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f the ]easing com- <br />Address <br />----rye-..~-- <br />For_ _ _ _hour shift. <br />For____hour shift. <br />!or____hour ellift. <br />!or_~'_hour shift. <br />'or____hour shift. <br />'or____hour shift. <br />'or____hour shift. <br />or____hour shift. <br />or____hour shift. <br />or____hour shift. <br />or_ _ _ _hour shift. <br />~ ~~ <br />--------------- <br />--------------- <br />-------------- <br />_.._ __O4 <br />-~z-- <br />~~ U u_ <br />~orkme <br />7 <br />Q ,._ComParV. <br />ti~ <br />•ct~ <br />'county <br />~/~ <br />I)~~ <br />MINE REPORT <br /><<l tti <br />Note-Plessa fill oat this report carefully, write plainly and answer all questions folly. Be sore to <br />Sate the report and sign it. Fill oat both aides of the sheet. <br />---•-----------------------------, Colorado, -------~-----------------,19--- <br />[3URF.AU OF MINES, STATE OF COLORADO. <br />T. R. $ennhen, Commissioner of iSlines, <br />Denver, Colorado. <br />Sir: In accordnaee with Section 4299,,~~/Revised Statute~s,~C~o~lo~rado, 190/B~,JI~s~ub~m/it report ne follows: <br />Nome of Company-The_~~`~~~~'_ ~ ~_'!!'!'~ --- l ~~L~"`f <br />Incorporated in thh((/c/,,St/nto of___ _r7~d________________________________ <br />Principal offico ~J_C'(. ---~ -~a ----------°--------------------.. <br />vo <br />Capitol etoek __L~4_D~J_____________Shares, at $~_~_____ per share. <br />If a Comp.vr, <br />ni e.l thf. --- Nnme <br />,p.oe: omve.w P. 0. Addrease~., <br />Irve I[ bi.vt / ~Q <br />President _ ___ _______________ ~--~' <br />------------ -----------------v <br />~ ------- <br />Secretor _ _ _l~u_~x__ QcJt'-'-~- i_e~'"(i <br />Treasur --u----------EL---------------------- ------~L----------- ~-------- <br />A[nnager --------------------------------------- <br />of Partnership---------------------- --------------------------------------- <br />Partncrs' \'annrs P. 0. Address <br />-------------------------------------------- <br />1[onager----------------------------------- <br />Names of Owners <br />-------------------------------------------- <br />1[nnagcr ------------------------------ ---- <br />si,ur. names of claims: <br />P. O. Addressee <br />Unpatented <br />'I'ut:4 acreage patented__ __~________~U______acrea; unpatented__lL`_`_'_-_`_J_`____-__----..-acres. <br />Do you owe or lease these olaimsf__~S~'~_ ---------- <br />------ ------------------------------------ <br />If you lea/se them given me of company o/r pJerson from whom leased________________________________ <br />(Over) <br />