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1/6/2009 9:39:21 AM
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11/18/2007 11:55:51 AM
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Mine Books
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Chaffee
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m. <br />/~~iz c a~i e~ <br />MINE REPORT ss . <br />Note-Please 8ll oat this report carefully, write p1a{~y and answer alI gneations folly, Be sere to <br />date the report and sign it. Fill oat both si//des of the sheet. <br />-------~~1.c_i_(_~_____--, Colarndo ~[GClL_u_ tf.~__---, 19C~` <br />BURF,AU OF aIINl';S, STATI; OF COLORADO, <br />T. R. Aeaahen, Commissioner of alines, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, Revis~evd Statutes, Colorado, 1908, I submit report as follo~va: <br />Nome of Company-The----- L/~[~ ~--7f~~,F ~ s~~~F~ _~~~r~ /~ <br />Incorporated in the State of____________________________ ~-o <br />-------------------------- <br />Principnl office __________________________-_ <br />----------------- <br />tr. wmpp[ar. Capitol stock ________________________-__ Shares, nt $____________ pcr share. <br />ell out NI[ <br />.wn: oth[r.lM Nnme P. 0. Addresses <br />lave It m.ot / )~ l <br />President -----~I~-`- -[--111LC~L_4< =C5-y_--- . <br />~~~_... <br />' _J _ <br />Secretary ----------------------- ------- -~--~1~-K~c,L~_~£r~F <br />Treasurer ___________________________ <br />----------- ----------------------------- <br />b[aangcr --------------------------------------- <br />----------------------------- <br />of Partnership--------------------- <br />---------------------------- <br />------------- <br />Pnrtncrs' \'nmcs P, 0. Address <br />Ir .eon <br />ar wrtamhlp, <br />eh out thl. <br />rwro; olhmrlu <br />Inru It Olank <br />afnnnger------------------------------------ <br />~~ <br />Arnmes of Owners <br />II aellher <br />romn[nr oar <br />utn<nhl <br />S.. out tuD <br />•P[n <br />____________________________________________ <br />a[anngur--------------------------------- <br />State names oP claims: <br />Patented <br />v' ' <br />r [ <br />--~=- ~/ =--~ - ~~/~"-~E------ ------'--------- <br />---~/-ccUUU//~ ~~er ~ ~~cL-Q <br />P. 0. Addresses <br />Unpntented <br />- - -- -- - - ---------------------------------------------- <br />Totnl acreage patented_________________~i_______acrea; uapatented___________________________acres. <br />Do yon own or lease these claimst______ ~ .x L _____________________________________________ <br />If you lease them give acme of company or person from whom leased________________________________ <br />- - --- ------------------------------------------------------------- <br />(Over) <br />/~. <br />\~~. <br />~~t <br />~I~'j <br />iq III <br />•~, <br />!~ <br />r <br />i~~j <br />~171Ii <br />`i,1J <br />
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