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v MINE REPORT ~ ~ (>~ Note-Please fill out this report carefully, write plainly and answer all questions fully. Ee sure to Sate the report and siga ' Fill out both aides of the sheet. -- --------------~~%~'!'~~---_, Colorado, _ ~ ---- --,19_x__. OGREAU OF DTINES, STATE OF COLORADO. T. R. Henahen, Commissioner of 3fines, Denver, Colorado. Sir: In accordance with Section 4299, vised Statutes Colorado 1908 I II a Comppmy, 1111 out thl~ mer: otnenrLa I mr I[ nlank , submit report ns follows: 'Name of Company-The__ ________ ____ -______ _q~~~ ~---- -- !_ /!C~ntv__-- ,,,, // ~ ~ ' Incorporated in the State of-____-- ~7^'4 -^G ------------------ --------------- Principal o0ice __ .______________________. O p' -------..__..----.. Capital stock _______ _~_!7.O__0..._ - _.. Shares, nt :~_ ~O_-'- per share. Name ~ P 0. Addresses President ---- ------.--... --~_-5~-- _ 7~ ___ __ _ ___ _ __ _i____________ Secretary ______ __~_ ~___ freaeurer ----- - - ----`~-- ~- ----------~ ------- ---~~ --- - ---- A1ann er - ---- --------~-------- - """`"""`' IStle of Partnerehi p---------- ---- ------ ------- -- - Partmn:5' \:uncs -- P. 0. Address hour shift. hour shift. --'- - - ------ hourshift. a.arm ____ --.---_----- ur ynrcurrrnlD. 1_L__.____ ,Parr: otnrrv6e _______. ___ Lmr ll nlank - - _____ --------- DTanagcr------- ---- ----- --------- ------ - Names of Owners P. 0. Addresses ------- I' urithrr _..--------------------------- _ n c uq~on9 nyor - .. :Ill uut tuli - ____.-...._________________________________ I X14[! . ..-. ~~~faIIagL•I'_..._.__________. __ 4j ~_i --- ti~atc names of claims: u in the ~// ~„ ~,~ I'atented.,~~ ~- / ~ Unpatented C i------ --- -------------- -- ------=- -------- ----------------- ----------------------------- ------- - ____ __ _ _ _ - ----- _----_- ~ 'f~ 5,~~ Ifplal lll,'1'CagC patented_ ~K _Q~ f~! .__al'reSj U11pRtl'ntCd-- ~ ~„ ----- '___ . .1lCrea. 1mpaRY• ~ Do you own or lease these claimst_____ _.~( ~' --____--__---_____ ------- if von Icnse them give name of company ar person from whmn Icased___ _.________ ----- --f---- - __ _ -------------------------- - - (Over)