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T <br />~ /\` )/ <br />'~ ~ /~' <br />the ]easing cam- MINE REP T ~, :; ::, <br />tddress Note-Please Sll out this report carefully, write plainly sod answer all questioas folly. Be sere to <br />data the report and sign it. Fill out both aides of the sheet. <br />Ytal <br />-- I <br />Dr____11ollC 6111 ft. <br />or____hour shift. <br />or____hour shift. <br />Dr____hour shift. <br />tr____hour shift. <br />tr_~hour shift. <br />tr____hour shift. <br />tr____hoar shift. <br />n____honr shift. <br />~r____hour shift. <br />~r____hourshiCt. <br />-------------- <br />°~ <br />~~. <br />/~-.-~'~ <br />,__4~' <br />worlcmen in the <br />-------------- <br />_____Company. <br /> <br />--~=-~""f'sA`c`G~1i--t-------, Colorado, -_l.?`~/~•--~1-~-------~ 19F3_ <br />BUREAU OF bfIN);S, STAT); OF COLORADO. <br />T. R. lienahen, Commissioner of ~finea, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, Revised Statutes, Colorado, 1908, I submit report ns follows: <br />11 a Comvv.n), <br />ell out thi. <br />.pare: otherdu <br />Ir.re It bl.nk <br />---------------- - <br />Treneurer -------------------------------------- ----------------------------- <br />\Iannger --------------------------------------- ----------------------------- <br />Name of Company-The---------------------------------------------------------- <br />Incorporated in the State of_____________________..________________________________ <br />Principal office -----------------------------------------------------------------.. <br />Capitol stock ___________________________ Sllarea, at 4------------ Per share. <br />Name P. 0. <lddresses <br />President --------------------------------------- ----------------------------- <br />Secretary ---- ------------------ ------------ ---------------- <br />of Partnership-------------------------------------------------------------- <br />Partncrs' \nmes P. O. Address <br />II .eon <br />or D.rtnenhlp, <br />All oul thl. <br />rpere: atherwlu <br />Inrt It blink <br />-------------------------------------------- <br />IIfnaagcr----------------------------------- <br /> <br />Nnmas~of Owners P. 0.:lddresscs <br />------------- <br />----------- -------- <br />-- -_ _- <br />Ifndlhrr ---------------------------------- <br />rampm) oar <br />nnnnrnmpp~ -------------------------------- <br />Allouttbl. ---------_°-°___--_____-°_-_--_---------- <br />.p¢n _________-_. <br />_______.-___________________y_ _________ <br />tiptl^ names of claims: <br />Patented Unpntented <br />--- ~ --~-~-~---r---~-~-- <br />---------------------------------------------- <br />--- ~ --~---------------`t------- „ 3 <br />-- <br />---~o__ $----------------------- <br />____.... -acres. <br />Total ncrcogc patented-------------------------a^rea; unpatented__---------------- <br />---- <br />Do you own or lease theso claimst___ _ - -----------'---"'"-`--------------------- - - <br />------------ <br />----- <br />Ityou lease them give Home of company or person frmn whom case _______________ <br />-- ---------------------- <br />------------------ (Over) <br />