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MINEBK00162
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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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he leasing com- <br />Idressl ^ <br />---J- <br />i1-1/~ _ j _---_ <br />r____hour shift. <br />r_ ___hour shift. <br />r____hour shift. <br />r__ __hour shift. <br />r____hour shift. <br />r____hourshift. <br />r____hour shift. <br />r____hour shift. <br />r____hour shift. <br />r____Ilour shift. <br />r_ _ _ _kour slli i t. <br />-------------- <br />-------------- <br />-------------- <br />_____________ <br />vorkmen in the <br />~u/v~,y`D <br />.GLw`-7 ---- <br />-~ ~-7_xs <br />~~~~ <br />- ~~ r1-' ~ ~ ~~° .r,', <br />MINE REPORT .,1,; <br />Note-Please fill out this report carefully, write plainly and answer all uestions full e~ <br />4 y--B ure to <br />date the report and sign it. Fill oat both aides of the sheet. <br />r <br />BUREAU OF iVfINLS, STAT); OF COLORADO. <br />T. R. 73ennhen, Commissioner of \[inea, <br />Deaver, Colorado. <br />Sir: In nccordanee with Section 4293, <br />If a ('Ampaa), <br />EII oat thla <br />Pave: otkerwlan <br />Irave It blank <br />II .arm <br />or Partnenhlp, <br />all out thin <br />rpavv; otherwlae <br />leave IL blank <br />Name of Company-TherL~!'_~ <br />Incorporated in the State of_~ <br />F ' <br />Principal office//;; ~~ <br />Capital etoek ltyl'L.-e~~=lit <br />Statutes, Colorado, 1908, I eullmit report as !allows: <br />Q ~ ~~ <br />Ca-G-~!,G~fl--------- ., .---------~-----/-'`tip: <br />. ~ <br />rtyt/._ Shnrce, nt ~_~ -~.___ per share. <br />• P 0~11ddressca <br />/- /, <br />---~-7------------ - ------ <br />'Title of Pnrtnerahip----------------------------------------------------- <br />-------- <br />Partners' Nanuls P. 0. Address <br />President _lyyf/./ /// <br />Secretary J_I//~_~f,! <br />Treasurer ~~C,_/11'~~ <br />Manager ~~1y' <br />~" <br />., <br />Afnmlgcr----------- ----------------------.. <br />Names of Owners <br />R neither <br />ompan) ooe <br />Iinrtnenhlpp, <br />Oil out Iola <br />.pees <br />/~ <br />_______J__~________________-_____.-____. <br />1 y <br />P. 0. Addresses <br />titntc names of clnimn: ////7~ <br />Patented ~ `--'•~'~L~~- l <br />_, <br />--- ------ ~ ~. -------- ~ i <br />1'1. vrt f _ <br />~lv-1~-tom.-"n""o_[~'j_21~~;_y~/.3; ~/i//o.5!;_~20.~'_?2v_~,_2Z~7,_~~~"; ~~•9; <br />~:1•N.C ~•G)~•Ftc~crn~so_~J-~j ~J~+'~"~~/'~.4~[1/-GY>N4--k/_~[vl9't~/'J2r_.~• <br />'1 -acres. <br />'I'ota! acreage patented_~/___-~- - Q~-~---7-~ ~----acres; un~LZtented__---y~~1=L-E ----- <br />Do you own or Tense these claimnt__---SLX/il~~'L_--~1'~``j=~~'---//'~~-~~-"~- --------------- --_ <br />1`u_lcase them Sire name of company r person from whom leased_c_;~-[J-:~-~~-7= ~'>-~----- <br />---- <br />~JO_ --r -------------`---- <br />~LC_'~ L~~~ -~t==-~--=---- - ------------------- <br />(Geer) <br />
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