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e leasing cola. <br />lrcas <br />____hour shift. <br />____hour shift. <br />____hoar shift. <br />____hour shift. <br />____hourehift. <br />____hour shift. <br />____hour shift. <br />____hour shift. <br />____hour shift. <br />____hourehift. <br />____hour shift. <br />Irkmea is the <br />____Company. <br />~ / <br />MINE REPORT <br />t~~ <br />i <br />i ,i <br />Note-Please fill out this report carefully, write plainly and answer all questions Yully. Be anre to , <br />date the re .and sign it. Fill oat both sides of the sheet. <br />i~ <br />r~" ~~~ ---------------------------------~ Colorado -------,19--- <br />t~, ~ ------------------ <br />BUREAU OF 11IINES, STATE OF COLORADO. <br />T. R. I3ennhen, Commissioner of lfines, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, Revised Statutes, Colorado, 1908, I submit report as follo~va: <br />If . CampmT <br />OII out t it <br />,Drer otherwb. <br />Ir.rr ie hbnt <br />1(. Erm <br />ar prrtnenhlp, <br />eu not tm. <br />rprcr; otherwb. <br />Iene It Obnk <br />R nelthrr <br />amprnr nor <br />I~rrtnenhl <br />all out tab <br />ryas <br />Name of Company-The__________________ <br />Incorporated in the State of______________ <br />Principal oltice -----------------------------------~-----------------------------.. <br />Capital stock ____________..______ _ _ Slln s t , ___ ~!~! hare. <br />ame ~ /~ P. 0. Addr saes <br />President ---- -- - ----- - ~"-`=J- f ----------------------------- <br />Secretary .--- --- -~--- - -----------/-------- ----------------------------- <br />Treasurbr --~ --- ------------------------------ ----------------------------- <br />Iliannger ~----- ------------------------------- ----------------------------- <br />'Titlo of PartnershiP-------------------------------------------------------------- <br />Pnrtncrs' Names P. 0. Address <br />____ <br />---- - - -lf-----J--~-~-~~-'=-- ----.....- --------y~-- J----------- <br /> <br />Slnnnget------------------------------------ --------------------------------- <br />Names of Owners P. 0. Addresses <br />___r____________________________________ <br />1[nnnger------------------------------- <br />LTnpntentea <br />------------------------------------ <br />Stutc names of claims: <br />Patented <br /> <br />----------- ------------------------ <br />'I'otnl acreage p ented_______________________ _scree; unpntented__________________---------ucree. <br />Do you own or lease these claimet-----------------------°-------------------------------------- <br />If you lease them give name of company or person from whom leased-------------------------------- <br />---------------------------------------------------------------- <br />(Over) <br />