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03' <br />,.~~; I os ~QUnty 2~ite. D~~t. ~~~, <br />MINE REPORT <br />Note-Please fill out this report carefully, write plainly and answer all questions fully. Be sere to <br />date the report and siga it. Fill out both sides of the sheet. <br />_ ____, celoraao, ____r ~_~ ___~i______,19J_~}- <br />BUREAU OF MINES, STATE OF COLORADO. <br />T. R. IIenahen, Commissioner of D[inea, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, Revieed Statutes, Colorado, 1908, I submit report se follows: <br />Nnma of Company-The---------------------------------------------------------- <br />Incorporated in the State of------------------------------------------------------ <br />Principal oftice ----------------------------------------------------------------.. <br />Capital stock ___________________________ Shares, at $____________ per sharp. <br />It • c°m a°r, P. 0. Addressee <br />ml out tel. Nnmo <br />Icy a It hl.nk~~ <br />President --------------------------------------- ----------------------------- <br />Sccretnry --------------------------------- ----------------------------- <br />Treasurer ----------------------------- <br />Mnneger ------- ----------------------------- <br />It . Orm <br />ar Vartnrnhlp, <br />nn not enl. <br />,Perq othenrW <br />leave It blank <br />If neltha <br />nmVanr not <br />p+m~mnlpp. <br />All ul t'ula <br />^Pan <br />Pitlo of Partnershi ---------°-' <br />P------------------------------------------------- <br />Partners' \nnus P. 0. Address <br />.lfanngcr------------------------------------ --------------------------------- <br />Names of Owners <br />________________ <br />Afansuor------------------------------------ <br />tiintc names of claims: <br />P. 0. Addrosses <br />--------------------------------- <br />~LCt t_~o-~Let.---- <br />_________________________________ <br />Patented Unpnlcnted <br />*_~A~.z-~_Y_-----~.._cz~~..---- -----~szZc.L.__L~_zs~~-------------------- <br />-- C-1-zz_Z1.~a.~---------`=--------- -----.fez-~.n._~o_~s--------------------- <br />_ . Yz.~Xs~ n-----------= =---------- -----F_r_G~__~`szz.~.szg~_. ----------- <br />---------------------------------------------- __acroa <br />'Ibtul acreage patented__~~._ .~~.4=-n----acres; unpntented___~_,r_---- : - Q-~----- - <br />Do you own or lease these claimei_______--Q1Y_Z2__--~~ ~s-~--1'" ~~`z Zn ~S____________ <br />if you lease them give nnmo of company or Porson Prom whom lease ----------------------- <br />----------------------------------------------------------- <br />(Over) <br />. 1~.~ <br />'I <br />'~I <br />~' a;~ ; <br />i ~ <br />I i~ <br />~, <br />,~ 1 ; :~ <br />I !' i' :1 t <br />~~ i <br />a <br />~~ <br />'I 1 <br />I <br />(~ <br />~, ~I <br />I i <br />i ~- <br />i <br />I i <br />I e <br />II 1 <br />I <br />i; <br />1'r~~ <br />