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<br />1~~TINE REPORT•
<br />Picue date report. - ..
<br />Give name of each claim 6<lon¢in¢ to ComvanY or ¢rouP
<br />pia in carefully-NE1C E~1F LOYED.
<br />FIII out 6lanlc o0 opposxe ddr and den rcpor,.
<br />COIa.,
<br />253
<br />1~I___
<br /> BUREAU OF DIINES, STATE OP COLORADO. ~ ti "~l
<br /> T. R. IIenahen, Commissioner of Dlinea, i, (
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<br /> Denver, Colorado. i
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<br />i E t
<br /> Sir: In accordance with the abovo section, I submit report ns follows: 'is':
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<br />Name of clnrm or clatms------------------------------------------------------------------------
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<br />~~~.. _____________________________ __________________________ , r
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<br />- Dlining District--------------------------------- County ---1 --------- ---------- -------------- ~, ' - '
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<br />_ Owner or owners and addresa_____________
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<br />iVamo of Company-----
<br />- --------
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<br />--
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<br />(It Incorporated) ~ ~d.y~ '
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<br />• Capital Stock-------------------------------------------- ehares,nt ~------------------Por xbnro' i ,
<br /> (P. O. Aadroee)
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<br /> -----------------------
<br />---------------------President,----------------------; ?,
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<br /> -----Secrutnr --- ----------------------
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<br />--------------------- y~ ----------------- --
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<br />---------
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<br /> -----------------------Dlnnnger, ----------------- -- r
<br />- _ - ---
<br />-------_-___ ~~ y;. ~ i
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<br />----------------------Suporintendont ------------------------------------------ .
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<br />- ------- ------
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<br /> Lensed to ------------------------------------------------------------"---------------°------ i'
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<br /> Work in ebargo oP----°---------------------------°---- ------------------------------ i #.
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<br />Is proporty workod continuouxlyf_--_°------°----------------° --------------------°--------- ,
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<br />Commenced work -----------° -----------------------, 101--- ~ I
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<br /> Stoppod work ------------------- -------°--------------------, 101---
<br />-------------------------- .i r~
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<br /> DIEN EalPr,oYED. t.
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<br />A'o. Employed. No, Employed.
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<br /> _____Dfachine Drillmen, p__.___for____hourxhift, _____Isngincars, _ _ _ ~_-----for____bourxhift. ,,~ti~
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<br />for____bourxhtft.
<br />_Dfucbina Ilulpcrx, &______tor.._.I{ourxirift. __.__Purnprnen, _ _ . _ ~______
<br />___
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<br />
<br />..._ _
<br />for____hour xhift.
<br />_°-_Dfinsrx, _ _ _ - - 8------for____hourxhift. -----I''ircmcn, _ _ _ - &----° , ~~~ ~.
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<br /> _ _ _ &------for____bourxhift, ____-Bluckxmllbx, _ _ _ 1~_____-for___.bourxhlft.
<br />__
<br />:fimbcrrnen ,!
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<br />$------fur____hourshift. ____:1'eurnxturx, _ . _ $~------for____hourxhlft.
<br />:frurnrncrx ~
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<br />_._ , - _ _ _
<br />____
<br />for___.hourxhlft.
<br />fur____bourxhlft. _____I''oremen, _ _ _ _ M------
<br />b------
<br />Oro Surtcrr ~
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<br />+
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<br />_____Topmrn, _ _ - _ 6------tor.___bourxhUt. ___--Superintundtlnt, _ ~____--for___.hourxhUt. , ; .
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<br /> _____Luborerx, _ _ - _ ~------fur.___bourxhift, 0111co Gulp, _ _ _ b------foe.__.bnurxbift.
<br />----- ~ tea
<br />
<br />- ~------
<br />fur___.buurxl4ft. ..___Dfillmen, _ _ -
<br />- - k------
<br />Axxxytlrx
<br />~ 1 b$
<br />_... :
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<br />for..__bourxhift. -------------- -- $------for___.bounhlft.
<br />J Avero¢tl mm~ber of men tlmpluyud fur tlrtl your IDl___, -------------°-----------"-""--""-'----~-~
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<br />CherBCttlr and Y81ntl Of are___________________________________
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<br />~a. ,~ ~.___----__._
<br />(OYtlf.)
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