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of the leasing rom• <br />).Address <br />----------------- <br />~;_.CI~I <br />_for____honrehift. <br />-for____hourshift. <br />.for_ _ _ _ hour shift. <br />.for____hour shift. <br />.for__ __hour shift. <br />forw_ hour shift. <br />,for_C__hour shift. <br />for_ _ _ JI our sh ift. <br />for____hour shift. <br />far____hour shift. <br />for____hour shift, <br />~~~ .~:~~ <br />MINE REPORT <br />Note-Please f1ll out this report carefully, write plainly and answer all questions fully. Be sure to <br />date the report and sign it. Fill on+. both aides of the sheet. /~~ <br />~~~P'~-----~ Colorado, --c/Y~~~~ 1~J_[_~_ <br />BUREAU OF bIINES, STATE OP COLORADO. <br />T. R. Iiennhen, Commissioner of Mines, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, Revis~e/dStnt tes.~~Jolorndo, 1908, I submit report ns follo~ve: <br />Name oP Company-The_____!_rl__l~!_/__ _ <br />/ - ------------- <br />Incorpornted in the State of___iC~G4- ~ -- ---------------------------- <br />.9--------- , <br />Principal ofiico --~~ ---- - ----~---- ---- ---- - wC-~ ~0-----------.. <br />- -- <br />J' <br />Capital stock __.i~_d__!_ ~~__Shnrea, nt $____________ per share. <br />Ir • Cam 7. <br />eu out e~i.° P. 0. Addresses <br />.p.cn; ntbaarlu <br />Inve It blank ~J~ <br />President ~ -- n -l~~tn!~`~-~'~-~-~ -------- /~= <br />Secretary .~(t'ict-~_ p~ ~E <br />Trenaurer~f~_~~~t~ooZ!L!'_t-~ <br />bfannger __~~_~!Y______! <br />Title of Partnerahip----~------_r--------------------------------------------- <br />Pnrtners' \'lunes P. 0. Andress <br />--------------------------- <br />-------------------------------------------- --------------------------------- <br />If . erm <br />cr Oannen6lp <br />no oot inl. <br />,pace; o[hutwba <br />Isms It blank <br />Blanager------------------------------------ <br />--------------- mss of Owners P 0. Addresses <br />~,~__ - <br />--- ------ --------- <br />---------------- --------------- <br />----------- <br />----- ----- -- <br />-'-`--'---- vampan7 oor <br />pp _..______________________ <br />'/J' U Vnrtnenhl . --------~ <br />.".Il oul tbla ~ ____________________________________________ <br />_______________ <br />~Vae <br />Z <br />s---~- <br />~---~ --- <br />vorkmen in the <br />~~ <br />--- <br />----------- <br />--------------- <br />--------_-----~ /' <br />tiLdc names of claims: G/l///~/, jT'nwJp %~//~' "' <br />Patented lJnpatented <br />- ------- <br />---------------------------------------------- <br />---------------------------------------------- ------------------ <br />- ------------------------------------------ --------------- <br />'1'otol acreage patented-------------- ---------acres;~n~tented__-------------------~~----acres. <br />----- <br />=t'~-a--------- -------- <br />----~=`-`~y_`----- - <br />Do you own or leaso these claimet_ <br />------ - <br />If you lease them give name of company or person from whom ease ______-. _ <br />(Over) <br /> <br />~~ <br />I <br />