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r 1 ~- <br />. ~ Cl/--~ <br />:leasing°,~., MINE REPORT .ylt:-, <br />•, <br />Yeas Noto-Please fill oat this report carefully, write plainly and answer all questions fully. \Be sure to <br />date the report and sign it. Fill out both sides of the sheet. <br />------- -- Asp~e, ..u u... <br />~: <br />---•----------------------------~ Colorado, -------------------------,19--- <br />------ _ <br />13UI11:AU OE' DIINI;S, STATP OP COLORADO. <br />------------- T. R. Ifenahen, Commissioner of 11linea, <br />_____________ Denver, Colorado. <br />------------- Sir: In accordance with Scetion 4?99, Revised Statutes, Colorado, 1908, I submit report as follows: <br />If • Com mr. <br />III aul t~lv <br />.puce; otnerwW <br />Lv.e It blunt <br />Name of Company-The-----------------~----------- ---------------------------- <br />Incorpornted in the State af_______ ________ ____'________________________________ <br />I <br />Princi nl office ~~ I h ?,!2------------------------ --------------------------. <br />or ,, nu <br />Capital stock ___~ _e _4e a_=______..____--_ Shares, nt Y_~_________ per share. <br />nme~ F-O. Addresses <br />President _14(py!~!~:=dL'!_~~L~/d.__~S`}uw_L------------- --------- <br />Secretary --- " I/Y.:_l.r_~~------------------- ------"----~---------------- <br />Trenaurer ----- --'------ ---------------------- ----------------------------- <br />3[nna er P_L_1 ~._l~.l~rwa----------------- <br />g ------- ----------------------------- <br />of Pnrtnerehi ~ <br />p--------------------------------------- ---------------------- <br />Pnrtnrrs' Xanles P. 0. Address <br />Il at prm <br />ar partnenAlp, <br />all out tniv <br />.putt: otherwlve <br />Irerr It blink <br />1lnmtgcr------------ ----------------------- <br />I~rnmes of Owners <br />II neither <br />~mrynr nar <br />yartnennlpp~ <br />all out thly <br />+p¢e <br />!,Afnnagor------------------------ - ---- - -- <br />tilnte names of claims: <br />P. 0. Addresses <br />Patented /~ Ilnpntcnted <br />J /~ ~'J <br />~W - <br />~ --- ---- <br />--- - <br />~~ a ----------------------------- <br />--~Lt1'1__(~--'ccrL ~/--_C_°l3-y!'_Y_-P.1o---- --------------------------------------------- <br />__ __ncres- <br />'fotnl acreage pntented___ ~~--------------nnres; unpntented____-.-------------~- <br />llo you own or lease these clsima4__ ----- pp /~ <br />CYO _X.c..cc<a-e..-!)= G4t~---- <br />lf you lease them give name of company or person from wbom Icased_ <br />• ~ <br />_ ~ p,~~ -l --- 1--------- --------~~--- <br />~l ~ ~ (Over) <br />~. <br />n t r(( :( r s ~ r <br />-, ~c ~ ~. -~-4 r <br />