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•.i .. _ -...~.Y Annn <br />G ''AN6 <br />MINE REPORT \~ <br />Note-Please fill out this report carefully, write plainly and answer all questions fully. Be cure to <br />date the report and sign it. Fill out both aides of the sheet. <br />-- <br />,,, r ~/ <br />--- ~C'-==t~'~~---------~ Colorndo, - -- -~ c.._ ._y.----~ 19._x, <br />BUREAU OF DIINES, STATE OF COLORADO. <br />T. R. Hennhen, Commissioner of \Iinee, <br />Denver, Colorndo. <br />Sir: In accordance with Section 4299, Revised Statutes, Colorado, 1908,I submit report ae follows: <br />Name oP 6o+t ~ he-,~G~---------- ------/~~~=!~'~_.------ <br />[ncorpornted in the State of______________________________________________________ <br />Principal office -------------------------- ----------- --------------------------- <br />Capital etoclc _______________________...__ Sllnrca, nt :):____________ Per share. <br />u . cDmp.Dr, <br />au ^°° ehl. Name P. 0. Addresses <br />•p.re; otherwW <br />Irnr It bLDk <br />of Pnrtnerehip-------------------------------------------------------------- <br />Partncrs' \unus P. O. Address <br />If .arm <br />or D.rtaenhlp, <br />Oil nut thl~ <br />vpa• D[hmrbe <br />le.ve It blank <br />II DelNrr <br />comp.n7''nppor <br />ei'noui tWi <br />~ryro <br />President --------------------------------------- ----------------------------- <br />Secretnry --------------------------------------- ---------------------- <br />Treasurer -------------------------------------- ---------------------------- <br />~[unnger --------------------------------------- ---------------------------- <br />lfanngcr____________________________________ ________..________________________ <br />~es of/Otanc~r ~ P. O. Addresses <br />1' / !_~./~1. L~ll~-G~.-------- ---- --''-lam`-~t!~C _c -lP"s`~=-- ~cl~v, <br />-------------------------------------------- --------------------------------- <br />__________________________________ <br />~IIIIIagCr_____________________.-_________. ___ <br />State names of claims: <br />Patented ~~~~ <br />/ - <br /> <br />~~ <br />- =- -- - ------- --------- ------ <br />--t~~ A---------------------------- <br />f;, <br />______arres; unpntented_______-- `} `~'-----------_acrea. <br />Total acreage pntented__________-~~ <br />Do you own or lease these c]aime4____-----~'?'"-t'-°i~=-------------------------"----------------- <br />IP you lease them give name of company or person Yrom whom ]enaed___..---------------------------- <br />(Over) <br />