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q`L'~1 I <br />the leasing com• <br />ddress <br />--JJ / <br />---12R~vtals <br />~- v ~~1_- <br />r_ _ _ _hour shift. <br />r____hourahift. <br />r____hour shift. <br />r____hourshift. <br />r____Ifour shift. <br />r____hourehift. <br />r____hour shift. <br />r____hour shift. <br />____hourahil't. <br />____hourahift. <br />____hour shift. <br />T-; --------- <br />rckmen in tho <br />___Compnn~. <br />~y <br />:;'ni ~I <br />MINE REPORT <br />Note-Please fill out this report carefully, write pk-inly and answer all questions fully. Be sere to <br />date fhe report and sign it. Fill out both sides of the sheet. <br />~~ ~. <br />---•--_\1_~~~-Colorado, ~_II~IJ---~ ~--- 19 ~sl <br />[iUREAU OF MINES, STATE OF COLORADO. <br />T. R. r :iasioner of At' .ea, <br />Sir: ' • Y'' L%i7~'~'~"~"L ~"ai ~• Eollowa: <br />If < Compp.nrr <br />all out thb <br />rrtee• oWarnM <br />., 1;:.~ <br />1 <br /> <br />If . Erm + i{ <br />or rnrtnmhtp. <br />nn ..t tnl. <br />goes: oth<rdq <br />Irrve It blurt ~ <br />u nrlthrr <br />'~~~~p<nr nar <br />pvtnenhlpp, <br />011 out thli <br />•nse <br />~~iyi3 <br />.. y~~ ~ ,r <br />~Griv~ ~'•-~r <br />~~~ ~.,>~ ~-~--~ rte' ~l~ _ ~ <br />r .~ <br />r <br />If / _'~ ___ _.. <br />~inlc names `~ <br />'- -------~ r ~ '--__ . <br />1 •---- <br />'fuhA acreage patented________________________ nrrea; unpntented____..__.-~-~ _-. -- acres. <br />Do you own or ]eneo these claimst_______~::.<<'r--L=l----------------- ----------- <br />!f Yon ]ease them gi •c nnmo of company or person from whom ]enecd___C~t~'~ -- .~~~~=~=`~-. -- <br />(Over) <br />