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rg com- <br />nr shift. <br />ur shift. <br />ur shift. <br />ur shift. <br />ur shift. <br />nr shift. <br />ur shift. <br />ur shift. <br />ur shift. <br />ur shift. <br />ur ahifk. <br />V.~/ ; <br />a in the <br />~~ trzw~.- <br />----- <br />1 <br />fn <br />MINE REPORT <br />Note-Plesae fill oat this report carefully, write plainly and answer all questions fully. Bo ante to <br />date the report and sign it. Fill oat both aides of the sheet. <br />-"?e -'---""~--~ =~ i---------, Colorado, /r~J ~ ~_, 19 ~i~ <br />-------------ir~LUU__ _ <br />[3URPAU OF 1[INLS, STAT); OF COLORADO. <br />T. R. Henalren, Commissioner of Mines, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, Revised lutes, Colorado, 1908, I submit report as follows: <br />Name oP Company-Thc________ ~~!l/~~~ _~s_____~~-lh~r-, ~ ~ <br />~----------:f---------- <br />Incorpornted in the State of______________ ._ <br />Principal oRloe --------------------------.._ <br />-----.. <br />u.cnmp.nr. Capital stock ________________________-_-_Shnres at $ <br />nn not thl. <br />y¢e: atheewlu <br />Irve It blank <br />u . enn <br />or Dartnrnhlp, <br />fill oat thl~ <br />rp.rr; otherwiw <br />Invr It bl.nk <br />R nrithq <br />~^P~nY nor <br />pnnu nhl , <br />tll not ter. <br />.I-vice <br />'---------_-- per share. <br />Name ~ P.-O. Addresses <br />President ----------------------------------~p-- <br />Secretary --------------------------- <br />------------ <br />Trenaurer ___________________________ <br />------ --------------- <br />-- -------------- <br />• n <br />llnnagcr -------------- ---------- <br />----~- <br />(Title of Portnerahip_____ ___ _ ~____ <br />i ~'`' --~----------------------------- <br />Partncrs' . ar ~ P, O. Adc ess <br />---... ----------- ~ 0 <br />----- - <br />-- ~ <br />- -- ---------- ----- <br />' I r (WII <br />------------ -. _ _ t <br />__..___ ..____ ____-- _ __.-____._ ____1_,____.-________.__ <br />_ ___ __ <br />Dlanugcr----------- - ~----- - --------- --- <br />' Nnrnes of Own s P. 0..lddresses <br />~~atc names of claims: <br />Patented Unpntenteu <br />'Total acreage patented---------------_---_ patented-----_-----..___-._.. .-acres. <br />___acres; un <br />Do you owa orlense these clnirnat______________-------------------------------------------~----- <br />If you lcnse them give name of company or person from whom leased_______-____. _ <br />------------------------------------ <br />(Over) <br />I ~~ <br />~Ii <br />.I~r <br />i <br />I <br />~`` <br />I) <br />