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1/6/2009 12:29:23 PM
Creation date
11/18/2007 12:07:34 PM
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Liz <br />MINE REPORT <br />Note-Please fill out this report carefully, write plaialy and answer all questions fully. Be sure to <br />date the report and sign it. Fill out both aides of the sheet. <br />----^- ~ <.iC-D_------- ~ ~ U <br />----- ~~~~ ~- ----, Colorador --- ~~ -'~- -'-~~---~ 19_1" <br />BtiR23AU OF i1fINES, STATE OF COLORADO. <br />T. R. Hennhen, Commissioner of 11Iines, <br />Denver, Colorndo. <br />Sir: In accordance with Section 4299, Revised Statutes, Colorndo, 1908, I submit report se follo~va: <br />Name oP Company-The---------------------------------------------------------- <br />Iacorpornted in the State of______________________________________________________ <br />Principal ofHcc ------------------------- --------------------------------------.. <br />Capital stock _____________________-..._--Shares, nt :~____________ per share. <br />It • Comp.nr, <br />en nul l i. Name P. 0. Addresses <br />ryvae; alhenrW <br />Inre Il bhvk <br />President ----------------------------- - ------- ----------------------------- <br />Secretnry --------------------------------------- ----------------------------- <br />Treasurer -------------------------------------- ----------------------------- <br />~\Innager --------------------------------------- ----------------------------- <br />Title oP Pnrtaership-------------------------------------------------- <br />Pnrtm;rs' \awes P. 0. Address <br />1! .arm <br />ar pvrtvrnhlp, <br />nu opt rnl• ---'----------'-------------~------------- ~~-------------------°---------- <br />rPVVeotlmrwW I -_____ <br />leer II hlvnk <br />MnDngCC <br />Nnmce of Owners P. O. Addresses <br /><om VVnl nor ~ ~ <br />yartnmhlp, /' ~ / <br />111 eut Wb _-...___~~..LY_Cll__ _~~=~'Y_2= E"~. /~1~= ctu'T ________~_1 _1Z7_____(,.Lr1cr?_~_ <br />•PVre ~ i <br />- ~ r ~~--a-J-`--=- <br />--------------------------------------y ---------------. <br />I ------------------------------------------- -------- ------------------------ <br />l11[anager ---------- --------- ---------------------- <br />~Lttc uumce of claims: <br />Unpntcnted <br />Patented <br />---------------------------------------------- <br />s !r,!L-~~---~-~ ~~-------------- ------------------------------------- <br />--------------------------------------------- ------------------------------- <br />- ----------------------------------------- ---------------------------- <br />'T'otal ucren a ___ucres. <br />g patented_.~~c.?~_____~Q--------acres; unpntented------------------------ <br />Do you own ar lease theso claimet-------~~U~----~'as"'~'------------------------------------ <br />11 you lease them give name of company or person from ~vllom leased-------------------------------- <br />(Over) <br />
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