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~~..: <br />n <br />_ ` ~-, <br /> l I <br />a <br />` <br />Y ((^^cc <br />T ~ <br /> rt f Nx <br />4 A~~~~~~ <br />~ <br />~ <br />4 <br />~Y. w y <br />4li <br /> 1 <br />L <br /> <br /> Note-Please 811' out this report carefully, write:glainly-and answer, all questions fully. 'Be sure to <br /> date the report and sign. it. .Fill out-bothaides of; the sheet. <br /> C <br />l <br />do <br />~ <br />l(-< 19~f~ ; <br />~~ <br />~ <br /> o <br />ora <br />, <br />-, . <br />-- _ ~Y~>< <br />f/ --- , <br />- <br />~ <br /> -.BUREAU OF MIN ;STATE -0F COLORADO. <br /> Commissioner of Mines, <br />T. R. Ilsnahen <br /> , <br /> Benver, Colorado. <br /> Sir: Zn accordance with-Section 4299, Revised Statutes, Calorado, 1908, I submit report:as follows.: <br /> Name of Company-The-----`----- -----_- -- --=----- ---- - - - - <br /> ___ Incorporated im~~ a State-sf =-__ -~_ `` f <br /> Principal office --------- ---- ---= ------- ---- --------`- ---- --- --'`~.. <br /> Capital stock --- _--- =-----"---.----- Shares,.. a t $- _ __-- Per share. <br /> I[ n Cam an7, <br />eu o¢t t~ta <br />Name <br /> <br />- <br />' <br />P. Q. Addresses <br /> e <br />t4 nk w .. . <br /> ve it bla <br />le President ------- --- -------- '----------- ---------.----- ------- -=- ` <br /> <br /> Treasurer ------------------------------------ --------- - ---- ----- <br /> Manager. ----------------- --------------------- ---- ---- - -- -- - - ---- ~, <br /> ":Title of Partnei~ahip--------------- -------------- -------'-------------- ------- <br /> Partners':1~?ames P. O. Address <br /> 62~: yart¢eeaLip. _- <br />_ <br />_ <br />_ <br /> dn: out tWe <br />gpaee~otherwlee -_____ _____.________________________________ _ <br />__ <br />___________ <br />___ <br />_____ <br />" <br /> .leave-it blank :. <br /> Manager ----------------------------------- ------------- `------- ------ <br />Names of :Owners P. O. Addresses <br />z- <br />--- - -- -- -- <br />[t. neither <br />-cppomPa¢9 upoi ~~// <br />8p8~ _____ __ _ <br />811ouet this ~ -.r ,:~ <br />n. <br />lnlanager ~- <br />State names of claims:' <br />Patented <br />j . _ ,, <br /> <br />Unpaten ed <br />. ~ `_ <br />____ ___ _ _~ _ 1?~J ~2ZG% __ <br />/~ /~_ ~ -4-~ ---- <br />Total acreage patented ____ ___ - _____acres; unpatentedji~.r~ _ __ <br />Do'yolx own or lease theee claims4_-____ ------------- -- <br />------- <br />Ii; you lease them give name of company or person trom wham leased~Ql~e <br />_f ~ <br />~~ (Over) <br />____________ aC <br />c11_ G~r~.~ % <br />~a~a <br />-- - x° <br />.`.t <br /> <br />