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n~,~.~,,..~.a~a... <br />the leasiag com• <br />ddress <br />ir___.. 110Ur RIIIfC. <br />~r____hour shift. <br />r___ _hour shift. <br />r____hour shift. <br />r____hour shift. <br />r____haur shift. <br />r____hour shift. <br />r____Iloursllift. <br />r___-.Lour shift. <br />r____Lour shift. <br />r____hour shift, <br />t I'. <br />., - <br />MINE REPORT ''~' <br />Note-Please fill oat this report carefully, write plainly and gnawer all queatione fully. Be sure to <br />date the report and sign it. Fill oat both sides of the sheet. <br />------------- ---------+ Colorado, -- ~~-{? •---2-~-------~ 19__1 ~~ <br />[IURT;AU OF i<IINRS, STAT); OF COLORADO. <br />T. R. Iienahen, Commissioner of Dlines, <br />Denver, Colorado. <br />Sir: In accordance with Soction 4299, Reviacd Statutes, Colorado, 1908, I submit report as follows: <br />If • Comp~nT <br />011 aul t b <br />rprrr; olbefwLe <br />irrtr Il nlmk <br />I(. Enn <br />or prrtnrnhlp, <br />eu nm enb <br />rMn: olM1erwire <br />Inrr It 4Lvk <br />Name of Company-The---------------------------------------------------------- <br />Incorpornted in the State of______________________________________________________ <br />Prineipnl office -------------------------------------- --------------------------. <br />Capital stock ________________________-__ Shnres, nt $____________ per share. <br />Name P. 0. Addresses <br />President --------------------------------------- ----------------------------- <br />Secretnry --------------------------------------- ----------------------------- <br />'prenaurer -------------------------------------- ----------------------------- <br />linnager --------------------------------------- ----------------------------- <br />Iitlc of Partnership---------------------- --------------------------------------- <br />Pnrtncrs' '~nmcs I'. O. Address <br />-------------------------------------------- --------------------------------- <br />------------ - linnager------ ------------------- <br />------------ r Names of Owners <br />-------------- <br />- Il nritbtt __________________________________. <br />----- --- <br />'----------- mmprN mV <br />lurlnrnbly _ <br />------------- enonlln4r ----------------------------------------- - <br />.,,,rr <br />orkmen in the <br />V____-- 1u---1----___ <br />~_l_?O_~_____ <br />l-L~J ran- _ - L <br />V <br />~~--- <br />State names of claims: <br />Patented <br />P. 0. Addreesca <br />------------------------ -------- <br />___.. _ <br />- ------ - ----- ------- <br />_.._~____ __ i __ ___ __ ___ <br />- . -----------------~l~,t~-a.l <br />Unpn(,~ted <br />------ - - <br />--- <br />b ---~------------------- <br />- - <br />• ucres. <br />-... <br />Total acreage patented------------------- ---acres; unpatented_____-- -------------- <br />Do you own or lease these clnimef_______-- - - <br />------------ <br />Ityou Icase them giv name of co~/m~ppa_ny~/o,Lr person f om whom lease ____________________ <br />(Over) <br />----,-f7-,------~--~----------- <br />V r - <br /> <br />