MINEBK00334

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

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MIiVE REPORT ~~ ~~ ; ~' ~~ ~-~
Fote-Phase SIl out this apart carefully. write plainly and answer all questions folly. Be sere to
dde the report and sign it. FtTl out both side; of the sheet.
BLRL9ti OF DIL'~ES, STATE OF COLORADO. !
T. F.. Henahen, Commissioner of 9fines,
Denser, Colorado.
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Sir: In accordance with Section 4299, fte^•ised St~atfut~e's,~Colora~do~I~~B, I submit report ns follo~ca:
r\ame of Company-The_-~~~ ~ ~ ~F'LO_[!3~--yf_Ti_"~%•~ _%%/__fL!~ /~
ixorpornted-ia the State of--'- --------- ---- - -.-------____-- ,
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F'rineipal o1£ce~J__~~ ~ - - - - - ./1~L .~ .!f_'•%1!!.il~_.ffi'{/
'Capital stock 1Y!L_-_~~/~!-_Shares, at 4__.___ _-_-_ per share. i
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ec mr. rel• Name - P. 0..lddresses
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.President __ iij~~~~}'"~/ t~[~f~/_L~"--~_`!-'~ri~;'_?'J__.~/1_:!/--=-,-- .-
:secretary :~~ '.- l 1-~~~ ~ - / _Z~~ ~"//r. _ J
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'Treasurer .Y~%ie~c~~`=~-1ZG!~`='~ -~~~~_!!i~~,r~"''"' ~ ,
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?Ianager _~/_I! ~ `- .~(~C/fi?~-- L~ ~j~~~ .G~~!-:~ .-.
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"title of Partnership__--~- v .-_../f•
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'fol::' ...------------- /(• nen•s; ua mtentuL
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uu own or lease these c3nimst_-_~
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if 51•u Lass them giro name of company ur perwm Yrvm N9nnn leused_- ,~ -' / - -
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