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..+ U <br />,..~ J ~. ..~ .)N <br />MINE REPORT , <br />Note-Please fill out Shia report carefully, write plainly and answer all questions fully. Be sore to <br />date the report and sign it. Fill out both sides of the sheet. I o <br />--°--_~JP/_!!~!L--__-, Colorado, --- ~~ ~~--'-----. 19!!~ <br />3tiRI:AU OF MINES, STATE OF COLORADO. <br />T. R. Fienahen, Commissioner of 9finea, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, ReviJsed S~tatu~tes, Colorado, 1908, I sub~m0it report ns~folilowe~: i, <br />Name of Company-The___~~~`'~-~~-'mot-~~~~""--""'' <br />Incorporated in the SAtntc of____ ----- ----------------------------- <br />Principal otlice ~~~--1- - - -------------------------- <br />Capital at r-J-~v------- Per ehnre. <br />It • Camppanr. <br />All out thla <br />rP¢r. oWrr~iw <br />Irrvr it Wank <br />If .Arm <br />ar P.nurnhip, <br />All out thb <br />IeP..r it hlaPk l" <br />P. O. Addresses <br />President ~i4~~Y1/rl/_)'~~ - - ' <br />Secretary -- - - -- - - , ' <br />Treasurer - ~ ---C~~~"`~"'"'~'PJ.~i-~/, <br />Afanager -- / -" r_-~~ <br />"Title of Pnrtnerehip__-~ a~~d"F--°~~ (~'`~-""t /'v'-~l_ ~r-- <br />Partn~•rs' Vauns 1'. O. Address <br />-__. <br />_ _ <br />lDfunugcr___. _--- --__-___ <br />Names of Owncra <br />Il urllh.r --------------------."-'---- <br />.~~nP <br />anr nor <br />p+~lnn.olpp. ________-__.-..--_ _ <br />Ell nut Lirb _._____ ____________ <br />nl..,r <br />Afunugt;r___. _.. _ ._-. - <br />so~l~ names of claims: <br />I'. O. Addresses <br />f j <br />1t 1 I <br />_ ~ <br />.I y <br />~, <br />i <br />l~ <br />~ ~e <br />•1 <br />IJupntcalctl <br />acres. <br />- - <br />- __ <br />- -- <br />1! you lease them give name of company or person from whmu leased___ -- _ - - <br />- ------------ <br />--- - (Over) <br />:1 <br />