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- ; ( ~I <br />~_ 11 / ~ 1 <br />MINE REPORT <br />Note-Please fill out this report carefully, write plainly and answer all questions fn11y, Be sure to <br />date the report and sign it. Fill out both sides of the sheet. ~ <br />---- e ~ 4 SL ----. Colorado, -------`~-~Z-c----~ 19~~ <br />BtiRSAU OF >1fINE5, STATE OF COLORADO. <br />T. R. Henahen, Commissioner of Mines, <br />Denser, Colorado. <br />Sir: In accordance with Section 4299, Revised Statutes, Colorado, 1908, I submit report as follo:vs: <br />p ~ ' <br />(A'ame of Company-The---!_r__•.eHa1.,n __ ~n!1'rt~_0------ --------------- ~ <br />Incorporated ~n the State of____ _ _ _-______ ________________________________ <br />Principal otlice ________~~U!~^•~!3-~____ `~'_1~______ <br />--- ---- <br />Capital stocl:~_______- _ __ Shares, nt $____________ per share. <br />1(a Com vnr, <br />es nnt'~I• Name P. 0. Addresses <br />.p,a: otner.l.e <br />Ira~r It Glank ' <br />President _. _ 1~r~T_-~--__-______ >Zr~ta.a~____ <br />Secretary _ Q-_~_~ - ---------------- a <br />Treasurer ------------------------------------- ----------------------------- <br />~9fanager -- -~~____-------------- ---- - ---- <br />(Title of Partnership---------- ---- --------------------------------------- - <br />Partnl•r.=' ~ame~ P. 0. Address <br />It~Erm _ _ _ _ .. __..___________ <br />------------- --------------- -------------- <br />or mm~rnhlp, <br />eun~tml. - ---------------------------------------- --------------- <br />-------------- <br />qncr, mbrnrlar 1 <br />Icrv. It blank <br />~ I <br />Dfanager----------- ------ -------- - ---- - _ - ------ -- <br />~ Names of Owners P. 0. Addresses <br />- <br />I! mithrr ~ ----------------------------~- -- ~-- - --- ~- --~----.. _..-----'----- <br />runq~am nor <br />I________________________ <br />ell uu[lu~ ____________. _.___.__ .__ <br />cPatt - <br />I _______..________-.__________________________" ..______..-.._"..___ __.. _-__.-.- <br />~~Aianager-- ---- ~ _ _...-- -------. _ <br />Stut~~ names of claims: <br />Patented Caputented <br />- --------------- <br />w`7en'Cr -- -- --------- <br />ucns. <br />-~---- _. <br />'1'utul ;ureuge patented____~~________--------acres; unpntente __-__- <br />Do you own or lease these claimet___ _ - <br />- --- - <br />uyou lease them give name of company ar person from ~a-hom louse __ .. -- - - <br />_ _ <br />-- - -- - <br />-- I Over) <br />'I <br />