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~~ .~ - <br />e leasing cow. ~ ~urPKeY and ~~ , <br />~ / 4 <br />MINE REPORT <br />Iress ~~_ <br />Note-Please fill out this report carefully, write plainly and answer all questions folly. Be sure to <br />"'-- date the report sad sign it. Fill out both sides of the sheet. <br />---- <br />------ScPnsr_al_S:_i~x.---___--, Colorado, ----`--°-h~_°-.__1P_14.__, 19_-- <br />____________ BURPAU OF 11fINE5, STATE OF COLORADO. <br />_ - T. R. lienahen, Commissioner of blinea, <br />- Deaver, Colorado. <br />-----_---___ Sir: In accordnace with Section 4299, Revised StatutCS, Colorado, 1908, I submit report us follows: <br />--- <br />------- Name of Company-The_Co~Folifiat=d uinin Cor <br />---------~--- -- Pa n Y.r------------- <br />-- p <br />'----- - Incor orated in the Statcof,____.._____C O1 OT`;1c: D <br />------- - <br />Principal ofTice _-- ~nOtra ----------- <br />1_~~tY_~-------- "- <br />--- ---- <br />npitnl stock ern ,- -- --__.. <br />u.cem.nr, _______~t.yeJ_,1.,;________ ._Shares,nt;~i. <br />--hour shift. mle.rr~l. --____- - <br />qucr: oamrwla. Name - Per share. <br />I"" a a1.,,1+ P. O. Addresses <br />__hourshift. President _Etifh__rys~l_at;P,_______-_- <br />._hourshift. --- - - - ~At~l'S?l~._ ~'kQb_~_ _---- <br />Secretary _L~.__,j,__Jy_11.LSd?LF, <br />-hour shift, ----- _-'------ CPAt1'aJ •Clt.x, Coio, <br />Treasurer p_?' o _ t e m ~ _ C . - F~_ _ y, a 14r,_ - <br />tr <br />_hourshift. ----- <br />------ <br />- ---- <br />onager _- .--E-~-~eaaor_,_ -------- -------- n <br />_hourshift. _--- II <br />_hourshitt' 1'itlc of Purtnerehi <br />_hourshitt. P ----------------' _ <br />---- <br />--- -- <br />_hourshifL P. 0. Address <br />----'-- <br />_hourshitt. --- ---- <br />----- <br />Ir a Mm __.____ _____ <br />_ IOUr ahltt. ----~----- <br />__..__ <br />ur parlnrt,hlp, - -------- <br />______ <br />___._ <br />_ .__. ._ <br />uut tl, ________ <br />givrr: olhrnrlae _ ___. ________. <br />___. <br />___. -___ <br />__ ._. __-_. Inl. 11 blank - .-_ ___.. <br />__ -_. <br />anagcr______-__._.. . <br />______ ( Names of Owners P. 0. Addresses <br />__ <br />-.._ _ <br />'------- urill°r - ------------- <br />ran'Iwuy nor _________ <br />________ <br />"'-' "_' IIII nut tel. <br />•perr _ _ <br />____ <br />__ ~i funager__.________ _____ <br />~I+dc nlunes of clnima: <br />z in the Patented linpnlentcd <br />--_---- F'rP`=aux _ Lr o.u~t -t--Fsc:Ad~m~_Hueun_ <br />-------------------------------------- <br />------- °.n't_~!'rPPd-0'il-F_XtPn6SOn_ All patantAd, <br />oncrete ;ro,~p _ Cor,crPtA,__DavPr <br />Bartle ---- <br />_______ __ ,_-ketriever, -iermau, badeu AT1 patented. <br />- --------------------------- <br />- ---------- ------- <br />------- pod Ar,na N. -- - __ <br />---------------------------------- I <br />IO~ill acreage putented__abDyt ~i5_ <br />mpany. ----_.____nrres; wirutented_.. _ __ - __ acres. <br />Do you otivn or lenae these claimsf_~''_?'Pe_don__hr?jd _gq~aT__1?~flfA_,9US1_HOltd.; _C_Qt7Cr?~e <br />litleld under purchae <br />------ e H <br />3''lu Icase them me name of company or person from whom Irnsed_.Xa1. ~ay.rp,__nvi.oar__t]Y_.._ <br />FrPedoT rrou . <br />-- -- <br />_ _ _ .. - -- <br />(O rer) <br />