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>,oulder ~ frar11is2ard <br />'g °°'t'- MINE REPORT <br />t i) <br />Note-Please Sll out this report carefully, write plainly and answer all questions folly. Be sure to <br />date the report and sign it. Fill out both sides of the sheet. <br />- Porldcr 3'ar R 19 <br />------------------, Colorado, -------------------------,19--- <br />BUREAU OF 11IIIdES, STATE OF COLORADO. <br />T. R. I3enahen, Commissioner of A[inea, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, Revised Statutes, Colorado, 1908, I submit report as follows: <br />Yams of Company-The_1cQll~t~4'T'__T117:: Str.A_]_rn-dlicLior__f,.n>;r_arx_______ <br />(Incorporated in the State of____ ~cllot_.^.tlo <br />------------------------ - - <br />Prineipal of0ce `ulliz_ar.__)?ldr ___ ~gi~ld^I_r_ Co1o_______________________., <br />Capital stock __1`'_C!'_.C~~___-----____--Shares, nt $_ 1~________ per ebare. <br />en out i. r' Name P. 0. Addresses <br />rlutt: oNerwbe - <br />'"vrltm.nk J,f.C1arL____- Court I'ousc I'onl~!er~_Colo-_ <br />President -------------------- ---------------- -- <br />ISecretary J 1<.;"il.l.iar's._____~1Z7_,Iast ~1£'tl; ]Taco CHic~rni71-]___ <br />ITrensnrer T_~tl'_ Ilinn -_--~ulliv:u; I']d~' Boulder,Cnin, <br />----- ------------- ------------- -------- <br />\fanager _,LL.Ilh.zh------------------------ -1~_llLntB------------------ <br />Pitlc of Partnerabip-------------------------------------------------------------- <br />Partrcr;' \;uncs P. 0. Address <br />u . arn, <br />nr V.rtnmhlp, <br />1111 out t41. <br />goes; othmrl.e <br />lervr It hi.nk <br />:lfanager------------~------------------- __ _...---------------- -...__-..------ <br />~ Names of Owners I'. 0. Addresses <br />i <br />It nelt4er ________________________ _ <br />------- <br />mmV.nr oar <br />p.num41 , <br />nu ~Utt ------------------------- <br />m.« <br />~Afanager-- ----- -------------------- -- ---------------------------- -- <br />titxte names of claims: <br />Patented Unpatented <br />t'atentti stttrte l it Jar 1T119 All _____ <br />-------------------------------------------- ---------------------------------------------- <br />'1'utal acreage patented_________________________eeree; unpatented__1Q l..______-_-- -__.__ _acros. <br />Do you own or lease these claimsi__ ~!!X71------------------------------------------------------- <br />1f you lease them give name of company or person from wbom leaped______________________--------- <br />------------------------------------------------- <br />(Over) <br />S <br />I <br />1 <br />V <br />