Laserfiche WebLink
.Sct. ~. / « C ~ C <br />_ ~,~~'~ <br />MINE REPORT s5~ <br />Note-Please fill oast this report carefully, write plainly and answer all gneationa folly. Be sore to <br />date the report and atga it. Fill oast bath aides of the sheet. <br />----_V_I_•l,:L•)_f___L4CG[___E____, Colorodo, ____ _ <br />BUREAU OP bIINES, STATE OP COLORADO. <br />T. R. liennhen, Commissioner of 1lines, <br />Denver, Colorado. <br />Sir: In nccordnnee with Section 4299, Revised Stntutea, Co]orndo, 1908, I submit report ne follows: <br />. ~ <br />Nome of Company-Tho__________ _ Y~_~~ _ <br />--------------- <br />Incorporated in the State of______________ <br />---------------------------------------- <br />Prineipnl office --------------------------------- <br />---------------- <br />u. compp.,r. Capitol stock -----------------------_,--- Shnrea, nt $-----____--- per share. <br />:11 out thl• <br />Iucr• ottwewW Nnme <br />Ir•vr I[ blank P. O. Addresses <br />President ______________ <br />--------------------- <br />----------------------------- <br />Secretnry ________ <br />----------------------------- <br />Trensurer _________ <br />-------------------- <br />----------------------------- <br />~[nnnger --------------------------------------- <br />----------------------------- <br />Pltle of Pertnerahip____________ <br />( ------------------------------------- <br />Partners' \nntes P. 0. Address <br />I ------------- <br />n . Erm <br />ar p•nnmblµ <br />IIII nut thl• <br />.psr: ofLerdN <br />lease It bi•nk <br />It neither <br />rnmpmr nor <br />p.rtnrnhlpp,, <br />011 out [~tl. <br />~P•tt <br />--------------- <br />3lanngcr----------------------------------- <br />Names of Owneta <br />l Sranagt:r _ _G_ it[L:. _ _ G J~[[1 f t[t~_ _ _ _ _ _ _-- <br />Shltc names of claims: <br />Patented <br />Total acreage pntented_11111__~ ~ r eS___-___acres; unpntente <br />Do yon own or lease these claima4___1„!'_y„~_P„________________ <br />IP Sou lease them give name of company or person from a~tloln lensed________________________ <br />-- -------Q /Q---f '1 ~~-~-- 4nt1 _Ir__tttz---~ rsT e <br />----- ~-- <br />----------- --------------- <br />(Over) <br />-------------------- <br />------------- ~i i( <br />___________ Ill is <br />--------------------------------- l <br />P. O. Addressee ; r; <br />j ~? <br />~ l <br />~ i.i <br />_________________________________ I. <br />,. <br />,1 ; <br />,~ <br />-------- <br />~~ i" <br />Unpntented l ~ r II / ~I <br />-------- <br />--------------------- <br />-- <br />~----------------------- I', <br />,', '~ <br />--------------------------------- (.I, <br />~~ <br />d--------------------------acres. ail°"' , •. <br />'' ~ f <br />d ',i ~li <br />