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. _ ~j,: , ,~~:~ ~-~ ~ ~~ i~ <br />... '; :: L.; :;il <br />MINE REPORT ~~, <br />Note-Please Sll out this report carefully, write plainly and answer all questions fully. Be sure to - <br />date the report and sign it. Fill ant both sides of the sheet. <br />-------L,C__C?~~~_~=r=--r----, Colorado, ---~-J-- ~~--- / J 1`~ ~- ~ 1I~I <br />i3liltl:AU OF MINES, STATE OF COLORADO. <br />T. R. Flennhen, Commissioner of Aiinea, <br />Denver, Colorado. ~ <br />~I <br />Sir: In accordance with Section 4?09, Revised Statutes, Colorad]o~1008, I suhmit rep rt as follows: l <br />~'Qnme of Company-The__ ~~ ~/_gtLC.n_-L~ (_~=~='-~-- U ~ ' <br />--/ p -- ------------- ' <br />Incorporated in~the State of_____:____`-L_ ^ --tQ ~ ?~ _~~ _9_=~ L ------------- <br />(Principal office ____-____-- _ <br />~ --~~=4--~-~- ~------~-d- ~~---------------------" <br />~ a ~' <br />Capital stock __~~o_°_a o o______._5hares, uL ;;__-___,____- per share. <br />It a Comp.N. /` Ad(IrCSSCS <br />m~ nu: t 1. _ ame , ~ P. O. <br />epecr: opmrd.a , <br />Irnr It Ll.nk G ~ I ~ /.~ y if `O <br />( President ~- - a-~'.. '~---;~Jy"t -~u`+f-- - --~~0_T~--------------- <br />ISecretary ~/. --~.• ~/'1 __-V~G~.[.L!%C=s_ --------- --~~ ------------- <br />_ --- <br />~Trensurer _ ~_~~~__~~1~G`!~_C/`?~-`------- ---~.fr!~~i2t_~~u <br />--- `--- <br />~'I'itle of Partnership-------------- ------- ------------- ------- - --------------- <br />~ Partnorn' Xnnurs Y. 0. Address <br />IIY Wm <br />or Vvrmxnhlp, ._______ _________. .____..___-. _. __ <br />out thlx __-__. _--._____...___-_-.. <br />YI~Yr I': 0[IIfR11! <br />1.n. it hLnk _.______.... ___-_-.________________..__________ <br />I~11ana{~Cr _.-_. ._._ __._-_ -.-__ -___ -_ <br />~ Names of Owners P. 0. Addresses <br />_ --- - - <br />_. _. <br />- --- - <br />u uritlia ~ ----------------------~ - _ "-.._ <br />n,nipxnr nor _ <br />parwrrxbl ~~ .____.-___-._____.. ____. _____-_ <br />Lll uul lLU - --_"__________________________.._____..__ <br />.IiP01' .. __ ___.. _. <br />i..__.. <br />___ _ __. <br />___ <br />I _____.._-._ <br />illunuger _..._ - -..-- -- ~---_. _ <br />~I;II~' names o1' claims: <br />/~ / Patented ~ / ------liupnU•ntcll <br />----- <br />- -- <br />u .. _< <~ t_ ; _ ) _ use- _ _ <br />-- - <br />--- <br />p I ~! - - <br />----- <br />_ ,ICrca <br />___- <br />9'ut;ll acreage patented__---~-~-u---- ----arrest wlpuLcnLe __ -. <br />_ -- <br />___ _..-- <br />Uu yml own or lease these clnimat___ ___ ~~~- '" ' ---- <br />Y glue name of com an m• arson Jrom whow husl.d__ <br />If ou h•use them P Y P' _ . <br />___ 1 <br />- --- -------- -- (Over) <br />t <br />l <br />Vy <br />,~, <br />