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/J ~ ~t <br />MINE REPORT s <br />Note-Please fill out this report carefully, write plainly and answer all questions fully. Ba sure to I ,~ <br />date the report and sign it. Fill out both sides of the sheet. <br />---•-----~~/~il~___~--, Colorado, ------ -r----~P---, 19LG~ <br />BUREAU OF 11fIA'ES, STATE OF COLORADO. ~C~~ <br />T. R. 13enahen, Commissioner of Dlines, <br />Denver, Colorado. <br />Sir: In accordnnce with Section 4299, RevisedStatntes, Colorado, 1908, I submit report ae follows: <br />Name of Company-The- ------ - ----- --~!Z!f~7!lCl=r/L.!'--~-_----- <br />Incorporated in the State of__'~ =w----- --------------------------------- II <br />Principal office _ __ <br />Capital stock _ !a~!I/_________--Shares- at ."y~~-r_-______ Per share. <br />u • cDm a <br />pn Dvt t 1. Name /P. 0. Addresses ~Oy~~/~ <br />•Daro: othenrLe • ((~.~2Y---- ~~ ~"'p"V <br />lone It blank r {~I~~ =`rl -~-~ r~-- <br />President ~1E! ~fj ---- <br />Secretary _~" • _ ~ _ -------------- --~~Q ~- - <br />Trcasurer/~~ -~- - -- -- - 't'~/~vt. -°~1~[.° /~L - --- - ~ <br />`ilfanager - - - -- --- -- - --~a'?---- l- - - - <br />(Title of Pnrtnership-------------------------------------------------------------- <br />I Partners' Xanurs P. 0. Address <br />Ir .arm <br />or Dartorn6lp, <br />nll out tbla --'-'------`------------~---------------- ~----------------------------- <br />,p.cr, athenrW <br />Iene It blank <br />I____-___..______.._. ______... .__. ..___..__-__.__ _._..___..___________.._..-______-__. <br />~Dfanuger-------- - - - ------------- __ ----------------- -_ ------- -- <br />~ Nnmea of Owncru P. O. Addressee <br />If uelth<r ----------------------------------~----- --- - -~----~---~~------------------ <br />cumpmr not <br />D.rtnsnhlp, - -- -~ - <br />•Vaw <br /> <br />I~bfanager---- -- ----------- h' <br />----- - ------- ----- ---- -----T--------------- <br />Stute nameu of claims: ~~ <br />Pa9tented L npntented <br />the -_ ....7--r~ Q -- ---- -- ------ - ---- --~~~u~1 <br />I <br />__- <br />___ + <br />___ <br />_____.________________________________________ I <br />___ -1 <br />'1'otul acres e 2 __acres; unpatented___--~---~---------acres <br />6 Patented_____.t,.7__ _____-- <br />tny Do you own or lease these claimet------ - ---------- ----------------------------------------- I~, <br />___ if you lease them give name of company or person from whom leased-------------------------------- <br />(Over)-- -------------------------- I~~ <br />~I ~ <br />h <br />-- -;~~ <br />- _ ---- <br />i` ~I <br /> <br />