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<br />he leasing com- ~~'Y MINE REPORT (~
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<br />~~' ~ / Note-Please fill out this report carefully, write plainly and answer all questions folly. Be sere to
<br />~"~~~~_ :F_ date the report and eiga it. Fill out both sides of the sheet.
<br />----- - ~,
<br />----~`~-L=-- -'i~iePQ~------• Colorado, ~~-~~Lt~ _/_9_ ~..~1-=
<br />__ 6tilifiAU OF bIINES, STATE OF ~RADO.
<br />--`--"--- T. R. Ilenahen, Commissioner of -finea,
<br />-------_____. Denver, Colorado.
<br />-'~-_`-_----- Sir: In accordnnco with Section 4299, Re~aedStntutes, Colorado, 1908, I submit repor na follows:
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<br />Name of Company-The_ ~:=!_~T~~s~iS.^Li.c_~_~_Y_~_ ~!~!1,_,_ ~_ ,___ ~v_.
<br />3____ Incorporated in the State of_________~?_u! Q=[~.Ot, ~~
<br />Principal ofRco --=:~oT_~e=c.Ctra1 __~~ _f•----•-`-J~~n~-----------------
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<br />Cnpital stock ___~Q_Q_(,~~lJL_Q___.___Sh s at : ~ °)) per shore. ,
<br />~~ en out tgl.
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<br />President f.~_P~.._~J.r_~-C-~-~,~D------------ - ~~~-~ ~ ~ __
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<br />---hourxhift. Secretory _'~i _,__ - -- =U-t'-------- --~----- ---~/~~-- J_~a,
<br />---hour shift. Treasurer --~~---~'------~--="~--------- ------ ----- ~1------ -"`~--------`-~-
<br />__Loursllift. ~:linnnger --------------------------------____-_
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<br />--- Nnmex of Owners -" --_~ - I'. 0. Addreaxex
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<br />------- 'I'otul ncrnugu paWUtud____s>2_ ~----~---~--- across unpatantod---- -- ------.-._--------'.acres.
<br />Company. Do you own or lsaae tlteao elatmet_______.~~I_CI.~tCeS~_______________ `
<br />_________ It you leans them give Hama of company or parson Yrom whom Icnsad__d:..,!u.,~nt_!l__ _(J_~t__°_,_
<br />(Over) ----_
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