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. tr _ . . ~. <br />°f t''°'°°aiag °°m~ MINE REPORT <br />0. Address Note-Please flll out this report carefully, write plainly and answer all gnestions fully. Be sure to <br />.___________. date the report and sign it. Fill out both aides of the sheet. <br />-... <br />- ' ~Q~ <br />----------- - ~~/~~rCXJ(-------------. Colorado, -- -- - - --~--~~----. 19~~ <br />___ _ [3UItI:AU OF 11IINES, STATE OF COLORADO.. <br />-----"--"'- T. R. Hennhen, Commissioner of Dfines, <br />----------------_ Denver, Colorado. <br />Sir: 'Iri accordance with' Section 4299, Revised Statutes, Colorado, 1908, I suhmit report, as follows: <br />"T--- / <br />Y_5----- --------- <br />_for___ _hour shift. <br />..for____hour shift. <br />__°or____hour shift. <br />_for____hour shift. <br />_for___.-hour xhift. <br />_for____hour shift. <br />_for____hanr shift. <br />_for____honr shift. <br />_for____honr shift. <br />_for____hour shift. <br />_for____Ilaur slli[t. <br />it ~ Compp.or, <br />Ail oul thb <br />npsro: otherwbe <br />Lur Il blink <br />II .Arm <br />cr prrtnrnhlp, <br />All aul lhl~ <br />spore o[bervi~e <br />trite it bl~ok <br />Names of Owners <br />l3 <br />~4~~7.93 <br />workmen in the <br />9__ <br />Co pant'. <br />-----------'7-~~ <br />I! nrithrr <br />"omyvnT nor <br />pvtn.nhlyy, <br />all out t'ol~ <br />space <br /> <br />Name of Company-The---------------------------------------------------------- <br />Incorpornted in the State of------------- t _-.__.--___'------------------------___-- <br />Principnl otTice -------------------------- ------ -------------------------------• <br />Capital stock ________________________.__ Shnrea, nt $------____-- per share. <br />Name P. 0. Addresses <br />PCCBIdCnt __..-.___________________________.-_. _____ _-___________________________ <br />Secretary ------------------------------------- --------------------------- <br />'Creneurer -------------------------------------- ----------------------------- <br />\tnnnger --------------------------------------- ----------------------------- <br />"Citlc of Pnrtnerehi ~ <br />p---~~ C~~~4.-------------------------- <br />' ~I''ny~nr •s' Names ~, ~~ P. 0. Ad ress ~ <br />----- -- <br />-- -- - - --- -- ----- ------------_ /_~l_~1_Q_---~------- <br />y, <br />1lnnngcr------------------------------------ <br />----------------- - <br />____________________ <br />n[nnag°r------------~~------------- - --~-~--- <br />P. O. Addresses <br />Slntr, names of claims: <br />LL~C~' [,~, ., ....... <br />~t ~ t _- `_---- °--_-_ - 1-- <br />`~ s ~``//____ <br />i <br />~til%1-~pj('- ,..!'-'`"!!-f:/^?'-"ak$'-`'-df,- cU",r~il~`="`~ /u°Y'_ r -/-~- -- ---~('--- -- , ~-~-7---" <br />ry/~ I ~ ~ ~ <br />----"~'`-'1""`~-Ytia,~is_~^~!--^.(r ~1n~'=- - -- 4'~r41:!'~----- •J.2K~±`..t`i <br />/ - -- ZJs~ --- <br />~j~ ~ f -~--, l1 <br />Tol;lf acr g patent°d°------- ---- -----a ea; unpntept°d------- --~Q-------_ __acr°s- <br />---,/ - ------ <br />Do you wn or Tense these clnimsT~%~---~/'-~_~-e.e--' ~ ~ <br />lf yo a tem e a e of mpnny or perso, 'rom whmn leased__.___-- - <br />r <br />--- -- ------ s - <br />' / (Over) <br />>~ , <br />