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the leasing cam• <br />ddtees <br />-!7---~-~~- - -~- - - <br />•------ / <br />S__ a~ _~-_;.~ <br />r_ _ _ _honr shift. <br />r____hour shift. <br />r____hourahift. <br />r____hour shift. <br />r____hour shift. <br />r____honr shift. <br />r____hour shift. <br />r____hour shift. <br />r____hour shift. <br />r____llour sllitt. <br />t_ _ _ _honr ahi fY. <br />. _U. <br />--~'y - <br />orkmen in tho <br />t,--°~Y+-~~ <br />-5-11:osPaR1• <br />!~~1~`~ <br />~ ~/ <br />I <br />I:,a:; <br />MINE REPORT <br />Note-Please fill out this report carefully, write plainly and answer all questions fully. Be ears to <br />date the report and aiga it. Fill oat both aides of the sheet. <br />---•----`'=-4~~^'~'1-~~---------~ Colorndo, -- ~r~!1i_- -"-----• 19~_~+ <br />F3UREAU OF 1VfINES, STATE OF COLORADO. <br />T. R. Ftennhen, Commissioner of rfinea, <br />Denver, Colorndo. <br />Sir: In accordance with Section 4299, Revised Statutes, Colorndo, 1908, I submit report as follows: <br />-t~ <br />If • Compaor. <br />EII out t la <br />apatt• othurwlu <br />lrne I[ blank <br />11 . Erm <br />ar Dartn<n61p, <br />1111 aut thb <br />space; othmrba <br />larva It blank <br />Namo of Company-Tho_______, <br />Incorporated in the Stnto o~ ~_> <br />Principal office _______________. <br />Capital stock _________________ <br />Name <br />_______Shares, nt :~____________ Per share. <br />P. 0. Addresses <br />President --------------------------------------- ----------------------------- <br />Secrotnry --------------------------------------- ----------------------------- <br />Treasurer -------------------------------------- ----------------------------- <br />llnnnger --------------------------------------- ----------------------------- <br />Title of Pnrtnerahip-------------------------------------------------------------- <br />Pnrtners' 'Fames P. O. Address <br />lfanngcr------------------------------------ -------~------------------------- <br />~/ Names o/ff 0~vners <br />---- -- 1 - ----------- - ---------------- <br />It neltber - B ~j ~.y~ <br />eomnanr oyo~e CSilt_!,f-LF-_ "`1^^^/iiiALLLZ/- <br />IplllnauL tab _~ ___ __________________ <br />spa. <br />P. O. Addressee <br />~~-~~ -~- ,/~ -- - <br />-- - - --- <br />_. ~i J~1r~I ~--.~i y ~~a•~ <br />1Canager-~-- -------------------------- -----------------------------~-- <br />Stntc names of claims: <br />Patented Unpntented <br />---------------------------------------------- - - - <br />------------ <br />---------------------------------------------- -- r - <br />Totnl ncren a Hares. <br />g Patented--------------------Q-- acres; unpatented____--- - ------------ - - <br />Do you own or lease these clnimet_____---~JL~ry°------------------------------------- <br />4 <br />If youlense them give name of company or person from ~ellom ]cased-------------------------------- <br />--------------------------------------------------------- ---------------------------- <br />(Over) <br /> <br />