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~GC_~~~ r -.. <br />._~ .::'G <br />MINE REPORT `5~ <br />Note-Please 971 oat thfa report carefully, wri pte htialy and answer ~ 4neationa tally, Be oars to <br />date the report and sign it. Fill oat both sides of the aheeS• <br />--~----------------------~ Colorado ~/__~____-_-tJ • - , <br />BUREAU OF NIZATES, STATE OF COLORADO. ~ ~------~ 19~~ <br />T. R. 73enahen, Cammiseioaer of 1lfines, 1 <br />~ii <br />Deaver, Colorado. /~~ <br />Sir: Ih accordance with Section 4299, Revised S/tatutos, Coplora/do, 1908, I eabmit report ae follows: i i1„ <br />Name oP Company-The_~^-~' ~e~(,~p "~ :; <br />Incorporated is the S o of_____~ ,' <br />^ pp n _`~-`-may--------------------------- ~ <br />Principal office __ ~li.CC..~~ (~~ / ~ V/~ ~ pJ1. '' <br />eu~w°i m~' <br />.p~n• otbawlr <br />lam It bWk <br />/r . a.m <br />en o~enu 1p' <br />lain ie°nl.~ <br />It uellba <br />comWW nppm, <br />Sn"`o i'bebll. <br />.wa <br />apital stock _ ___ _ O: ~--~----- o <br />------- ------------ Shares, at $~-p---- <br />Name ~ Per share. <br />,,,.~, P. 0. Addresses <br />President _~_-______________ <br />Secretary--_~Zt_/"--~ --~--"---"_°` ='== `. --- ~ - - - - -_~---=_`!_ `'~ <br />Treasurer =y_yCQ~iuy~„_--_-- Il~ _-- -- ,~ n <br />C V - - <br />Title of Pa:'tnerahip__________ <br />--------------- <br />------------------------ <br />Partners' Names ------------' <br />-P._0. Address <br />----- ----------- <br />---- <br />--------------------------------- <br />--- : - <br />---- ------------- <br />:lfannger-------------- <br />------------------- --------------------------------- <br />Names of Owners <br />___________ _______________________________ <br />--------------- ---------------------------- <br />---------------- <br />ilaaager-------------------------------•-- <br />t' t~7 <br />P. O. Addresses ~ s <br />------------- ------------------- 1 <br />a. <br />~~ ; <br />------------------- , II <br />~D <br />-_ Unpatented ' <br />•-------------------------------- 1 ~. <br />---------------------------------------------- <br />- 0 ---------------------------------------------- <br />Total acreage pateated__~•_4_~__ /o s _______acrea; nnpateated_______________ <br />~tf, -----__ _ _ _-= scree. <br />Do yon own or lease these claimsf_Jf' LOw~'~- <br />Oyou ]ease them gi~ e n /~~ company or $eraon from whom leaeedT ~aC+cC~_~a__~__t~-Q~' <br />~a~~Y (Over)~z~~ ~o <br />~~ <br />State names of claims: <br />