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he lensing com- <br />idreas <br />____hourshift. <br />____Iloursllift. <br />____hour shift. <br />____hour shift. <br />_.-__hour shift. <br />____hmtrshift. <br />____Itour shift. <br />____hour shift. <br />____hourshift. <br />____Iloursllift. <br />____hour shift. <br />~----- <br />rkmen in the <br />.-u- <br />---------- <br />r~z, ~~..,Z,-~. f <br />ale <br />---~~ --- <br />v uv ~~ <br />~ccv' . <br />___Company. <br />~.2 <br />~---- <br />o'~ <br />.~( ~~~ <br />MINE REPORT ~~~~ ~/// ; <br />Note-Please fill oat this report carefully, write plainly and answer all questions folly. Be sure to <br />date the report and sign it. Fill oat both sides of the sheet. <br />'- ? <br />/ _ <br />~/ <br />~ ~! ___ <br />---- ----------~5= ' ` c-- S`------~ Colorado ---'-~ - ~Z---------, 19~_ <br />BUREAU OF MINES, STATE OF COLORADO. <br />T. R. Aenahen, Commissioner of i<finea, <br />Denver, Colorado. <br />$ir: In accordance with Section 4299, Revised Statutes, Colorado, 1908, I submit report ns follows: <br />Nnmc of Company-The---------------------------------------------------------- <br />Incorpornted in the State of______________________________________________________ <br />Principal oEYice -------------------------------------•---------------------------.. <br />Capital stock _______________________-..._ S}Inres, at ~____________ pcr shore. <br />If a Compyavr, <br />011 out thla Nnme <br />IPare It b na kw P. 0. Addresses <br />President --------------------------------------- ----------------------------- <br />SecretnrY ------------------------------ <br />Trenaurer -------------------------------------- ----------------------------- <br />-Innnger --------------------------------------- <br />I(. arm <br />nr partvenhlp, <br />1111 out thla <br />rPaae: o[herwba <br />leave It hlavk <br />If ne(lhtt <br />rompanr vor <br />portnenhl , <br />X11 ant ehr. <br />.,~.ro <br />'Title of PnrtnerehiP-------------------------------------------------------------- <br />Partncrs' \nmcs P. 0. Address <br />-------------------------------------------- --------------------------------- <br />L . i <br />:9 ~ Nnmoe of tuners P. 0. Addresses , <br />-------------------------------------------- --------------------------------- <br />-------------------------------------------- --------------------------------- <br />_ ,. <br />-- -- -- <br />---------- - - - - - <br />t-,; ~ ~,• <br />State names of claims: <br />Patent~s,~~ Unpntenteo <br />'---5=-~=~!!t~ =-~'~~=-- ~'-L"fir------ ---------------------------------------------- <br />---------------------------------------------- ---------------------------------------------- <br />'1'otul acreage pntented________ ~~____,________acres; unputented---------------------------acres. <br />Do you own or ]ease these e]aimst____~?CtEr4---------------°-"--r-r---------_:"-----~------ <br />h ~ ,, <br />If you ]ease them give name of company or person from whom leased_ f'D_t~?2t~Ct~'_-iC-L_t~e-~!Z----- <br />---------------------------------------------------------------------------------------------- <br />(Over) <br />