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~, <br />' MINE REPORT ~ 2 <br />`V~ Note-Please fill oat this report carefully, write Plataly aad anayver. all gneatioae folly, Be anre to <br />date the report and sign it. Fill oat both sides of the sheet. <br />--°~G~7_~r12 !.!~_____-, Colored , ~ i r ~Tr:;''_ cv _ <br />BUREAU OF MINES, STATE OF COT~ADO. <br />T. R. Iienahen, Commissioner of 1lfines, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, Revised Statute/s/JColorado, 1908, I submit report as follows: <br />Name oP Compnay-The________ ~K ~~'liF. <br />----- ---- ------------- <br />--------------------- <br />Incorpornted in the State of________________ <br />-------------------------------- <br />---- <br />Principnl office ____________________________-- <br />------------------- ------------- <br />- --- <br />c.comg.w. Capital stock ---------------------------Shares, nt $------------ <br />en wet r. per share. ' <br />pans; ntheewlaa Name <br />I•s•e It blank P. 0. Addresses <br />President -------------------------- <br />u . e.m <br />or Dertnenhrp <br />EII not t61a <br />[Pere; atherdae <br />In•s It trans <br />------------- <br />Secretary ______ <br />--------------------------------- <br />Treneurer -------------------------------------- <br />------- <br />aaager -----_--_-- <br />-------------------------- <br />-- ----------------------------- <br />rTitle of Partnership __ ~-t/~____ <br />I - - -- ---'--------------- <br />//~~ ----- <br />P n s' Names P. 0. Address <br />//~~ fj_'~~ --------------------------------- <br />---~7 _t1..~_ <br />--------------- --------------------------------- <br />diannger______________ <br />Names of Owners <br />If neither --------------------------- <br />- ----------- <br />nompenT oar <br />DtrtnenhlPP, <br />Oll out thb ____________________________ <br />•Datt <br /> <br />J[aaager------------------------------------ <br />P. O. Addressee <br />------------------ <br />State names of claims: <br />Patented Unpntented <br />.~ ~ ~ ~, <br />------------ ---------------------------------------------- <br />------------ // <br />Total acreage patented_`~ ` = -=------------ ---------------------------------------------- <br />- acres; un ___ -_ ---~ <br />~------- patented__ 6 = -----------------acres. <br />Do You own or lease these claimsT____~~lti~~/' ___________ _ _ <br />- - ----- <br />If ou lease the give name of company or pcreo from whom lease _ ~__ rv' <br />~- = ~~n..~---- -- - - u~---------------- <br />(Over) <br />