br />(Over) <br />