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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 />Idreas <br />---7°--------- <br />!n ~=1:~ <br />fir' --r-~_ ------ <br />ytcZ• -~~1-- ~ ~Cc( r <br />•_ ,1'_hour shift. <br />____hoursbift. <br />__~_j_hourshift. <br />•_O-_hour shift. <br />•_ g_hour shift. <br />_~~_ii_honr shift. <br />____hour shift. <br />____hoursbift. <br />_O__hour shift. <br />r_0__hour shift. <br />/Jr~ri <br />.lii_2.4:-_. -- / <br />~n~(oue~.~ l <br />r..._~l . <br />- ~,,,.yt,• as <br />~,ru,ti.,-tom ~~~. <br />~~ •~ <br />~- <br />- ~~ <br />o_r/k,,me~n7i the <br />r~YIJ_'L~f~i~1-- <br />~s2~dtr+r9~fifiL • . <br />~.~//i <br />ti~ L_ <br />~*'~ _Company. <br /> <br />I <br />MINE REPORT , ~~ ~`' <br />Note-Please fill oat this report carefully, write plainly and answer all questions fully. Be sere to <br />date the report and sign~it~. Fill o/nlt~poth/sides of/tale sheet. ~ij ~ //y~ <br />_LS.GG!~/~iiG_i1N '--~.~`l_v._, ('otS~do _/__l/(/_~r--~TLI~_; 19~ h <br />t- ~. <br />BUREAU OF i1tINLS, STAT1: OF COLORADO. <br />T. R. IIennhen, Commissioner of Alines, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, Revised Statutes, Colorado, 1808, I submit report ns follows: <br />It • Compvc7~ <br />OII out t iv <br />pvice• othenrW <br />Ivv+e it blank <br />Arame of Company-The---------------------------------------------------------- <br />Incorpornted in the State of______________ __-.__________-_~_______________~~___ <br />Principal o(flce ----------------------------------------------------------------- <br />Cnpitnl stock ___________________________ Shares, nt :~____________ per share. <br />Name P. 0. Addressee <br />President --------------------------------------- <br />Secretnry --------------------------------------- <br />Trenaurer -------------------------------------- <br />AInnnger _..------------------------------------- ---------------------------- <br />of Pnrtnership----------------------------------------------- ------------- <br />Partncrs' Nanus P. O. Address <br />P. 0..lddresses <br />n <br />It .arm <br />ar Dvrtnmhip~ <br />1111 out lhly <br />rDVre; otherwlN <br />levy I[ blNk <br />t __ <br />of neither <br />ampvnr nar <br />pvrtnenhlp~ <br />OII out Wlv <br />mvxa <br />Afnnagcr------------ -- ---------------- -- <br />rN~ames of Owners <br />- -- <br />--- -- -- - <br />--- <br />_~~~~•-• <br />- '- S-'---°~ ------- <br />State, names of claims: <br />Patented <br />J; t~ T <br />UnplLLented <br />'total acreage patented______-a[--Q ----- - --acres; unpntCnted_____/__~_c.".`~~'-~~-"-- ..ncres- <br />Y g --_---------------- ---- <br />I)o you own or lease these claimai______-. -!/L_yL ~---~ ' -°-~ / -- <br />iP ou lease them ivc name of company or person Yrom vellum lenecd___(L~-=-=~-- -- <br />-- ------------------- <br />------------------------ ~Ot'er) <br />zed <br />
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