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~,/ ~ :- ~\ <br />MINE REPORT (~ <br />Note-Please f171 oat this report carefully, write plainly and answer all questions folly. Be aura to <br />date the report and sign it. Fill ant both-widens of~t~he sheet. - L G <br />------~~C{.~LQ~--f~~.C~Colorado, ---~~~Ll/C.L:~._~~`- 19« <br />BUREAII OF bDT1ES, STATE OF COLORADO. <br />T. R. Henahea, Commissioner of 1llinee, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, Revtae Staturedo, 1908, I submit report as follows: <br />Nome of Company-The_______~`_/~~t=___=_: ~~~ <br />----- - <br />Incorporated in the State of------------------------ ---------------------------- <br />Principal office -----------------------------------------------------------------.. <br />mpu~ Capitol clock ___________________________ Shnrea, at $____________ Per share. <br />IEU~w Nb ~ Noma P. O. Addressee <br />.wa: eWr+iM <br />Ima It blink <br />It a arm <br />en °~~i tw:'~°' <br />rryn• o[ber~l.n <br />lease 1t bLok <br />If oa1Wv <br />Wmp~o1 nor <br />S~~ o°°""tbL <br />rya <br />President --------------------------------------- ----------------------------- <br />Secretary --------------------------------------- ----------------------------- <br />Treasurer -------------------------------------- ----------------------------- <br />bfanager ----------------------------- <br />--------------------------------------- <br />15t1e of Partnership-------------------------- <br />Partnere' names <br />-------------------------------------------- <br />liannger------------------------------------ <br />--------------------------------- <br />P. 0. Address <br />--------------------------------- <br />--------------------------------- <br />--------------------------------- <br />--------------------------------- <br />_ _ J ~ ___ <br />-_______ _/~~~6 -7~ -/ <br />Jfanager__1'-1/...1_1~i~-LK.G~(--~~L."{:'. L{- --------------------------------- <br />Names of Owne ~~ P. O. Addressee <br />~ •o. <br />-~------- ~G~~Zfi~t__-~~--- ----~~~------------- <br />---.~ - <br />_~~'~_ _ _.~rL- - ---------~----------------------- <br />_~~r~---~~ -. ~---- --------------------------------- <br />l~l~ of -~ - -. ..--------------------------. <br />State names of claims: <br />~ /~j/- Patented J Unpatenteo <br />--- - --------------------------------------- <br />--------------------------------------------- ---------- <br />---------- <br />_ ~~ _ <br />------------------------- -------------------- <br />/1 __-- ~__----scree; atented----- --- ----------------acres <br />Total acreage patented__pLa.G-<- <br />Do you own or lease these clatmsT__ _ _ _~'~--- <br />---------- <br />If you lease them give name of company or person from whom lease ______________________ <br />------- <br />--------------------------------------------Over) <br />i <br />'' . <br />, 1 <br />' li 111 <br />