MINEBK00175

• County: Lake
• Document: Manager
• Suffix: A

County ~---~~e_ Dist ~~-~-~)~-~_
MINE REPORT '~ ;
Note-Please fill on this report carefully, write plainly and answer all questions fully. Be sure to
date the report and t. Fill out both sides of the sheet. f~
---------------,----e-----------. Colorado,-!'~--~~~19 ~_r3
BL-RF:_1ti OF NE TE OF COLOR_1D0.
T. P.. Henahen, Commissioner of alines,
Denser, Colorado.
:ir: In accordance with Section 4299, R.esisedStntutes, Colorado, 1908, Isubm~it/,r~eporrt,ns follows:
(Name of Compaay-The----__ ____ - y/~~ ------------"~ _'_l^__r_`__ 1~
,Incorporated in the Stntc of __'__~l.L'_____~_______________
~ Q ~~ --------
'Principal office -------- -- -------------'-----~-`'~ht°_`"_!~---
Capital stock _______________________-.__ Shares, nt y__________-_ per share.
L' • Gamru),
cu am t~i• i Name P. ddresses
Iryn: e:LCffIN
lart is Llavk
,Presiden ---- - ------~-------~-- ------ - ---- -- ------------
(Secretary --- >/~ ----------- -~~'--- --
I Treasurer ---- --~~ ~ --- ---- -------- ----------- ----~~=------
------------- ~j-~ ' ~ ---n--
Manager - - -- -------------------- -- ----
--- - ----------------------
Title of Partnership--__:-------------------------------------
Pertr.~•rs .~am:•s 1. 0..lddress
e . clm
or D•mm~lilD,
ryurt', v.h.nrpe
'vn. it Wuh -
I ___..___ __________ _____.- _. __.-_______ _..._.__ .. -_.-__. ....___._. ..
`Jfnnuger___________. ______________ ____. __ __
A)ames of Oumers Y. 0..lddresscs
:,r~~.~:.., - ----------------
vmynp nor ~
•,~. vm ;w• ___________________________._. ___ .
_.._
_..- -
i
~lla~- r,;aul•n of claims:
/] I' tented Uaputt•ntcd
- _---------------------°-- -- acres.
~~~~_! :::;rvea ~ )xtoutcd _ acres; unputenteJ_
K• 1 - --'-----~------ ~ - -
Uo You awn or lease these claimal---- ~~ - "--- ~. a~y_e _
-(I ''~c lease t~h/em.lQ{,n•e name of company or person Yr~a/n wham Icused_. .4F~/`"~
v~ .!~' -a7---'-°t'.v~'dd .lliUO~/yf ~N_~_~f~P..r~` v...v~,. -
rOver) / ~p

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