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~% <br />_ / JJ <br />em. MINER PORT <br />Note-Please fill oat this report carefully, write plainly and answer all gneations fully. Be sure to <br />date the report and sign it. Fill oat both Bides of the sheet. <br />- / '~' ~~ <br />--~i~t~^~______. Colorado, --___`'!_=T_'-- ~-~-------, 1~ ~ <br />DUREAU OF MINES, STATE OF COLORADO. <br />---- T. R. }ienallen, Commissioner of Dlines, <br />____ Denver, Colorado. <br />Sir: In accordnnee with Section 4299, Revised Statutes, Colorado, OB, I submit report as follows: <br />'---- <br />Name of Company-Tha__S./__u ~~'~' ~~~ ~ ~--"- <br />( ~-.a~~.r~~o-tC------ --------------- <br />----- Ilncorpornted in the Stutc of ----------------------------------------------'------ <br />~_p /q~ <br />r nuci~.a.......,.. _- ------------ <br />-(-'' <br />Cnpitnl stock __aC_~U ~__ ~______. _Shnren, at :1;___~_______ Per ehnre. <br />u . Compw. ~ P. O. Addresses <br />an not thl. Nnmc <br />shlft. ,PVCr athenrlu -----(-/~-y~~-~-~ <br />In.r It blvnk - - "" <br />President _~~_--!=0~ --- ----~ _"__'___~.~ <br />/~ . . <br />shift. ~ 4% --- <br />---/~ O_-Y1.d~.~_ .. ------..-------- <br />shift. Secretary _ ----- <br />'Creaeurer ~ ------ (I~l~ <br />shift. ----- ------------ <br />--------------------- <br />-----iCtc..~,_~. c~c------ <br />t---------- <br />rshift. _______ <br />p--------------------- -------------- ------------- <br />'1'itlc of Pnrtnerehi --- <br />rshift. P. 0. Address <br />Partners' ~;uucs <br />rshift. <br />------- <br />rsluft. --- ---------------------------- - <br />irshifL -- --------..__ <br />If .arm <br />Irahlft. ____-._______ ..__________________ <br />' cr rvrtnrrvhl0. ________________ ~------------~- <br />1111 nut thle ' <br />ryurr; otherwbe <br />Urvr It hl.nk _____-___________________________ <br />-. _____ <br />------- ;1Innngcr----------- ~-~~--------------------- <br />------- <br />___ -_ ~ Names of Owners P. O. Addresses <br />If nelther ____________________________.-___ <br />rampm7 nor ___________________ <br />purmrdhlpp~ ______-..__________________________________ <br />CII aut thly <br />______.. ,puce --_.. ___________.._ <br />____ __ <br />~A[annger---------- -----~---- ---------- <br />____ tirade names of claims: <br />_ Patented Unpntented <br />---- <br />len in the .- CIY!_GL~IL.--------°---------- <br />•- 3 <br />. r --------------------------------- <br />------------- <br />------ - <br />----- --- - ------------------------------------------ ~~_-..=0___-___------- <br />---------- <br />------ _ . <br />~,t /'o--f -- -------~---------- <br />-- <br />------------------- r <br />°-------- '1'ot.•Il acreuge putented_~~----nrres; unpatentedid-~1~ ----- - <br />Uo you own or tense these claime9_______-- --- ' <br />_ComPany <br />!f you lease them give name of company or person from whom lensed__..___-- --- <br />- -------(O~ez) <br />