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1 <br />~ / <br />~,~ ~~ ~ pQ <br />'~.f?~ - . <br />C :)._'ii <br />MINE REPORT <br />Note-Please fill oat this report carefally, write plainly and aasw 'ally. Be sere to <br />date the report and alga it. oat both aides of the sheet. <br />i <br />--- --------------- ------------- Colorado, . _ /O ---• 19/_SL <br />BliREA[i OF JIINES, STATE OF COLORADO. <br />i. R. Henahen, Commissioner of ,liines, <br />Denver, Colorado. <br />Sir: In accordaace with Section 4299, Revised Statutes, Colorado, 1908, I submit report as follows: <br />Name of Company-The------------------- <br />Co ~N-4_________________________________ <br />Incorporated in the State of_____________________ °~t?____________________________ <br />Principal office ---- C~ -----------------`-:h r~ ~-x- ~ -------- ---------------.. <br />Capital stock ____ 3 0 0 0 ou u_. _ _ __ Shares, at $____~~ __.__ per share. <br />L l r•OTpN). <br />:a wt Slur Name P. 0. Addresses <br />rrrce: o:Lrrrlr p p ~, <br />rcr.r 1t Glaak ~+ ~ S i ~~~ <br />President _ V /I _ _ _ _ _ _ ~qe~± _4r•-- "~j~-'-':`_'`y~ <br />-_. <br />--- =--------------------------- <br />iSecretnry -'~ ---------------------------- ---------- ----------- ---- <br />I <br />iTreasurer -------------------------------------- ----------------------------- <br />~~\[anager --------------------- ----------------------------- <br />Title of Partnership-------------- ------- --------------------- ---------------- <br />Partners' Names P. 0. Address <br />u . eno <br />[I: out iLir ________- ______.._ <br />ryas: otLmiw ~ <br />in.. It Llrnk <br />`J[amSgcr-------- -- -- -------- ----- - ------- --- - --- ------- -- <br />Names of Owners P. 0. Addressee <br />_..- -- <br />L'rrltLrr ____________________ ____ ___-.. - .-_ <br />- _ _- - <br />- _ <br />wnip,ro) nor <br />WrtnmLl J ________________ _ ___.....___________ <br />_______________________ <br />LII ov1 IL r <br />rVra <br />lfunaRer__...-_ _________..________...__________-._ <br />~tab~ uarncs of claims: <br />Patented Unpatcntcd <br />Total acreage patented----~ O ~_ ~? J ------ae,.res/; unpatunted------------------- --- ---acres. <br />Oo You own or lease these claianet_____-- ~'"~" ' `~ ------- "---"---'---------- <br />.-. <br />II <br />if Ym lease thetf~n give~-nam company or pe(r~son from whom lcaecd__r__3------------ -- --------- <br />(Over) ~ :l <br />:~ <br /> <br />