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<br />MINE REPOT Asa
<br />T
<br />- TE-Plene dale report.
<br />Gkr name of rveh claim helon¢in¢ to Company or ¢rou D.
<br />FiII In nretully-MEN EMPLOYED.
<br />r- FIII ow blank o0 oDpoaite aide anJ sI¢n report.
<br />T
<br />4~ -Dan~rer_.Cp].o_____________ Colo., NAYembsx,:--~t1]__, 191 z_
<br />BUREAU Ob' i1TIlVES, STATE OF COLORADO:
<br />T. It. IIennhen, Commissioner of 11lines,
<br />Denver, Colorado.
<br />. Sir: In accordance with the above section, I submit report ns follotve: '
<br />tame of claim or claima___MORN~I.1G_$g'j~~--------------- -----------
<br />----------------------- ---
<br />- --------------------------
<br />Location _pu-}SOLZ3T~AOSS-4a33es-~-ra~_J~ltna,_________
<br />-------------------------
<br />-------------
<br />11lining District -IdpritgomP.ry____________ _ County __Park_____________
<br />-------
<br />--------------------
<br />Olrner or oTrvere and nddress__~'_p7,;Z1„aTA,1~1~~1ma~-p~-y~_0-1~,y~~
<br />1
<br />-~~~3rr-Ooln~.rind_,Edtvar3~oCaurcy,_.lansas._CitYr.Idisanssti------------ ---------------
<br />Nerve of Company-]tiS(1Ut•PL..IiAOSS~d1IISIII[:_00},+,g~,~yr---------
<br />---------------------------
<br />(IC Incorporated) ---
<br />Capital Stock.p~e...miiitnn ______________________________ shares, nt
<br />.T_,.~d._b'1(#rtiri $1.A0_____________ Per ahnro..
<br />+-----------------------President, ?.Q.09_Llaglolln Aye; Zos~ Ant;olstt,-_4eJ.tt.--
<br />n
<br />ir. -As-I.lartia+-----------------------Secretary, 7~@48_Tx~non.~.,S.t._D.ezlYflr,.._Colfl~------------
<br />J B._11actin-----------------------Blanager, - „----- ~~ " '1 11
<br />.~
<br />ThQIDAA_~tm8~0219--------------------Superintendent AlIDa~a10~.-_----------
<br />-----------------
<br />l,cused to _IdOIIDfT_BAOSS.._.1dIA1]I•JG-C01.1>?A11]F------------------
<br />---------------------------------
<br />\Corlc in chargo of_.'Q39IIlRA_1hIC1A.t011f8__________ ___ (P. O. Address)
<br />____ /~]~_Cpl,ar____________________________
<br />________________________________________________________________________________________
<br />Is property worked eontinuoualyi_ Ye@______________
<br />--------------------------------------------
<br />Cormnenccd work AbAIIt_Segt._lnt_!12_-----_--- --------------------------- 191--_
<br />-----------
<br />Slopped work ------------------------- -----------~ 191---
<br />--------------------------------------
<br />IIIPN ED11'LOYP•.D.
<br />N'o. Ernployod. No. Tngiloyed.
<br />----_11laChlpO DCIl1moA, gl______for____hourehift. _____h:nginccrs, _ _ _ Ip______for____honrshift.
<br />_____3luchine IIolpcrs, ~______for____llour shift. _____I'wnprnen, _ _ _ _ ly______for____hourshUt.
<br />--B blinerr, _ _ _ _ i~_3~__for_g__heurehift. Firemen, _ >k______for____hourshift,
<br />---__Timbermcn, _ _ _ ~i______for____hourehift. _____Tllackemiths, _ _ _ ~______for____Imurshift.
<br />---_11'rummcrs, _ _ _ _ $I______for____hourwhlft. Tcameterw, _ $______for____hourrhtft.
<br />--___Oro Sorterr, _ _ _ ~______for____liouralilft. _____I~'orcrrian, _ _ _ _ $______for____llourrl/)ft.
<br />----_Toprnen, _ _ _ _ ~______for____hourrhlft. __1_fiupurlnfondont, _ $5.___for____hourrh)ft.
<br />---__Lohorcrr, _ _ _ _ ~r______for____hourrhift. __:__OOlcu help, _ _ ~______fo~____hourr6ift.
<br />----.Asenyerr, _ _ _ _ ~______fcr____lrourrllJlt, a1111/11e11, _ _ _ _ _ iR______fer____110llrelllft.
<br />--------------------- p___-_-tor-_--hourrhi[t. -----_--------____--- $-_-___for_._.hourrhlft.
<br />Averago Aumher of taep employed for the your 191_- -, ___----_--~ _________________°---__-__-----
<br />Cilnructer and value of aro__Q17°_rts_ Car_ry_ing_~~lygr A+3¢_GlLld_3AAbo1L~Ayvv.1_~lalue______
<br />attd.axeragir+6-trou.:y~._to_1~2II._ya>r-tou..-------------•-----------------------°--------
<br />(Over.)
<br />i If
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