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1/9/2009 3:15:54 PM
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11/18/2007 11:56:42 AM
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leasing com- <br />ess <br />_. <br />~>%:_ -~- <br />_ ~v_z~l_~JS<c ~. <br />~----- <br />::.rSLi ~~~^ - - <br />___hour shift. <br />__ _110nC RllltC. <br />___hour shift. <br />_ __hour obit[. <br />__..hour shift. <br />___hour shift. <br />___hourshiCt. <br />__ _hour shift. <br />___hour shift. <br />___llollr shift. <br />___hour shift. <br />.y_-----" -- <br />/"--- <br />z.J.~l_ ~t----- <br />1 <br />~!~rr,.'~~ ~J~c~~~ `~('~'~ .J..~, ~CLliitzrif/JPa <br />MINE REPORT '~~ ~` t ~; ~,, <br />~~ <br />Note-Please tlll oat this report carefully, write plainly and answer all questions folly. Be ears to <br />date the report and sign it. Fill oat both aides of the sheet. <br />BUREAU OF' bIINES, STATE OP COLORADO. I/ <br />T. R. Iiennhen, Commissioner of \finea, <br />Denver, Colorado. <br />Sir: In accordance with Section 4200, Revi~s~ed~St~aitutes, Colorado, 1008, I s(u7bmit report as follows: <br />Name of Company-The______L_~_w_~-~" ~_Y!y~'~7'~____ <br />Incorporated in the State af_____:_ScL_SZ________________________________________ <br />Principal office _______{~ ~ <br />Capital stock ____~!~~ -_-._Shnrea, at $__"_""t'`- <br />u .Camp<na -- --= --- -- Pcr shore. <br />ml <ne t 1. Nome P. O. Addresses <br />cr¢r other~W <br />Irne IL bhot <br />President ------------~~=~--`-~_--`----------- <br />Secretary ------------~`_-`"GEC-`-~-- ----------------------------- <br />Trenaurer ----- 1_C`=t'=-~=`-~-- ----------------------------- <br />binnnger --------~C ~~----------- ----------------------------- <br />If . Erm <br />or Drnom6lp, <br />IIII out 161. <br />.pree; oth<rwW <br />Ir<re It bl.nk <br />If ndlher <br />mmynr nor <br />portnrnhlyy, <br />all out Wlr <br />.P¢r <br />Title of Partnership------------------ V- --------------------------------- <br />Pnrtncrs' \amcs P. 0. Atldreas <br />-------------------------------------------- <br />Dtnnnger------------------------------------ <br />Names of Otaners <br />i <br />._ _-------~ Q - ----------------- <br />--- <br />-------------------------------------------- <br />P. 0.:lddresses <br />-------------------------------------------- <br />-------------------------------------- <br />------------------ -------------------- --- <br />------------------------------------------- <br />7 <br />6lnnngcr---------- -~~~--~-~'`--°--- <br />--------- State names of claims: <br />-------'- Patented <br />Irkmen in the _ <br />L--- ----------------- ------- / ---------------- <br /> <br />Ltnpntentcu <br />-------------------------------------------- <br />---------------------------------------------- -- <br />--------------------------------------------- ---------------- <br />------------------------------- <br />-___neres. <br />----------- ---- <br />Total acreage patented_____(~'__' ~ O _____ acres; unpntented----------------------- <br />Do you own or lease these claimst_______----~~`-~"- <br />------- <br />----------------- <br />IPyou lease them give name of company or person from tvllom case _______- <br />---------- <br />---------------------------------------- <br />(Over) <br />
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