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~m_ <br />.; <br />53 <br />MINE REPORT - <br />Note-Please 811 out this report carefully, wrI Pte L-iniy and answer all gnesttoas folly. Be sure to <br />date the report and aiga it. Fill out both sides of the sheet. . <br />---- ------- -~-~ 1.4-----. is 1 ~. <br />BUREAU OF bIINES, STATE OF COLORADO. <br />T. R. Iienahen, Commissioner of rllinea, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, Revised Statutes, Colorado, 1908, I eabmit report as follows: <br />~, <br />of <br />uaCOm <br />mr wt ~' <br />rr~~na ie e~ <br />Incorporated in the State <br />Principal office .~ Q_Q•~_~ <br />Capital stock __.~te~ (t <br />Preaideat <br />Secretary <br />Treasurer <br />lfannRer . <br /> <br />- - ---------- - <br />--- --- <br />--- - <br />~'- <br />_____Shares, at $~~_-~ ___ Per share. <br />P. 0. Addresses _¢/J ~ <br />--------° ~-i------------t--- <br /> <br />of Pnrtaerehip_______________________ <br />-------------------- <br />------------------- <br />Partacrs' Names P. O. Address <br />rr . eon <br />or wttnmhtp, <br />en mrt eer <br />In a It p4o1~ <br />------------------- --------------------------------- <br />---------- --------------------- --------------------------------- <br />________________ <br />Slnaager__________________________________ <br />__ _________________________________ <br />Names of Owaers <br />u nrrtLrr <br />romp~nr nor <br />utnaM~lp. <br />Sn oat tiW <br />~D~n <br />P. O. Addresses <br />-------------------------------------------- <br />State aames of claims: <br />Pntented LTnpatented <br />~_ $_-9__10_1(_t~r~_-~~___~_?~aa~(7~ :1~>12-_&a-~.l~zt __1,3_-:ir_Y~---- <br />~Y_~~~ _~1 ______ <br />~'s~~''~1_'F`~~--------------- <br />Total acreage patented~l~.r7~~ scree; nnpatentedQbl~Sl~!!~sK?~?i_ ~ acres. <br />/vtr------------- <br />Do yon own or lease these clairgs}~__.1?_'Y_t1~eti___~_ <br />If yon lease them give name of company or person from whom leased_____ - _________________ <br />Sri <br />~~~ <br />v <br />1~. <br />u <br />_i <br />~I <br />~~~1 ~ <br />I'~~ <br />I L•?~ <br />i.N (I <br />(Over) <br />------------------------ <br />