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<br /> <br />Im- <br />MINE REPORT <br />dstelthe report ~~ out this report carefully, wrt Pte hainly and aaewer all questions folly. 8e sure to <br />P efgn it. Fill out both aides of~the sheet. <br />--'~---'-"'---- ~'~=~~~-_, Colorado, _ __ <br />BUREAU OF bfINES, STATE OF COLORADO. ?'~--'-'-• 19L'rj' <br />T. R. IIeaahen, Commissioner of blines, <br />Deaver, Colorado. <br />6ir: In accordance with Section 4299, Revised Statutes, Colorado, 1908, I submit report as fol]owe: <br />Name of Company-The_~ ____ <br />u.am <br />an eoe tom' <br />ePeeel at6erwW <br />lem It D4ok <br />s . atin <br />or WKOmhlp <br />ell ooe ehb <br />line ie tiLn~ <br />It eellDer <br />I~nw Sipes0. <br />EII out tale <br />eDep <br />------------------- <br />-------------------------- <br />(Over) <br />ncorpornted m the State of__ ~ ___ <br />-__-_ ~~=f~_ <br />_______________ <br />Principal office ______ =~~-r_~__________________ <br />Capital stock __ ~~/f1_~l vv __ __ Shnrea, nt <br />$--~~--- per share. <br />Name <br />/,~•-- P. 0. Addressee <br />President _ ~~_~___~~. <br />------------------- ~ ~7 0~- <br />- -----___~__n_'`____~`i-4 <br />Secretary __!_ .-rwYk_____________ , <br />- --------- ,c... <br />--------`-`=a=-~-?-~sr <br />Treasurer ~ _~-~~~__~2~er -~ ~~ t <br />--------------ti <br />(Title of Partnerehip___________________ <br />------------------------------ <br />Partncrs' ~nmcs -~-------'"' <br />P. 0. Address <br />------------ --------------------------------- <br />-------- --------------------------------- <br />--------------------- <br />------------- --------------------------------- <br />---------------- ---------------------- <br />bfannger______________ <br />----------------- --------------------------------- <br />' Names oP Owners P. 0. Addresses <br />----------------- --------------------------------- <br />-------------------- --------------------------------- <br />____________________ _________________________________ <br />_______________________ _________________________________ <br />t___....p..~ _______________________________•____ <br />State names oP claims: <br />~G+-LPatented _ Unpntented <br />__. <br />v <br />---- ---- ---- ---- <br />-- - --- -------------- <br />=-~0~'F'=rz=~-- ~`-"= --`~_---- -`-nom'--_=~-s_~_~,'-= =--------------------------- <br />r -'~~~ -- <br />- ----- --- ------- <br />--- <br />,: <br />--- ------ ----~~'---- ~ --C~°-~=------- <br />`'`'`f- --------------- <br />Total acreage patented_________________________aerea; unpatonted__L{_~ ~______________acrea <br />Do yon own or lease these claimst______________- <br />If you lease them give name of company or person from whom lensed________________________________ <br />1 L' <br />~~,R <br />~1 <br />~~ <br />I <br />I~ <br />~' <br />;, <br />:; <br />;, <br />~:, ~ 1 <br />