MINEBK00334

• County: Teller
• Document: Manager
• Suffix: A

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MINE REPORT ~ ~~•~<~
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Note-Please fill out this report carefully, write plainly and answer all questions fully. Be sere to ~ ;
date the report and sign it. Fill out both aides of the sheet.
---------IknvHr----------------. Colorado, -- ~9~e. _ 31,_ 1J13----~ 19---
g['REAIi OF 1tiINES, STATE OF COLORllDO.
T. R. Henahen, Commissioner of 3Sines, ,
Dencer, Colorado.
fir: In accordance with Section 4299, Revised Statutes, Colorado, 1903, I submit report as follows:
('Fame of Company-The__~~~d__T39Ai1__Co~solidated_ 1Sines_ Co,,_________
'Incorporated in the Stete of______ __________~Olo^ado,
--------------------
IPrineipal office ______~Z'i,riP~e__~~@e~!a-Colo,
Capital stock _ 1~,3~0,000_______ __Shnres, at S1.SLQ______ pcr share.
u . cY~+D~r. ,
eu ~, m;. ~ }Fame
span; oNenAn ~
P. 0. Addresses ,..,
''°ritblank M t',n$t+r an Cri nle
President ------'--------~ --i------------------- p'--
-- Creek Colo, t

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--~---------------
Secretary --.._~.R,-S].118ReS'.-____-- ___ ---Denver,- -Col°'---------- ___--
',Treasurer ___ C. R.SYusserJ____ _____ Denver,
---- Colo,
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I'~fana er G, ^-.~»@3'___________________Denver,-
g ------ -Colo.----------_-----
(Title of Partnership-------------- ----- -------------- ----------- ------------
I Partm~rs' \anu•s Y . 0. Address
II a 6rm
or Vmwnhlp,
fl!wl Wi. ~ ______ ______ _____ _________ __________ _______ _______.________ __.._____-._
ryar.: uthm.bt .
io,• rt Llank
I _ - -____-_-__--__..
Dfanagrr--- --- _ -- ------- - --. _ _. - - -_ ._
~ :~nmes of Ownerx P. O. Addresses
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III,.,. nm i
pcnemhlp, I _ _
~I -.___-__.. -___-._ ___-__.
,Il unt WU ________________________.____-___. -
,Otunagrr._ - -
~'~~~, n:+rnes of claimx:
Patented IArputrruted
Cor..aSock, E1 Reno~_V~ar1Q_'e ?hires _-- _ I?one.. _---
------- - --
Total ucreuge patrntrd__18,~-------------- -ncrvas; unpulenled_. U.OU --- ncrcx.
L`oYwow ONTI --------- -- -- -- .-
nor lease t}lebe C181IIINT__. _-__ - ----~-------
-"------ if you louse them give name, of eompuny or person frmn whom leasrd__ 7CJS - --
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(Over)