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~., ~ ', <br />,,~. <br />MINE REPORT ! <br />Note-Please 8ll out this report carefully, write plainly and answer all gnestioas frilly. Be sere to <br />date the report and sign it. Pill out both sides of the sheet. -1 <br />~ pp -------. 19~!~ I ' i <br />___~ ______, Colorado, ~_.r¢ -_.~.L_ / <br />[1tiREAU OF itfINES, STA~OF C ORADO. , <br />T. R. Ilennhen, Commissioner of 1lfines, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, RevisedStatntes, Colorado, 1908, I submit report as follows: <br />~j~ _ , ~ <br />Name of Company-The_____-`L//' ~==~---'~-~'~•1~*~s---- --- <br />------------ J>,- /--- ---------- <br />Incorporated in the State of_____L 1 ~_~~-1= '^~ ~~ <br />--- <br />Principal office ----- ~-~-=-.rJ..~~-~ _d ----- ------------ ------------.. <br />,_ .,--v <br />Cupitnl stock -~u_~__~!~1------=---_ Shares, at $~' _-____ per share. <br />it • c,n ter. P. O. Addresses <br />i:: ~e °a hl.nt ~.i~~+~j/------------ .-'C./s~1'.._f~C'tSlLa_tt~ --~'ss -T4i <br />President - _~-__ - <br />Secretnry~,1~rs~-i __L`~~"r.~•-.-._ ------- .-.LSxc~a Xt=<~~ ~c__~s_!.~- <br />Treasurer _~? ~~.[ ~~'-~e-~'a~.~.a-- ------ -------'~---------------`~ -- <br />~ - <br />`lfanager _~~ ~ ~~- _..__~.r_zv~Q_~c.:_---~r--`t'-` <br />Title of Pnrtnerehip------------------------------------------------------- <br />Partnrrs' \;ones P. O. Address <br />u .ern <br />ar p•rtnrnblD. _____________________ __..__________________________. ._ <br />flll out [hb ______.____. __.________ <br />q~me; o[ber~L• <br />inrr It Ll•nk i ____ _________________________________ <br />Dfnnugcr _. <br />r Names of Owners P. 0. Addresses <br />! ~~~ <br />~e <br />e neltber I ---------------- <br />~~~~w.•, nor J <br />Inrtu<nhl _______________ <br />p _ ___________________ <br />nil out P - - -- <br />ryw <br />_. __ <br />nlaIIager __. _. __. _.. ______________. _____. ____ ________.._________..__________ j <br />`.<Wtc Humes of claims: <br />Patented Onputentcd , <br />L <br />------- <br />~ ------ <br />-- - ---- -- ------------------- ------ /~ T: <br />T <br />^s' ~^' <br />.c, ,. <br />yr ,.. <br />1_-- ' <br />----------'--- --------------°---------------°°------ I~ <br />~~__y~-~~_ __ucrau. <br />Total ucreage patented-------------------->-----acres; unpntented____ __- <br />Do you own or lease these elaimel______~•C_~~~=------------`-`----~---------------- ------ II I <br />I~ <br />------- <br />---------------- <br />!f you lease them give ¢ame of company or person from whom enso __-__---- <br />-- ----- <br />• ----- (Over) I j <br />1, <br />V <br />~i <br /> <br />