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T~ <br />//n/..Y// / I~ 1 <br />C~~ ~ L- ~j/y .jam ~~/~ I <br />8aing eom- C MINE REPORT <br />yCy~ Note-Please fill oat this report careftilly, write plainly and answer all questions fully. Be sere to <br />Byte the report and sign it. Fill oat both aides of the sheet. ~ i <br />------- <br />- .. - - <br />_ _ <br />- '' - _ "~ { <br />-l(- .. _, Colorado, ~ ~_ a -'~~ 19___ <br />BUREAU OF MINES, STATE OF COLORADO. <br />---------- T, R. Henaben, Commissioner of Hines, <br />_ __ Denver, Colorado. i <br />- - <br />Sir: In accordance with Section 4299, Revised Statutes, Colorado, 1908, I submit report ns follows: <br />- --- rA'ame of Company-The__ ~ ____ ~~ <br />._------ ~~i C~n-~ r -~C~ ----------------------- <br />---------- Incorporated in the State of______________-_____________-------------------------- I <br />i <br />Principal office ---~~-~f~~---~ 0.-~-------------------`-------------.. <br />~_ <br />~ Ca ital stock ~__ 2i `r °`~T' ______-_ --Shares, at $/_ ~o •_ ___ <br />tIl entn~lf~w <br />hoar 6hlft. kne LL Lank <br />,rat. liPr Bident _OT. ~Jam~!//v-o-~--------- ------- Go3~ .0. Aad~~e_~...-u~ ~. <br />hour shift. ' ~'~~ a/ ~_~~ -' <br />hourehift. Seeretary - --0~` -'~-yJ----- d~_.~ -.--~------- ----'-- -----~- <br />c~ ~ ._ <br />hourshdt. Treasurer ------___-_--~-T°----------- ---?~ --'---------~---- <br />c-P ._~y---~---- ------~-'-~~-~-.-42~ <br />bourshift. ~ lfanager ~~r~~-` -' <br />Lour shift. <br />hourshitt,Title of Pnrtnerehip--------------------------- -------------- ------ ----- <br />hour shift. I Partners \:uucs I. 0. Address <br />hoursbift. -------- ~---~ <br />I <br />hoursbift. - ---------------- ----------------- ------------- <br />u . crn~ <br />- or rvnn.n61D. _.____-__..-..________.. <br />ours ]]ft. <br />. <br />:...• it Wauk _______. .__..__________ <br />____ .... <br />__-____ <br />' ____ <br />I ~fIIDagr;r _.. __--_.._ __ -__ .._ _-.-. _---__. _.. <br />------ ~-- ~ I~tSIIDCN Of OwDt:rs P. 0. Addresses <br />__. --- <br />------ - : <br />-- - <br />------ -_ <br />----- <br />______ I -- -- ---- - - _ <br />lVn~,nan! npr <br />_ : ..__ _. <br />t.. _ __ ___________ <br />_________ ta4 <br />n.. ' <br />.~.e _ ____ _____ _..--._ <br />___ _. <br />i .. -.._-. --_ ___ --_ _ <br />_ 1 <br />----- '_Afunugcr_ _ __. ---. _-. _ - .. <br />/ ~% <br />--~- •~.. unuu•s of clairnN: <br />----- Yutented linputenb:d <br />en in the <br />----- - <br />. --- ucrca. ~ <br />'!''~I::i :.creuge pateuted__ _. ----------,--acres; wlputunted_ - <br />,.ompanY• Uo you own or lease these claiDls __ --- _ -- <br />- --_--- If yon louse ihent give: Dutnr oft m luny or person from whom lensed__ -- .. _ . <br />_._. <br />- - <br />------ i , <br />- - (Over) <br />I~ <br />~1~ <br />