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~~ . <br />~~- :~, ~{ <br />MINE REPORT ~~'~ <br />Note-Please fill out this report carefully, write plainly and answer all gneatione folly. sure to <br />date the report and sign it. Fill out both sides of the sheet. ; <br />------J--'--~2~/~!!!~-----------+ Colorado,-------------------------,19_f ': <br />BUREAU OF 11IINE5, STATE OF COLORADO. ~ ' <br />T. R. FIenahen, Commissioner of ;tlinea, <br />Denver, Colorado. <br />t <br />Sir: In aecordnnce with Section 4299, Revised Statutes, Colorado, 190$, I submit r porS.ys Follows: ; <br />Nome of Company-The__ ___ .-- ~ - ------------,~/-A"-------- i <br />i•~ <br />Incorporated in the State of-- --- -- -- --- - ------------------------------ <br />Principal office -------------%t ~~-?!f~------• --------~-------------------.. <br />~~~~ ~~ r~ <br />Capitol stock __?_'C~!~_'~~1-______..__ Shares, at $_~_________ per share. <br />n `~ P. 0. Addre ses <br />en ane t. ~e ~~ ~ <br />Irr~irer It bt°u`. ~Iw ~°`--yyjj,, ''}~ p ',~~/~ <br />President ~ !_L~cSl"_';; _"°----- ------------- L-F ~?'~~ --~~'~ ~'-O-__-_ ' <br />Secretarq ~~~ (~" <br />.. 666iii <br />Treasurer - ---~ ~ - ~ -- -- --`--------- ----------------------------- <br />{ ~7, ~` `La , r i J <br />blaneger ._ --------------- -------------------- ------ <br />Titlo of PartnerahiP-------------------------------------------------------------- ~I~ <br />Partnrrs' Names P. O. Address <br />--- ----------------------- <br />u.a.m I <br />.. wn..,.b>A. ----------------- --------------------------------- <br />en sue mr --°--..----`----------- <br />rp.re; othenrW q <br />kne le bl.nk _________________________________ <br />t/ y ~ <br />~Innngcr------------------------------------ --------------------------------- <br />Names of Owners P. 0. Addressee <br />`i <br />--------------- --~---------------------- ------------------------------- - f` <br />__ ~ --- <br />u .awt. ----------- ------------------------- ------------------------------ <br />--- , <br />mmlrol ttor ~ ~ <br />n.rtuenYl . ____ _________________________________ '~~ <br />Ett out tut. _________ <br />rD.ar ~-_ <br />_ ___ ______________________. ...-____________-_____________. i ll <br />_ ~____~ ______ ___ _________________ _________________________________ ~r <br />Ilfaon¢er _-~------------- --------------------------------- ICI <br />State names of clnima: <br />--- ^ -- - - -tent <br />• 4il,y"Yv _ <br />-- -- - ----- ------------------ <br />-- --- --- -- -------- <br />----------------------- -- <br />Total acreage patented_!! -~~ ------- -acres; unpgtented------------ - - acres. <br />U ~~ <br />'GU-?'_'_f'°--------------------------- <br />Do yon owe or lease these claimef____LY- __-- - - r, <br />It yon lease them give name of company or person from`wnom leased-------------------------------- I i ~ <br />- -- - - ----------- ~r -----'----(Over)---------------------------------------_-`-- ~~ <br />