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c lensing com- <br />~~~~~ _ ~ <br />,, <br />MINE REPORT~°~i <br />~~~~~ <br />~a <br />3rese ~ <br />Note-Please fill oat this report carefully, write plainly and answer all questions fully. Be sure to <br />_________._.- date the report and sign it. Fill oat both sides of the sheet. <br />------- <br />.. _. _ - ----- - -------------. Colorado, ----!SI_?/C--~f-------. 19~ <br />[iC'IiEAU OF bIINES, STATE OF COLORADO. <br />----`------- T. R. Ilennhen, Commissioner of Dunes, <br />------------- Denver, Colorado. <br />'------------ Sir: In accordance wiUl Section 4299, Revised Statutes, Colorado, 1006, I submit report ns follows: <br />------------- Name of Company-The_~__=_ __~ ------------------------------------------ <br />----------- <br />------------- Incorporated in the State of-------------------------------------- ---------__---- <br />Yrincipal otfFo ---------------------------------- -- ------------------- ------.. <br />unCnmpmr, Cnpitul atoclc ___________.-_______-__ .._Shares, at ti__________._ per share. <br />mi not thl~ Name <br />___hourehift. ^I"°°~ °th•^'I'• P.-0. Addresses <br />l.a.~r It Ulank <br />Yresident --- -------------------------- ...----- ------------------ -- <br />_ _ _hour shift. <br />---hourehift. (Secretary ----------------------------- --------- ------ -- - ------- ...--- -- <br />8hourshift. Treasurer ----------------------------------- ---_------ ---- <br />---hourehift. Dinnnger ---------------------------- ----- - -- ----- -------- ---- <br />hour shift. <br />°^^ I ift. (Title of Purtnerahi <br />_ I p-------------- ------ ------- ----------- <br />------------ ----- <br />-hourehift, Partm~rs' \aulrs P. O. Address <br />~hourshift. _ _______._______-._ <br />L? hour sbift. <br />II•flrm ______. __..-..___-__.. __ <br />___}lell[6hlff. nr Pnrtnrdhlp, <br />Nl ant thl" ~---------~~------------'--~- <br />Lan• It LI•nk <br />__ Dfnnagcr---------- - - ------- -------- <br />------- ---- A'nmes of Owners P. 0. Addresses <br />YN- ' <br />n. wt. ----------------------- __ - <br />,~ <br />----------- ~nnpnnY nor <br />_-- Paruu•rxhl , <br />_ nu ant ta. I ' ---- <br />------- <br />^I~OC[ <br />I _ _ _ _______ <br />7 S' ~ <br />------- ~~[unugcr ._.---~62~n1- ---- -- ~rbo~~./6 i°'~ <br />--- - - -- <br />1 So - <br />-- ~IUIc manes of claims: <br />l SO <br />-------- <br />Patented Unputentcu <br />~kmen in the ~ ~ <br />" " ~•Q- -- - - -- - -- - ---------- -------------------- <br />----------- ~--------- - -- ----- - I <br />>~-~~-•~t~---=--------------- ---~4-~---------------------- ~i <br />- - - - ----6 ° ~------- -------- ----------------- <br />- ----------------------------- - - - i <br />------------ <br />------------ <br />-- -~_ C~ ------------ -------- ------- <br />~vru acreage pntented___u s%L________- _ncri;a; t;lijiuiauicd_- ~~'~ - - °°'°° <br />__-_.._ <br />-__Comp y. llo you own or lease these cl¢imst_____ _ ------------ ------------- - - ----- <br />- - ------ <br />___ If yuu lease them give name of company or 1>hrson from «'hom leused__.-._- .-._-__ .. _. _-. -______.-_ <br />------- <br />--- (Deer) <br />