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' -- ... ~ I I ~ ~I <br />,-i^,~ J.. T 7~ /~ I ~ 1111 <br />C' CC~7 <br />MINE REPORT - ~- ~ <br />~.~.iiii <br />Note-Please fill out this report carefully, write plainly and answer all questions f e sere to <br />date the report and sign its F~?ill out both sides of the sheet. ' / ~~/ // <br />/,`/1~C/,-[f~~t4~----------. Colorado, --~-~!_~___ ___g/!Q_---. 19~Y <br />BtiRRAU OF DfINES, STATE OF COLORADO. <br />T. R. Fienahen, Commissioner of Diines, <br />Deaver, Co]orado. <br />Sir: In accordance with Section 4299, Revieed Stat tes, Colorado 1908, I submit report as follow ~ <br />~~ }}.~~,,~~' ~ I <br />Name of Company-The__dl_UC'^_7_ ~f!`~L_f`__s,'-:`~Gf~__ v~~~~ryL @ <br />Incorporated in the State of___________,~________ , <br />Principal office -------------1, 7:~~_1_'_~ -~------------------- <br />Capital stock ___________________________Shares, at $__________ <br />u ~ c°mpanr. __ per shore. <br />011 °°` 1' Name <br />.pan; otner.l.. P. 0. Addressee <br />Isar n m.nk <br />President --------------------------------------- <br />---------------------- <br />Secretary ----------------------------- <br />---------- ----------------------------- <br />Treasurer -------------------------------------- ---------------------------- <br />9fanager --------------------------------------- ----------------------------- <br />Title of Partnership-------------------------------------------------- <br />Partners' \ames P. O. Address <br />1}aElm I ___ _________________________ <br />or VartnmWy, <br />Ell out tkla ---------------- <br />apvr, o:hm~La ____ ___________________ <br />lo.. It Llavk <br />~)fsanger <br />Names of Owners P. 0. Addressee <br />r u.iW.r i ________________________ _ <br />vmpa°f nor ______._. _. <br />VavnnLlp, , <br />tl: °n: LPL ~ -_________ ____ _-_______. .._.._____ -.._________-__ <br />qnn <br />I,Ilfunnger---. _-------~- ------------ <br />~tw ~~ names of claims: <br />Patented 1'npatcntca <br />9~ulal ucreu a __acres; un Intented_ -_-. _ .. ucn:n. <br />B Patented--- --- - _- - - -- <br />__ .. - --- <br />o}'ou own or lease these claimst________-_ --~- ~~-"_~ <br />If )-ou lease them give name of company or person from whore lensed-. -- - - - --- - <br />-------------- <br />(Over) <br />