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(.' Ly~ ~0 <br />:. ~+ <br />MINE REPORT <br /> <br />328 <br />Dote-Please flIl out Shia report carefully, wrlte plainly and answer questions folly. Be sere to <br />date the report and Fill out both sides of the sheet. <br />____-+ Colorado, ------------- /(~-------+ 19l_S7~ <br />BUREAU OF btINES, STATE F COLORADO. <br />T. R. Henahen, Commisalo er of Itlines, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299,/Revised Statutes, Colo~nd~o~,[190 I enbmrt report followsy: <br />Nome oP Company-The_1 - _-_ - ~~~~/ <br />---- --- - <br />Incor¢orated in the ate of__~ ~~ l~`_-~` ~-o <br />Principal ot8ce ------------ --- -~- -------- -------------~ <br />----- <br />__ _Shares, at $_~~_~____ per share. <br />Capitol stock ____~ ~i____ -- - <br />- --- <br />en w~i~' N <br />otWrwW <br />l~h m.at President ~ ~G <br />Secretor _~~~-l'-G---/-~- ---------~ <br />, <br />of Partner'sh>tP------------------------------------------- <br />Partners' \nmca P. 0. Address <br />G <br />~L_ <br />u .arm <br />en Doss i te`~R <br />rpaw: ot6erwW <br />laaw It 61ank <br />it oelthet <br />nomwm ~ <br />yyannenNpp,, <br />EII out Solo <br />ro~ <br />Treasurer <br />-------------------------------------------- <br />____________________________________________ <br />;Sinnager------------------------------------ <br />Nnmea of Owners <br />State names of claims: <br />Prate ted <br />---- -- - -------- <br /> <br /> <br />- -- -----------------°-----° ~I1~ <br />P. O. Addressee ', j <br />;i ~ i <br />-------------------------------- ,~1 <br />^ ----------------------- ---. -- III'., <br />--------------------------------- t <br />n, <br />Un~at ed Q (~' <br /> <br />---- <br />-- ----------- <br />--- <br />---------------------------- <br />_-___=acres; unpntented--- -- ------------------scree <br />Total acrengo patented-- -- ------------ <br />it! ------------------------------------- <br />Do yon owe or lease these claimst______ -- <br />~' I! you lease them a name company or Person from whom leaeed-------------------------------- <br />- - ---~~j!_l~Q-----------------------------------°----------------- <br />-------------- (Over) <br />