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<br />1~lIINE I~EIppR'~'5212
<br />-Plats tlats roPOrt.
<br />ONe noms of aaoh olalm F»IOnPinp to nom pany or group.
<br />Ful In oarofully-MEN EMPLOYED.
<br />Fill out blank m oPPUIt~ tltls and UPn ropoet. ~ D
<br />_ ...................`~~. '_/L.......... coin. 'Q2`_`~'.. iso~
<br />BUREAU OF DIINES, STATE OP COLORADO.
<br />T. J. DenzELr., Commissioner of ,lfines,
<br />DENVEa, Cor.o4mlw.
<br />Sm: In accordance with
<br />Name of claim or elaime............_:
<br />Locatiou ................................................
<br />Mining District .........'.°"^•
<br />Owner or owners and address
<br />Name o!' Company
<br />above aeetion, I submit report as follows:
<br />
<br />(I@INCOR@ORAT4O)
<br />...........,q....... allal'ea, at
<br />
<br />. . . . . . . . . . . . . . . . . . . . . .
<br />hurraca to
<br />W04'14 111 Cllarg0 Of
<br />n. Aanbgw)
<br />Is property worked eontinuoualy9 ...................._......,......._........,...............................................
<br />_...._.._....... l so..._,._
<br />Cormnencud worlt ............................. _, . ..................... ....
<br />. ........ 1!111........
<br />Stopped work ........................... _..,..............,.........,
<br />...............
<br />i<II;N 1;111PLOYJ:D.
<br />Ne. PIAfPlAYEn.
<br />Nn, IiMI'LOYFD. ~
<br />_..,.,....,..l~Jnginuera, - - - ~ ................fur............bourahllt.
<br />....MuvLinu Drilluren, d'-,••••-•.....fur,...........bourxhilt, !i P<a•...........hourabii't.
<br />....,...hfuuLino Ifolpore, ~ ..................Yor.......,....hourxbilt, ~ ......,..,..:Pnmpmurl,. - >IL,....._..,...,..
<br />o ~ .......Y`irnnlurl, - ;~ .................fur....,.._.,.hur4r shift.
<br />~'...,111inurs, - ~r....~.........,.for.....~..houraiuft,
<br />' .......,.,.Iilnolsxn4ithx, rb ..................for....:,.,,..bonrxbift.
<br />...,'Piruhurn4un, ~L ................fnr.........,..IrouraLift, j
<br />lruruaturx, - >K..•.........-.far-•--.:huurahift.
<br />.'1'rummorx, >ls ..................fur....,r.....hour xhilt• ""
<br />~' l nromuu - ~ . -. - 1nr.........-hnurxhilt.
<br />.:.....Ora iiortora, dr..-'~•....~...Yor..r~_,..huttrxhitt• ''
<br />9 1 for.,.:....,..huurehift,
<br />.for-.....,....hourxhift• . u )u4antoudunt,
<br />.'1'opnlon,' far...,......bourxlult, "--Ofllcuhdp, d~. ,.,.. fnr.".tlourxldtt.
<br />_..a.uborurx, rb.... ... fir ............. .fur ..,....hourxhilt.
<br />/nr.......•_..hmlrahilt, _,...,.,, llillmun, . .
<br />-.--...,.Axxuyuru, rb. -., j fur_,,..bourxhift.
<br />_.. .... s~._..,....
<br />,..... fur,........huurahllt,
<br />... ......................w.,..,,..............._ ~.,.
<br />w...-/ .... .......,
<br />Average nuruber trCrneu auployua for the year 1 ..Y':~ ~, ,, ,
<br />Churuutar and value of ors ... ,..... ~ _ _,
<br />..,,.,. A..„.w,.... ...,...._ (avrw
<br />~,-
<br />N ~ ,
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