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~aIIa-V? Dirt. ~e~ - <br />~i~~~%~%~ 1 i i u <br />MINE REPORT ~~ <br />Note-Please fill out this report carefully, write plainly and answer all questions fully, Be sere to <br />date the report and sign it. Fill ant both sides of the sheet. / f / <br />------- -- - --------~ Colorador -~~~-1--7--/ , <br />------• 191a <br />BUREAU OF bIINES, STATE OF COLOR 0. <br />T. R. Hennlten, Commissioner of lIines, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, RevisedStntutes, Colorado 1908 I submit <br />If a cninoo.ng <br />All out thl. <br />rPae• otherwh. <br />One It Llnnt <br />IlrGrm <br />or [~artnenAlp, <br />III out lhl. <br />rimrr•: otherd.. <br />Im,. It Al.nk <br />~~~~rQ°'" LnRy1.uCe1 r rke~pjjort~~ns follo~va: <br />..C,E7hyt:(~ <br />'Title of Partnership________________________ _ <br />Partners' \4unrs P. 0. Address - -__ <br />Name of Company-The__ _ _I<~~ ~~~ <br />r - - - ---------- <br />Incorporated in the Stato of_____~nyrrZ~~'}'~-~- - <br />----- v~-------------------- <br />Prineipnl ofBee ____~,~•.- d <br />Capital stock _____~__Q U !/~_ S dU _ Shares, nt :~_~ ______-._ <br />- per share. <br />/, N~a,,m/e ()~ _ P. O. Addresses <br />President ---/~[-._-%E't__9±1~ut%i,L------------ ~~Q <br />Secretary _-- -1' 'f-f•-~ -~~- <br />--- -- <br />f/ ~ --------- <br />- --- ---- <br />Treasurer ----~'-(J-- - -~--------------- <br />------- ----------- <br />~fannger------------ -- - <br />Names oP Owners P. 0, Addresses <br />II urlthrr <br />nup.pr nor <br />W r~m•nhl , <br />All nut t;,r. <br />y:ure <br />h[nnugur__.-_______...._ <br />xrnc names of claims: , <br />( Patecn~/ted linpulenteu <br />~L-f/lt!__Z~-7--------------------- ---------------------------------------------- <br />- --Utll--------------------- ---------------------------------------------- <br />~ • -------~-~~~- - .~ -~2~ - ------------------------- -------- - -- <br />--- <br />- --7Y_~-1~~~~~ ~f~:3 ------ --------•------------------- - ------ <br />'Ibh4 acreuge pntented__~ ~___'-_____________m:res; uupntented_____________,.__-__-_ _ -ucres. <br />I)o You own or tense theso clnimsf__l~1~+_^_~c_ ~------------------------------------------------- <br />If Y+nI tense them givo nemo of company or person from whom Icnscd________.-_______ _ <br />--------------------- <br />---------------------------------- --------------- <br />(Over) <br />~ I, <br />~I <br />