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l/ <br />m. MINE REPORT <br />Note-Please fill oat this report carefnllyl write plainly and answer all gneations folly. Be sore to <br />_- date the report and alga it. Fill ont,~bo0th ei_des.1of- the sheet. ~~~/ (, <br />-- ------------.~Uiet/~.lt!~ __, Colorado, ---- `,_ ==!1.--- a-------~ 1~J_~S~ <br />__ BUREAU OF 11QNES, STATE OF COLORADO. <br />T. R. Iiennhen, Commissioner of biiaes, <br />- Denvet, Colorado. <br />'" Sir: In accordance with Section 4299, Revi d S1tntntes, Colorado, y1008, I submit report as follows: <br />Nome of Company-The------ ~~n~1~~4(CA--- , ~-` = - ~ ~------------------- <br />_ Incorpernted in the State of_________ ?`_____________________________________ <br />Principnl office ------------ - ------ ~~ ------------.. <br />------ Shnrea ---$ ------------P-- <br />Capital stock _____________________ nt .____________ er share. <br />It a Companr. <br />elt mtt t 14. Name P. 0. Addresses <br />G mta: otn.r..w ,f <br />Ir.a m blest ~ .'~__ N <br />President -- -- --- - -- ----------------------------- <br />~ Secretary '~-/-~-- -~~,\~--/-,-/--- ------------- ----------------------------- <br />Treasurer __!_~`~al~t-`=='- ="-'~`-------------- ----------------------------- <br />Dianager --------------------- ----------------------------- <br />Title of PnrtnerahiP----------------------------------'--------------------------- <br />Partners' :~anles P. 0. Address <br />-------------------------------------------- -------------------------------- <br />u a Erm <br />or DUtomWP _________________________________ <br />Ell out thb ____________.________________________________ <br />tpam: o[berwlaa <br />lens le bi.nk _________________________________ <br />____________________________________________ <br />. L~ <br />i•iIIDRgCr ________ _________________________________ <br />Names of Owners P. O. Addressee <br />-------------------------------------------- --------------------------------- <br />------------------------------------ --------------------------------- <br />1I odlbar <br />pm~tmtP~awhlpw <br />IEl oot elW _________________________________ <br />____________________________________________ <br />.Dan .. .__________________________ .. <br />Lannger------------------------------------ -------------------------------- <br />State names of claims: <br />Patented Unpatented <br />rOI ---------------------------------------------- <br />- - ----.- <br />-- <br />OF. ---------------------------------------------- <br />b - - ----- <br />--- ----- <br />------ - ------ <br />------ <br />----- -- <br />~ ------- <br />---- ---------- ------ <br />-------------------------=--- <br />________acrea. <br />Total acreage patented-------- ---- ----------acres; unPatented__________-/-,~--,---_ <br />Do yon own or lease these claimei---- ---- -------- <br />~j~~tl2e <br />---- <br />If yon lease them give name oP company or person from whom lease ______ <br />- - <br />------------------------------------------- -- --- <br />(Over) <br />