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d <br />rf <br />a <br /> <br />v <br />0 <br />0 <br />1 <br />;~ <br />r1 <br />ri <br />0 <br />~1;_ Clear Creek -r - ~~ <br />380 <br />MINE REPORT <br />Note--Please IIll out this report carefully, write plainly and answer all gneatioae folly. Be sore to <br />date the report and eiga it. out both elder of the sheet. <br />_ ~_, Colorado,/~~Q!^ ~- ~~! - 1--. 19,~~ <br />BUREAU OF DIINES, STATE OF COLORADO. <br />T. R. l;enahen, Commissioner of 11lines, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, Rovised,$tatntes, Colorado, 1908, I eabmit report ae follows: <br />/i ,r <br />/.'^ r;' w <br />Name of Company-The---_-!!!- --.rte°_.~_--C!~_!. ~:cC~_ '•~„~--------------------- <br />Incorpotated in the State of___~----------------------------------------------- <br />Principal office -------------------------------------•---------------------------- <br />Cnpital stock --------------------------- Shares, at $____--____-- Per share. <br />u • Com P. O. Addresses <br />El~ a t~~ Noma <br />lens ]t Dla•k <br />u . erm <br />or p•rtnrnDlp <br />EII sot NU <br />rptn; other~l•• <br />lem It DIWt <br />R odther <br />mmrynr oor <br />prrtnmhlyy'' <br />EII oat e:~t. <br />roan <br />President ------------------------ <br />--------------- <br />Secretary --------------------------------------- <br />Treasurer ----------- ------------ <br />--------------- <br />llEanager ------------------------ ----------------------------- <br />--------------- <br />I'itlo of Partnenhi ---------------- <br />p------------------------------------------- <br />Partnem' Nnmes P. O. Address <br />-------------------------------------------- -------------------- <br />____________________________________________ <br />________ <br />annger---------------------------- <br />~/ ~Nnm/e/sQof Owners <br />~,, IP-. O. Addresses ~ <br />-J~1-~""--- -'--- <br />- ~y~,.---------- -------------------°------------ <br />___ _- <br />___________ <br />------ - - <br />___-_ ___________________ <br />bfann¢er --------- -- -- <br />State names of claims: <br />Patented Unpatented <br />p ~~p ---------------------------------------------- <br />s. _ ----------- ----- <br />-- --- <br />~--- <br />--------r.------------ <br />J7.-t..• JS~_ _acrea; unpatented---------------------------scree. <br />Total act~aga patented_ !~ -- --- --'- <br />Do yon 6{vn or lease these claimst__~_~-~~~----"------------------------------------- <br />If.you lease them give na of com any or person from whom leased-------------------------------- <br />---- <br />---"--"--- (Over) <br /> <br /> <br />i <br />~'i I <br />•~i <br />1 <br />5j <br />i <br />~~ <br />I <br />