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____ _~ <br /> ,-- <br /> <br />f the leaemg °°'_ ~1 ~ ~~ <br />MINE REPORT 3A 3- `~~i1:3 <br /> /, ~` ~ i <br />aaare6~ 1 <br />Note-Please fill out this report carefully, write plainly and answer all questions fully. Be sere to <br />1111'1IIg _ 1913 date the report and sign it. Fill out both side; of the sheet. <br />~lut_none :ct~~:a. a-i~ <br />~ <br />' <br />~ <br />~ <br />________ ~ <br />__ G <br />_t_ f <br />.~ ~_ _ <br />- - <br />(,__. Colorado, --~--~--------- - --~ 19 ~_ / <br /> 3L'RF.AU OF MINES, S ATE OY COLORADO. <br />--' T. R. Aenahen, Commissioner of Mines, <br />---------_ -___ Denver, Colorado. <br />--'--_"-------- Sir: In accordance with Section 4299, Revised Statutes, Colorad <br />o, <br />1908, I submit report ns follows: <br /> <br />---------------- /~ <br />~ <br />/~ <br />-"7" <br />g- %~i <br />-~- <br />2 <br />~ ~o <br /> <br />------- ( u <br />~.- <br />. <br />-- <br />Name of Company-The-------------------- -- <br />---------------------------~--- <br />-------- <br /> <br />--------------- I p <br />Incor orated in the State oF______________ _ o---- L __________ <br />--- <br />- <br /> I Principal office ____C__~___tr-~ ~ _ ._____ ~-1G_. <br />------- --- <br />~----------- <br /> J o= <br />Capital stock ___U__O_t_Q_4_o__- _ _Shnres, at $1__________ per shnre. <br /> <br /> <br />Cr____hOnr Shift, <br />EII out L <br />r ~ °om r <br />q~.re; mbvdw <br />In.r It bLnk l <br />Nnme <br />P. 0. Addresses <br /> <br />i <br />! <br />/~ <br />°r----hour shift. ( Pres <br />--- ----- - ---- -------..._ _~ ~ <br />dent -- ~--/-'------------7~,~ ------- - <br />! <br />/ <br />~ <br />~r____ lour shift. <br />~__'_S __t- <br />~--s.~t_.~~______________ ~r <br />Secretary ____l!___! <br />~r____hourshift, . <br />__..__..r_ _____ _______ _____________ <br />Treneurer ________1S_______________'_'__ 'G <br />Ir__-hour shift ~, lfanager -----~~~-- ----------~~-------..---- <br />~r____hoursllift. <br />r____hourst.ift. (Title of Pnrtnershi _- <br />p---°----- ------ -- ------------- ---------- - ----- -- <br />r____hourshift. I Partners' X:uucs P. 0. Address <br />r___-lours.u.l. ---- <br />r----hourshift. ------ __------- - <br />--------- - <br />r____l°Ur5111f1. v.erm <br />!.!l nut tbL ~ _______.___..__...- _ <br />____ ___ _____ ___________. <br /> p¢e: otherwlw <br />Inrr ll Glwk <br />_____-_.-_.. __________ <br />- STnnagcr---------- _ _. _ -- - <br />--_______ _- ~ N:uncs of Owners P. 0. Addresses <br />------------- <br />I! relthrr <br />----------------"----- - <br />_-__--_-__-- ,.nny.nr mr <br /> <br />'ar14rM1 . <br />J <br />~II <br />L <br /> <br />____________ ___ -.._ __- - ._--- <br />----- - ---- <br />-. <br /> 4Ut <br />I • <br /> .f \rr <br /> _- <br />~`9fannger__._.__ - --.___. .._.._. <br />________ state names of claims: <br />------ <br />-- _--- llnpntented <br />utcnted <br />/) <br />--------------- <br />rkmen in the --- ---- <br />_ _____ --____-<c~J!?_c__--.---- <br /> f ---- --------- ------ -- ------ -- -_ _-_ _ .._- <br /> <br /> <br />------------ -- ------~" J --------- -- - <br />- ------------------- <br /> <br />r .ICn. <br /> <br />___aerce; uuputented_- _. .- - <br />'1'otnl ucrca ~ nlentea__- -4_-'- <br />6' P ~ \~-------- <br /> <br />- -- <br />--'-----' <br />___Company - --- <br />Do you own or lease these clnimet______:- -- - - <br /> <br />~~ or Icreon frau wham lcused__- -..._.__. - <br /> <br />lf you ]epee them give nnmc of compnny 1 <br /> <br />_ _ <br />------ -- <br /> <br />:~! jr--- .. -- -- <br />(Over) <br /> <br /> /- <br /> i~ <br />