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~~°~~3`~ <br />~r ~.±.~ <br />E REPORT <br />Note-Please fill ant this report carefully, write plainly and answer all gnestiona fully.'~,•Be J e to <br />date the report and sign it. Fill out both aides of the sheet. <br />--~'~~=-- - -~--------, coloraao, _.1~ 1__~-----, 19_Y~ <br />DUREAU OF MINES, STATE OF COLORADO. <br />T. R. lienahen, Commissioner of Dfines, <br />Denver, Colorado. <br />Sir: In accordance with Seetion 4299, Revised Statutes, Colorado, 1908,I submit report ne follows: <br />~tm_ 9A _dlll,.~s <br />3ea,i rz~.aY,py <br />~gine house, <br />___ 7.50 <br />-__3.50 <br />---Z.5.(1 <br />kmen in the <br />__Compa~. <br />If . Camp~n~ <br />EII out [bl. ' <br />ry¢e; oNmAw <br />le.re It bi.ak <br />If . erm <br />or p.r[nmhlp, <br />hll aul thb <br />grace; othrrwlw <br />lervr It bl.ak <br />Ir neither <br />romp.n] nor <br />yvtnrnhlp <br />nu sot thl: <br />.I..a <br />'Name of Company-The---------------------------------------------------------- <br />Incorporated in the Stdte of________________________________________.._________-_- <br />Principal otfico --------------------------•--------------------------------------- <br />Capita] stock ___________________________Shares, nt $____________ Per share. <br />Name P. O. Addresses <br />President --------------------------------------- ----------------------------- <br />Secretary ---------------------- <br />----------------- ----------------------------- <br />Treasurer -------------------------------------- <br />----------------------------- <br />9innager --------------------------------------- - --------------------------- <br />Title of Partnership-------------------------------------------------------------- <br />Partncrs' Vamcs 1'. 0. Address <br />bfannger------------------------------------ -------------------------------- <br />N n of Owners ~ ~ P. O. Addresses <br />- -- <br />., <br />r <br />--= ----- <br />---- ----- -- <br />---- ,~ u w...~ -- <br />- -- -- ------- ------ <br />---------------- <br />~' , c < s ~i = lilt kiti-t.v,[ oas,~ <br />-- ----- - <br />lllannger------------------------------------ --------------------------------- <br />titute names of claims: <br />/~ Patented Z Unpntented <br />---------------------------------------------- <br />--- --- <br />------------------------- -------------------- ---------------------------------------------- <br />I'etnl acrenae nntented__~~!~s-Y __~-~ __acres; unpatented_________.2?~r~-si.-=.-.--.--acres <br />Do you own or lease these claimaT---l~[f!^~-.--~•-'-------------------------------------- <br />If you lease th~/~ive nam/e~/pf company/ors person Prom wham lensed__/_/_`_~______ __-.__ .._________ <br />--- (Over) <br />