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____ <br />~' ~~~ r ~' ~~ y~~oa <br />.L. ~ <br />-t.- t) 1 <br />le leasing eem. MINE REPORT ,t <br />~'~ Note-Please 811 out this report carefully, wrlte plainly and answer all questions fully. Be sure to <br />date the report and sign it. Fill out both sides of the sheet. <br />--------------------------------~ Colorado, -------------------------,19_~ti.r% <br />tIUI1SAU OF' MINES, STATE OF COLORADO. <br />------------ T. R. Hennhen, Commissioner of -Iines, <br />,_____________ Denver, Colorado. <br />._____________ Sir: In accordance with Section 4299, Revlh, '"tea, Calorndo, 1908, I submit report ns follows: <br />-_-_hon! shift. <br />____hour shift. <br />____hour shift. <br />____bour shift. <br />____hour shift. <br />____hour sllitt. <br />____Ilour shift. <br />-___hour shift. <br />____hour shift. <br />-___hour sllitt. <br />____hour shift. <br />~rlcmea in-the <br />~--COSgpagT. <br />;C ~..-- Cti f'-~~. <br />If s Company. <br />pll out t L <br />rprrr; olhendaa <br />bare It Dlaot <br />a . erm <br />or putaen.hlp, <br />all oul tLla <br />rpaxr• o[herwlu <br />trove it blank <br />II ndtha <br />mmpao) nor <br />partnerahlp, <br />1111 out tWa <br />rPaav <br />Name of Company-The------------------------- ------------------------------- <br />Iucorpornted in the State of------ ----------------------------------------------- <br />Prineipnl oflico _- ------ -------- --------------------------.. <br />---------- <br />Capital stock _.---------------------- --- Shares, nt $____--____-- per share. <br />Name P. 0. Addressee <br />President -------- ----------------------- -- <br />Secretnry ----------------------------- <br />--------------------------------------- <br />------ <br />Treneurer ------- _..--------------------- <br />------------------------------- <br />--- <br />Dinnager - --------------------- - <br />---------------------- <br />(Pltle of Pnrtnerehip--------------------------------- <br />I Partners' \:uuls ---- P. 0. Address <br />llInnngcr------------ ----------------------- <br />Names of Owners P. O. Addresses <br />___ <br />--- _{. <br />~~.C-L l_l~L_____~<__C)_____ <br />L <br />State names of claims: <br />" ~ntented Unpntented <br />-~~~ t.=---------------- ---------------------------------------------- <br />'_1 ------------- <br />--------------------- <br />_ ~~ill.L ----- ----- ---------------------------------------'------ <br />-------------------- <br />__ncrea. <br />Total acreage patented_____-~ f-'----°-----'-acres; unpatented------------------°-`-- <br />Do yon own or lease these claimst____ - - ----- ----------------------------------- <br />---------- <br />I1 you lease them give name of company ar person lrom whom lease ---------"- <br />---------------------------°---------------Over) <br />