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f the lensing com• <br />Address <br />---------------- <br />t .c-.. <br />.t.___..~'----- - <br />__1xc-.----•...... <br />---------------- <br />for___--hour shift. <br />for__ _ _llour shift. <br />for_ _ _ _ ]tour shift. <br />for_ _ _ _ hour shift. <br />for_ _ _ _hour shift. <br />For__.._hour shift. <br />for____hour shift. <br />for__i:_hour shift. <br />for____hour shift. <br />for____haur shit[. <br />for____hour shift. <br />--------------- <br />--------------- <br />--------------- <br />l'~_____________ <br />..... ,::C n :iU '.-. <br />workmen in the <br />--------------- <br />e„b~i~mpany. <br /> <br />oun~ty l,~o ~ .: <br />i :, ~_ <br />'.,.>,~ - MINE REPORT ~,-V ,;,. <br />~ Note-Please SR oat this report carefully, write plainly and answer all questions folly. Be sore to <br />date the report and sign it. Fill oat both sides of the sheet. <br />---•-----------------------------. Colorado, -------------------------,19--- <br />BUREAU OF 1vIINES, STATE OF COLORADO. <br />T. R. Fienahen, Commissioner of blinea, <br />Denver, Colorado. <br />Sir: In accordance with Seetion 4299, ReviaedStntutes, Colorado, 1905, I submit report ns follows: <br />Name of Company-The--------------------------------------------------------- <br />Incorpornted in the State of______________________________________________________ <br />Principal ofHce -----------------------------------------------------------------.. <br />Capitol stock _______________________-.___ Shores, nt $____________ Per shore. <br />u ~ rAmgw. Name P. 0. Addresses <br />All out t b <br />rp~re: oNerwW <br />Inre It bunk <br />President --------------------------------------- ----------------------------- <br />Secretary --------------------------------------- ----------------------------- <br />Trenaurer -------------------------------------- ----------------------------- <br />Manuger --------------------------------------- ----------------------------- <br />11 . arm <br />or D~rtnmhlp, <br />All out lh6 <br />rpore; atherwW <br />Irne It blink <br />~ -y}- ~ /' <br />Title of Partnerehi ; /~__i:'_ ~ 4./1 ~''• '` -. "------L_-- =---~ <br />p -fit.-- - ~= - - ~----~ ---=------ <br />n Partncr~ \ames P. 0. Address <br />------------- -------- <br />t '~ <br />__ <br />A(l ` <br />J ~_. ,y <br />~a~ 1_ <br />Sinnngcr------------------------------------ ----------------- ------------- <br />Names of Owners <br />It neltbrr ~ ------------ <br />comym) nor <br />partnenhlpp, _ _ _ _ _ _ <br />All out tul~ ______________________________________ <br />~n.re <br />~6lnnnger ___ <br />State names of claims: <br />P. 0. Addresses <br />Patented Unpatented <br />---------------------------------------------- <br />-- ----------------------------------------- <br />---------------------------------------------- ----------------------- <br />-------------------------- <br />-------------------- <br />---------------------------------------------- <br />acres; unpatented__3l[_ _ S3!(~!1+'--- ---acres. <br />'total acreage patented------------------------- <br />Do yon own or leaso these claimsT~jL1~/_~tLle'P-Y~t_J ____ ___________________________________ <br />!f yon lease them give name oP company or person from whom lensed-------------------------------- <br />-------------------------------------------------------------- <br />(Over) <br />~' <br />