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-[~-r~ <br />„~ <br />MINE REPORT ~ <br />Note-please Sll ont ithiaFrnillp ont bot sides oftthel she Land answer all gnestiona fnl]y. Be sure to <br />date the report and sign <br />.-~ ~-ct.^'~ ------~ Colorado ~'.e,('-'-27 - ~ 9 ~?F-----~ 19--- <br />Sw ~ ------ , ------- <br />!~ mt~ - 5 --------------- <br />BtifirAI7 OF I<IINES, STATE OF COLORADO. <br />T. P.. genahen, Commissioner of lfines, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, Revised5tntutes, Colorado, 1908, I submit report as follows: <br />Name of Company-The__-- - ----- ~~~--------- <br />Incorporated in the Stnte of__________ , <br />rY~. ~ W ~ ~sx~ r~uc~-..------------ - ~[.-'-[0-------.. <br />---- <br />Principal office ------------------ ---- - <br />0 <br />• _tqg oeo, _________--__Shares, nt 5____h_=__-- per share. <br />Capital stock ___ -~----- P. O. Addresses <br />I! • Compan7. 1~ 8m0 <br />EII out t b ) _ ~D <br />__ <br />rprer: omar.ve YY. ~•lAl~~-'' 1"-- <br />____ <br />Imrr 1[ Glwk - <br />~.President _ '- t------- ------------------------ <br />_ 71 ~fi.1.rat.~+~[i---~t...,v-K,u.L_~'°Y--~--~,D <br />-- --------------- <br />Trensurer -- - ----- ---------------------- <br />----------------------------- <br />~llanager --- -- ~------------------------------ <br />(Title of Partnership-------------- --- <br />------------------- P. 0..lddrese <br />I <br />Partners' lames <br />~I ------------ <br />- ---- -- <br />If . Eon ----------------------- <br />nr yvnnmMD~ _ .-------- <br />I:II ou[ tldv <br />Ln. It blink ___________ __________________. <br />_ _ _. __ <br />I _. <br />__-_ <br />I`Dlaeager_----- ---- __._ <br />Names of Owners <br />I! nM[her I ------- <br />eoniyvn) nor <br />pwtnrnhlp, _______.__ <br />L -_-__-. __________________________ <br />ill out to <br />.yvw <br />~~Afnnngr.r <br />Male names of claims: <br />p Patented <br />----------- 6 - <br />P. O. Addressee <br />Unpatentcd <br />--M=°-Y---------------------- <br />-- ~---- <br />-------------- <br />----------------------------- <br />___ ~_-___ Y__________ ____ _____- <br />---- <br />-- -~----------------------------------- -_----sere <br />'t'otal acres a '( ~"^ _--acres; unpatented____-~~ -----'---- <br />- _____ <br />Do you own or lease these claimst_ oi^_'-"`- ~`"-Q`-'`-`~=___ -- <br />----- <br />if you lease them give name oP company or Person from whom leaeed-----------------"--- <br />--- <br />-------------- <br />(Over) <br />~~~ <br />1 <br />~' jl. <br />1 <br />I~hn p <br />~~~ ~ l ;~ <br /> <br />1 <br />I~ .;I <br />I <br />l~ <br />i <br />I !I <br />I <br />i <br />__ Tr <br />I '~ <br />I f <br />