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l• <br />m- <br />G~ <br />t•sl <br />U 430 <br />~~' MINE REPORT <br />ie fill out this report carefully, write plainly and answer alI questions Yn1Iy. Be sure to <br />and sign it. Fill out both aides of the sheet. <br />~"~~ <br />- G'J <br />~- <br />!~ <br />C <br />~ U <br />. <br />__, <br />olorado <br />:! <br />--•--------------------------- --------~---- . 19=-- <br />--- <br />----- <br />t AII OF MINES, STATE OF COLORADO. <br />T. R. lienahen, Commissioner of Diines <br />, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, Revised Statutes, Colorado, 190 <br />8 <br />I subm <br />it <br />report as follows: <br />N <br />f C J <br />J <br />y <br />~~ <br /> nmc o <br />ompany-The___________ J_.~ ~~.Q z-_____//C.~[~s~e+ ___-__ <br /> Incorporated in the State of_______ _______________________________________________ <br /> Principal oRice ------------------- -------•--------------------------------------- <br />o <br />~ <br />~ Capita] stock _____________________ ______ Shares, nt $____________ Per share. <br />„ <br />.~ Name P. 0. Addresses <br />It bLnk <br />President ------------------------ <br />--------------- <br />----------------------------- <br /> Secretary ------------------------ --------------- <br />----------------------------- <br /> Treasurer ----------------------- --------------- <br /> 1lanager ------------------------ --------------- ----------------------------- <br />Title of Partnership-------------------------------------------------------------- <br />Par~crs' r'nmes P. 0. Address ~~ <br />~ i <br />______ _____________ Q _ _ _ _____ _ ~_____________ __ ___ <br />_ r_ ~~ <br />_ J ! - / <br />--- <br />i - (~ <br />-------------------------------------------- --------------------------------- <br />---- --- <br />-~_ <br />--- -------------------------------- <br />Names of Otvnere <br />-------------------------------------------- <br />-------------------------------------------- <br />II uellhv <br />amP~W oor <br />-------------------------------------------- <br />S. a~ v~ Jl <br />.P•n <br />P. 0. Addresses <br />--------------------------------- <br />--------------------------------- <br />Patented Unpatented <br />-,. <br />-G=-- --- --------------- ------------ <br />==`_~-- <br />--------------------------------------------- ---------------------------------------------- <br />---------------------- <br />---------------------- <br />Total acreage patented____ ~ ~------- ------acres• un ntented______%= 1_ ~________-----_acres_ <br />--- - ~ P <br />Do yon own or lease these e]aimsL~_~_~_~_= ~rn~ ---------------------------°-----'__"---- <br />lf you lease them give name of company or person from whom leaeod________________________________ <br />~Dlnnagcr------------------------------° ---- <br />State names of claims: <br />(Over) <br />