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eam. <br />>~fl _ <br />hitt. <br />hift. <br />lift. <br />lift. <br />lift. <br />lift. <br />ift. <br />ift. <br />ift. <br />ift. <br />ift. <br /> <br />u OU'~'~ ~G{~L ' ~ A o~ <br />4~V <br />~VIINE REPORT <br />Note--Please fill out this report carefully, write plainly and answer all gnesttons tally. Be sure to <br />date the report and sign it. Fill out both sides of Lhe sheet. ,~ '~,r ,f /~ <br />--- -' -----------------------, Colorado, G!~_ ` ~__~`L _ 19~e~ <br />BUREAU OF MINES, STATE OF COLORADO. <br />T. R. Iiennhen, Commissioner of blinea, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, R~visedjS~tatntea, (Colorado, 1808, I submit report as follows: <br />Name of Company-The---------Ci1R_~=1YlrY_L?1------------------------------ <br />Incorporated in the State of______________________________________________________ <br />Principal once -----------------------° -------------°------------------------- <br />Cnpitnl stock ___________________________ Shnrea, nt $____________ per share. <br />s . comp.nr. <br />en out thL Nnme P. O. Addresses <br />.~.• nth•nW <br />leare It 64nk <br />a .arm <br />ell onwt~thl•~ <br />•p•ea~ otherwW <br />Inre It blank <br />If oelWer <br />mmwW nor <br />Nrtnenhl <br />all out t~i <br />awn <br />President ______ <br />Secretary ______ <br />Treasurer ____-. <br />Manager ______ <br />'Title of Partnership-------------------------- <br />Partners' Names <br />-------------------------------------------- <br />-------------------------------------------- <br />-------------------------------------------- <br />____________________________________________ <br />Sianager------------------------------------ <br />--------------------------------- <br />P. O. Address <br />--------------------------------- <br />--------------------------------- <br />--------------------------------- <br />_________________________________ <br />--------------------------------- <br />Mannaer------------------------------------ --------------------------------- <br />~/~-----"`-` amen of Owners P. O. Addressee <br />_ - - _ --- <br />-------------------------------------------- --------------------------------- <br />____________________________________________ _________________________________ <br />State names of claims: <br />~~66 Patented Unpatented <br />-' ._dl_AMrnS.rcr~ _avr~-~C- ------------------- <br />----------- --------------------------- <br />' S.~ ----------------------------- <br />--------- ---------- ------------------------- --------- ----------------------------------- <br />--------------------------------------------- <br />Total acreage patented-------------------------acres; Unpatented__________-----------------acres <br />Do you own or lease these claimat___t,NU~~- -----------------------------'- <br />IP you lease them give namo 04 company or person from whom leased-------------------------------- <br />----------------------------------------------------------------------------- <br />(Over) <br />