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MINE REPORT <br />`/ <br />Note-Please fill out this report carefully, write plainly and answer all questions fully. Be sure to <br />data the report and sign it. Fill out both aide; of the sheet. <br />~/,~~ ~r <br />--- --------~ 19~_ <br />13URFAU OF' bIINf.S, STATI; OR COLORADO. <br />T. R. IIeIInhen, Commissioner of Mines, <br />Denver, Colorndo. <br />Sir: In accordance with Section 4?99, Revised Stntut(eJsh//C~olo~rn~do, 1908 I submit report us follows: <br />Name of Company-The___~(J ~ " ""-' ~ ~~_ ______~______~__Y__u_____~ <br />Incorporated in thr, St te_of____ 4 ~.~Y~~.G___ <br />Principal office __. __- - _Q1~1!Y_l._ ~`~"~~'___. -__ ~ <br />--- -- <br />Capitnl stock l ~ ~QD_i'?_o________Shares, nt :~_~_ ~~__ per ebnre. <br />If ~ Comp~o), <br />ml not t 1. Nn a P. 0. Addresses <br />p.ce: othrrwb~ <br />I~avc It blank <br />President _ ~-~- ~Gl/I~~X.p~K~JI ------------------------- -- <br />Secretary ----- ~-----~~-`~~': _G~I!_1'=`-"~~ -------------------------- <br />Trensurer --- ~---- -- ~ ~ ~"- ""'= ' ----------------------------- <br />---- <br />\Innngcr _ ---------------------- ------------------------- -- <br />of Pnrtnerehip-------------- ------- ----------------------------------- --- <br />Pnrtncrs' Guucz P. O..lddress <br />I/ . Grm <br />or partnrnhlp. <br />all out th6 <br />q~ace; olhervba <br />Irm~r It blink <br />If nMther <br />im pin) nor <br />yan nrrnhl <br />all aut tab <br />•pucr <br />JInnngcr- -------- - --------------------- -------...-- -------------------- <br />Names of Owners P. 0. Addresses <br />~~IIIIIngCC __._.______-_ ________-__-__ <br />`I:Itc names of claims: <br />Patented nn Unl'Itt` d <br />C~-Q _ ------------------- <br />-- --- <br />------ -w`-' -------, -- --~a-y'`-------------- <br />- ---------------------------------------- .~da[4.L- <br />_- <br />r - ~- ~- =':------- - <br />_______acres; unpsteated__-- _----- -- ---acres. <br />'Polul acreage pntentcd------------------ ~~--- <br />I)o you owa or lease these clnlma4______ _ --- -- ---------- <br />----------------- <br />If you tense them give name of compnay or person from whmn lensed______.-- ___-- <br />--------------- <br />(Over) <br />eJ ~ <br />