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la1- <br />~` <br />t. <br />i2q~ <br />t. <br />o~i <br /> <br />- ~G~~~ <br />1420 <br />/ MINE REPORT <br />Note-Please fill oat this report carefully, write plainly and answer all gnestione fully. Be sure to <br />date the report and alga it. Ir61 oat both aides of the sheet. <br />--°-----'~'z`-="'= ~ ~ _------~ Colorado, --CYY "___-~-------~ 191'S.' <br />BUREAU OF D'IINES, STATE OF COLORADO. <br />T. R. Iienahen, Commissioner of Dlines, <br />Denver, Colorado. <br />$ir: In accordance with Section 4299, Revised-S•t~'a/t-u-tes, Colorado, 1906,-Iy~~,ubmit report as follows: <br />Name of Company-The----------~!S~~cY_[L'±~±~-------/ /~----_------- <br />Incorporated in the State of______________________________________________________ <br />Principal ofl3ce --------------------------•--------------------------------------- <br />Ira Cem Capital stock ___________________________Shares, at .$____________ Per share. <br />al ova t~ Name P. 0. Addresses <br />.we.• otbenW <br />Isere 1t blot <br />President --------------------------------------- ----------------------------- <br />Secretary --------------------------------------- ----------------------------- <br />Treasnrer -------------------------------------- ----------------------------- <br />Dlannger --------------------------------------- ----------------------------- <br />of Partnerehip_________. <br />Partners' Names <br />------------------------------------ <br />P. 0. Address <br />-------------------------------------------- --------------------------------- <br />u . etm <br />or pertomhip, <br />ail ova th4 ____________.________________________________ _________________________________ <br />span; athenrlw <br />lease IL bWk <br />DfanagCT____________________________________ <br />Nnm~/Cye~a of%O~w~ne~r~s~/ P. O. A~d~dr~e~ssye~~ /~(//'' - <br />If oalNn ___~~ (I~_______________________________ ______ ______________-__-_____ <br />NmWW nor I ____________________________ <br />~rioen6lpp,, _____ <br />Sllout Wle ------7------------------------------------- <br />span <br />____ _ _ ______________________ __ ________ _ __ _ <br />________ _ _ _ __ <br />I~[anager --- - -------------------•---- -0~~~~i----------------=--- <br />State names of claim <br />~'~j~7~~~ Patented <br />__acres• nnpatented___,ls~ ----------------eorea~ <br />Total acreage patented__.~Q ----------------- <br />Do yon own or lease these claimet____.~~= ------------------------------I-'-'---------"-~- <br />-r rt f~V y= ~ atiC <br />If yon lease them give na~of company or person from whom leased_____~ <br />------- ------ ----------------------------------------------- <br />- (over) <br />