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MINE REPORT 5s <br />Mote-Please fill oat thts report caref <br />date the report sad R write phdNy and answer all questions folly, Be aura to <br />sign ik !Yll oat both aides of the sheet. %~ <br />~- -~O`'~°-___, Colorado ___i_~_G__r__r_/, '__,Z ~ <br />BUREAU OF hIINES, STATE OF COLORADO. ~ °'--------+ 19L~L <br />T. R. Henahen, Commissioner of Miaea, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, Revised Statutes, Colorado, 1908, I submit report ae follows: <br />!' <br />an woim~' <br />m.o.• atLenAw <br />Inn ie Dhot <br />u . a,m <br />or cwen6lp, <br />en ovt esi. <br />ryrea• otEer.r1N <br />Lm it E4ot <br />If oNaw <br />pampup opor <br />IIC oot taY <br />ry~n <br />tvame of Company-Tha_~-~~-c / ~t~~~ ~ <br />Incorporated in the State of______ ~rr--~ ----' <br />'~77 ~~ ~-`--'=------------------- <br />Prineipal office ____~e~r ~~ , -'"'-'-' <br />------------------- <br />------------------------- -- --- <br />- - ------ <br />apital stock __ o o , o o--------------Shares at <br />Name $__/o o-__"- Per share. <br />P. 0. Addressee <br />President _~?f!~~ _~_~r <br />/~ ~ - - - °-- ----- ---------------- <br />Secretary __.P~ r ------- <br />--------------- <br />----------------------------- <br />Treaenrer __"-------K------------------------- <br />----------------------------- <br />hlanager ___.,~_______.. <br />--------- ----------------------------- <br />Titlo oP Partnerahip______________ <br />---------------------------- <br />Partncrx' \'nmcs --'--"---- <br />P. 0. Address <br />------- --------------------------------- <br />---------------------------------- ------- <br />__________________________ <br />_______ _________________________________ <br />danager__________ <br />----------- --------------------------------- <br />~--________--Names of Owners <br />--------------------- <br />------------------------------------------ <br />__________________________________________ <br />___________________________________________ <br />____________________ <br />1[IIIIager____________________________________ <br />State names of claims: <br />Patented <br />--- <br />--------------------------------------------- <br />---------------------------------------------- -------- <br />Total acreage patented_________________________acrea; nnp~ <br />Do yon owe or lease these alaims}__Oz-cnz_~ n <br />L _ f <br />If yon lease them give name o~paay or person m whom <br />--°-~'~~ ---~-~~ ___ L--------------- <br />----------- <br />(Overj <br />P. 0. Addressee <br />--------------------------------- <br />_________________________________ <br />_________________________________ <br />Unpatented <br />/_ Z~ ~ t+-,---~ <br />~••'~ <br />I <br />s tt <br />I ~ <br />i :~ II <br /> <br /> <br />