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_r/ i , <br />~~L.~ <br />Vo~xnty i <br />jj I~ `~' tom/ <br /> <br />MINE REPORT ~`''~ <br />~~ <br />Note-Please fill out this report carefully, write plaia]y and answer all questions fully. Be sure to <br />date the report and sign it. Fill out both sides of the sheet. / / <br />__---~~"rColorado, _J~~ GJ_-_ 19LK' <br />BtiRF.Ati OF DfINES, STATE OF COLOR.4D0. <br />T. R. Hennhen, Commissioner of dines, <br />Dcuvcr, Colorado. <br />Sir: In accordance with Section 4299, Revised Statutes, Colorado, 1908, I submit report as follows: <br />Vame of Company-The~~9c.~s~s-rt1_~!_~._ft-/-c"=-t„'--~------------- <br />(Iucorpornted in the fate af__L'{!~_°_'-`_"~""":`~ _________________ _____________ <br />Princi al ot6ce ~---- ~~:_,cc- --------------------'~ o----------------- <br />-----.. <br />Capita] stock _~e2~' _~^_Q____~____ __Shares, at ?'___-_____ per share. <br />I! r Compm!. T <br />enact tei~ - I~~tme ~ P. 0. Addresses <br />rWn: o:Lrrw~e J l / , <br />Inrr I: Llmik ~ L - ~ <br />~ President ,.~.-.l --~!'=~~,s ~=------------- L~~l=~ l~ ~~'~f,_ _ -c ._ !~~~ <br />---- <br />~{ , ~n ----- - <br />Secretary o-!Y~~ _ (~~ ~- __-- __-- =ficnc~~t~LCt-_:.: -~" <br />Treasurer --~=---------~------------------------ --------------------- ------ <br />,9fanager -------- --------------------- <br />of Partnership------------- - ------ ------------------------------- ----- <br />Partnc•t:ti' Xn:ncs P. O. Address <br />--- -- <br />r sl!ift. c ~ erm <br />a~ p.nn.nLtp, ~ <br />Eli om [Lin ._______________________________ ____________ _________________.. ___.____.._. __ <br />rWn: o:Lrrrbe <br />,_____ km It Lluik <br />-____ <br />i.-. __._ _. ______. ___._--._______________ _ _. _.. ___________.__._____-_._. i ' <br />._____ <br />~______.______________ _____ _______________ _ ______ ______________.._____.__.-_, i <br />..---- l3I¢nuger-- ----------'- ~ <br />__-__ r A'nmes of Owners P. 0. Addresses <br />I <br />----- <br />--- - _ ---- - I <br />--- -- <br />-- ____ - - <br />___- I'odtLer ________________________._ <br />----- - - <br />mmUm! um <br />.____._ IunurMiip. ______________ <br />_ ... _ <br />tll uut tulr __..__________________________________ _ <br />Nan <br />- ______ <br />- '~1lfannger---- -- -- -_----- ----- <br />Mute ¢umes of claims: , <br />I , Patented IInpatented <br />n the - _ I <br />--------~---- -'mil-_~ "--------- ------------------ <br />- ~ ____: SI11Y-r_0. ~_))___ Sa~~______ <br />~ttt//// ~ rY1J ___________________________ <br />_____ -`~~!~t rr _V r__/_ _ fez----~_____________ _____-_ <br />_____ <br />-________________ _ iJ __________________ <br />_acrca. <br />------- <br />g patenteds !~-? -------------------acres; unputen a ____-- <br />Total acres a -----~ <br />pany, I <br />__ <br />--------- ---- -- ----- <br />Oo you own or lease these claimal__.__--- ------- ~ ~q, <br />_____ _______ <br />IIyou lease them give a of company o~' Pe7dl ~'om wbom leased__, v_=~°=-*(--- { --- <br />o.c --._'_-'---__ <br />d- " .fi <br />,, ~~~ <br />