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<br />le leasing com- <br />dress// ,~, • <br />ado , <br />e-esru-cte <br />--- -------~-~-~~~ti/ <br />_ ___}lour shift. <br />____hour shift. <br />____hour shift. <br />__ __}lour slliCt. <br />.___llourshift. <br />-___hour shift. <br />.___hour shiL'. <br />.___hourshi~t. <br />.___hour shift. <br />._-. _110Ur Slllft. <br />. ___hour shift. <br />MINE REPORT ~~~`~ <br />Note-Please fill out this report carefully, write plainly and answer all questions folly. Be sure to <br />date the report and sign it. Fill out both aides of the sheet. <br />T- /` <br />, <br />.. - <br />~~ ~~ ~ '~~ ~r1L____, Colorado _' <br />BUREAU OF DIINES, STATE OF COLORADO. <br />T. R. FIenahen, Commissioner of ]]lines, <br />Denver, Colorado. <br />Sir: In ac cordance with Section 4299, ReviaedStatutes, Colorado, 1908, I submit report ne follows: <br /> Name of Company-The----------------- ---------------------- ------------------- <br /> Incorporated in ills State of_____________ ______________________ ___________________ <br /> Principal atlice ------------------------- ------------•--------- ------------------.. <br /> <br />If .Cam .vY, <br />a Capita] stock ________________________._ _ Sllarea, at $__________ ._ cr ehnro. <br />P <br />au not t <br />t. <br />,D...:.m.r.w Name <br />P. 0. <br />Addresses <br />leave It blavk <br />President ----- ------------------------ <br /> <br />-------- ---------- <br /> <br />------------------- <br /> Secretary ------- - -------------------- -------- <br /> Treasurer ----------------------------- --------- ---------- ------------------- <br /> Mannger - ---------------------------- --------- <br />---------- <br />------------------- <br /> <~ <br />'t'itle of Partnership-. <br />Cc~=`~-~-----_~1--- ~ / <br />-- <br />~ ~'1 F-~-4-E ' <br />=":' _ _Gc <br />-[ <br /> , <br />/ Partrt~rs' 'games <br />~ _ <br />~' -- <br />P. O -- <br />- <br />A~l~yesa <br />JJ <br /> , <br />.f <br />,. <br />• <br /> <br /> <br /> <br />I! .Ilan <br /> <br />or O.rtnenhtDi <br />nuontua. <br />,I, <br />~ <br /> <br />/' , <br />~: <br />-_-: 1.CZr_ts:!~_~_.- _~~ -''1.. <br /> <br /> <br /> <br /> <br />~t/ , <br />q~uce: othervh. <br />teem It Ll.nk <br />„ n <br />------------- <br />1rc<K~ -- <br />D c~-- <br />~---~-- <br />tkmen in the <br />~~ Company. <br />Names of Owners P. O. Addresses <br />If ndther _______________________________ _ <br />cmnp.nY nor <br />pnrtnerxhl , <br />nu not tii• --------------------------- <br />vpnee <br /> <br />~tutc nmaes of claims <br />Patented ~ Unpntenten <br />. __- • J ~ <br />____ <br />.' ,. <br />... <br />~• <br />7 ' <br />/~ ~ - <br />Total acres •e ~ ~ __ ~_______r-__--acres; unpatented_________~_ -.. --_acres. <br />6 Patented_____,._ --r- ---- <br />Do you own or lease these claimsf__~ _~.£.>asa_~~---- --- <br />------------------------------- <br />i <br />!f you lease th give ame of comppny~r person Prow whom leased________________________________ <br />(Over) <br />