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fc* ~yyr,L d a~,i L i£.t, /v.w' G"~ ~~ II i <br />~ ~ y '' ~ I 11, <br />' MINE REPORT o~ y ~~ <br />~-~ <br />Note-please fill out this report carefnllR write plainly and answer all questions fully. Be s o l <br />Ii <br />date the report and sign it. Fill out both aides of the sheet. ,, <br />-----, Colorado, --~~ - /%~l"--_, 19~.f' <br />liCRF.aU OF MINES, STATE OF COLORADO. I <br />T. R. Henahen, Commissioner of Alines, <br />Denver, Colorado. <br />Fir; I¢ accordance with Section 4299, Re 'eed Statutes, rado, 1908, I submit report as follows: iPe~ <br />----- -------- a <br />Nnme of Company-The -- . <br />-=----------------- <br />Incorporated in the State of______ . -- --- --°----/-~ d ,~E IrOYtri <br />Principal oRlce _ll~~-~1~=~'"~ -~2~ ~------~ / <br />(~ _______Sharee, at . ~_ __ per share. ~OY <br />Capital stock __~ a1~Q ~ ~ Q --- $ ~` <br />u • r"'""'"r• Na a O. Addresses ~ ~. <br />pll out tlilr //.,~~ a 7 <br />.purr; "tbrr.fr / `~i`f jI/Yli ___~~/ ~_/~_____ _ <br />bn. It LlutY -[ __ __ <br />President _ ___ - - - - ~ <br />Fecretary tf~~!- --~'~"~~-=----l1_Ql,pj1Q~aY~rr<.GL>~--- <br />--_ ~ <br />------- <br />Treasurer .~ ~ -- '- <br />>~ --1-'--~--_ ----- <br />Alnnugcr ____ <br />--. <br />'t'itle of-ISYri erelup---------- <br />P. O. Address <br />Yart¢ere' Names <br />----------------------------------- <br />__________ <br />IIr Mrn -_ _________..__._._ _____________-______ ~_______ _ <br />or Vunuvrldy. _ _ _ _ <br />nll uul thl. .___-_____. ___ <br />,lar.: atll.rvlM I <br />_ _ <br />_. __ = r __ _ ______..________ . <br />___. ___ <br />_ _ ~, <br />________________ <br />___________ <br />lA ilnll gt'r __. _ _______ <br />I' O. Addresses <br />Aumts of Owners <br />------ <br />---------- ----- <br />---------- <br />II n.LLL.r -'--------------- <br />--- ------------- <br />u~n~luitl uur ---- r <br />yy .--- ----------- <br />nll,~,atLl, ------------- <br />-------------- <br />Atunugcr---- ~~-------------------~--- ~~_•_ <br />Shllt• uunu•s of claims: Itnllatenten <br />Pate ~ ' <br />e ---- - <br />- ----- ~- <br />- - -~-~'----------------------- -- --- --------y- <br />---- ----------------------------- --- - ----~0------- <br />- _ ---I~-'~-- - <br />- --------------------------------------- _,~ --------acres. <br />- -' ----- <br />Tu4tl aerexge patented----~~ 'J !L_~-~-~~cwree; u¢patrnted__--~ - - <br />• Uu yuu own or lease these claimst______--[~ ="`--`-"-------------------------------------------- <br />r ~ --------- <br />_ I(you lease them give name of company or person Yrom whom leeeed-------------`-----"" - <br />---- <br />- (Ouse) <br /> <br />v <br />1 >~ <br />~, <br />I I: <br />I <br />d <br />,I <br />Tt <br />