Laserfiche WebLink
com• <br />r/ <br />Y"~~ <br />shift. <br />shift. <br />shift. <br />shift. <br />shift. <br />shift. <br />shift. <br />shift. <br />shift. <br />shift. <br />shift. <br />aSt- <br />n 1110 <br />2r»L <br />Pan,Y• <br />MINE REPORT ~`~4 <br />Note-Please fill out this report carefully, write plainly and answer aB questions Ynlly. Be sure to <br />date the report and sign it. Fill ant both aides of the sheet. <br />---.-~-1=CGf=--- -- - -------, Colorado, --~G~IQ'l/_~----_------, 19Lf~t <br />BUREAU Ob` h[INLS, STATR OF COLOR <br />T. R. Iienahen, Commissioner of Mines, <br />Denver, Colorado. <br />Sir: In accordance with Section 4209, R,eviacd Statutes, Colora~do,/1908, I submit report ass Follows: <br />Name of Company-T11e__~~_ , _ _((I_ __ ~__ <br />--- <br />--- <br />Incorporated in the Stnto of_____________________________ __ ____________________ <br />Principal office -------------------------- ----------- --------------------------.. <br />Capital stock ___________________________Shares, at $____________ per share. <br />if a Compur, <br />ell nut'hhi• Nnme P. 0. Addresses <br />.pne• other~ba <br />lone IL blink <br />Ir a arm <br />or Oartnmblp, <br />eu out ml. <br />tpatt• oth<nrW <br />lease It blank <br />Slloutt~b _____________________________________ <br />~paee <br />1[nnnger ----------------------------------- --------------------------------- <br />State names of claims: <br />Patent d Unpntented <br />1-~~--~~----~~~ ---------------------------------------------- <br />~!_lrr .~111_c zt~ ~ ~ / <br />___~~______ ~~ ______ j _ <br />---------------------------------------------- <br />---------------------------------------------- --------------- ------------ <br />__acres; unpntented____ _________________ neres. <br />Total acreage pntented___-__________-- <br />~----- <br />Do you own or lease these elaimei___.:ZC~It-~--t~ --------------- -°--_--`7~-----~-- <br />If you lease them give name of company or person from whom lensed __~~~~~~~~----- <br />__ ---- <br />___~ __ C_LO___~~-ss__~ c.«-~`L~C-j___ <br />~/ (Over) <br />President --------------------------------------- ----------------------------- <br />Secretary --------------------------------------- ---------------------- <br />Treasurer -------------------------------------- ----------------------------- <br />tanager ----------------------------- <br />------------------------------------`--/ <br />'Title of Partnerahip_______ ~t=tG_~Z~!_~~_____________ <br />Parts ors' \nutes PP. OJ. Addre~ <br />i <br />---- -.~ _ r 4Gkt.2_ -~-------- -------<<---------~ ~-------- ~~-- <br />-1~---------'------------------------------- --------------------------------- <br />,1lnnngcr ,l.1Cr~ --f~!1?l~t'x --•------- --------------------------------- <br />Names of Owners P. 0. Addresses <br />---------------------------------------- --- --------------------------------- <br />Ir nellher <br />mmp~nl nor <br />artnenhl _______ _________________________________ <br />p,., <br /> <br />