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<br />MINE REPORT / ~~ '~ ~~~
<br />Noto-Please fill oat this report carefully, write plainly and aaswer all questions fully. Be sure to
<br />date the report and sign it. Fill oat both sidea of the sheet.
<br />--------------------- ~ _a~~t3____. Colorado iTove~:,ber 1't, 1,
<br />BURT:AU OF i1TINES, STATE OF COLORADO.
<br />T. R. Iienahen, Commissioner of Mines,
<br />Denver, Colorado.
<br />Sir: In accordance with Section 4299, Revised Statutes, Colorado, 1908, I snhmit report as follows:
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<br />It . Camp~ur,
<br />CII out t 1.
<br />opree; otherwba
<br />Icn~e it blunt
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<br />name of Company-The__~.ii,ltiGScI.::~:_~r,ca;~Ir,iUi__4:~_~!~~~__~_____________
<br />Incorporated in the State of_:.I:i.ZyF______________________________________________
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<br />Prmctpal oR'ice __i.~.zl'T.1.~_~Q_ 0..,,_.--6- ----------- --------------------------..
<br />Capital stock __ `z4Q,Q90,.~0______--._Shares, at g_1.Q9 _____ per share.
<br />Name P. 0. Addresses
<br />President ___ll~-_:.L._ii`l~i:..l_____________________ __Jl._a~9t5it~rar,_ileu__tork
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<br />Socretary ---J__L._'i I LTA=Z------------------- -----------------------------
<br />Treaeurer __;._~3.__~ i;~U---------------------- ----------~r-----------~~----
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<br />--------------1- ~-1---
<br />Title of Partnerehip---------------------------------------------------------------
<br />Pnrtners' Names P. 0. Address
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<br />1111 out thl.
<br />.poor; otherwiw
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<br />DTnnager------------------------------------
<br />'' ATmnes of Otvnere P. O. Addressea
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<br />II nelthrr __________________________
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<br />rompmr nor
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<br /> portnrnhl _____________________ ____________________________
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<br />~lfannger---------------------------
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<br />State names of claims:
<br /> Patented / Unpntented
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<br />Leine all---°=--------- --- ---- ---~----------------
<br />Do you own or tense these claimeT________~___-- ,
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