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i <br />'\ ~ ~ <br />r;~ ~ <br />MINE REPORT ~ '~ , <br />Note-Please fill out this report carefully, write plainly and answer all questions fu]ly. Be sere to ~I ' <br />date the report and sign it. Fill out bath aides of the sheet. i <br />;I <br />__-.~4a.~.?"~l_~~tey..-__---____-~ Colorndo, _O~taber_3Zst,_--__-, I9I~. <br />BUREAU Op' b[IN);$, STAT); OF COLORADO. <br />T. R. Hennhen, Commieaioner of .llinea, <br />Denver, Colorndo. <br />Sir: In accordance with Section 4?99, Revised Statutes, Colorndo, 1rJ08, I submit report as follows: <br />.1 <br />Name of Company-The_ BEZAHT GOLD ~QIrIING _CO"wPAPtY <br />- -------------------- 1 <br />Incorporated in the State of_____COlOr8d0 ___ <br />- ---------------------------------- 1 f <br />Principal affice _____~DAtx81_CjY,Y,__.___________ ._______ <br />v.compp.ny. Capital stock ____250~Of10_______-__.__Shnres, at $__1 IIO per share. <br />hll Uul tld. ' --- <br />pace: otherw6• Nnme P. O. Addresses <br />Inl* It blank <br />President ___O-,_,F,__~~~~tr~d___________ __ __11entraL_Cit• <br />_.-_ ~y_____-__ <br />Secretary _~~__ps.~__dn~______________________ CeIItral_ Cit9, ~-F <br />Treasurer _Ch88.__C..-~.HeBdriev------------- _IZ@AYe~.__Cololt3R-~~~ <br />"\Innngcr ---4.-$~--Duf~fo-ld---------------- --~.,+...~+--,.~..w--------- <br />of Pnrtnerahip____Inaorporated_ CotII~any______ _ <br />- ------- <br />Pnrtm~rs' Xnnl"s P, O. Address <br />~~ <br />:~~-- fir`. <br />en in the <br />~C A.Li <br />~~ <br />,^,ompany. <br />------- - <br />u .arm <br />Ur pann.rahlp, <br />till Uut thla <br />qure: otlmrwLa <br />Iwv. It 61mk <br />Il nrllhn <br />~tt~Pany noe <br />p+rtn.dhl <br />:!II Uut 4111 <br />•parn <br />1lnnngcr------------ -------------------- - <br />Nnmea of Owners P. 0. Addresses <br />1[nnager _____________ <br />~Inte names oP claims: <br />Patented <br />._ ~,UARTZ MILL Paterl~_140~_,~47_____ <br />Unpntented <br />-------.F{PIOi4 ;FS---------------------------- <br />-------~IIZLE~----------------------------- <br />~Pol:ll acreage pntentedFlVe & I6~I00 ___ncres; unpntented_____Aholit_N3n0..__.._.-acres. <br />---- <br />Do you own or lenso those clnims4_______OSPII---------------------------------------------------- <br />!f y~l, lease them give name of company or person Yrmu tivhom lensed______________ <br />(Over) <br /> <br />