MINEBK00493

• County: Routt
• Document: Manager
• Suffix: A

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) `MINE REPORT v
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Note-Please fill out this report carefully, write plainly and answer all questions fully`B fare to
date the report and sign~ift. Fill /oat both sides of tho sheet. J
'Xl[~~~L~0~~~_~LG(/~--~ Colorado, ----/`_fG--- /~~--, ~-r 19~'_~
BUREAU OF i)fINES, STATE OF COLORADO. ~
T. R. Heanlten, Commissioner of Mines,
Denver, Colorado.
Sir: In accordnnco tivith Section 4209, RevisedStntutes, Colorado, 1905, I submit report ns follows:
Name of Company-The___________________
---------------------------------------
Incorpornted in the State of__________________.-____.-______________----_--------__-
Priacipnl office ------------------------- -------- ----------------------------
Capital stock ___________________________Shares at.^p________ per share.
If . Coin snr, r ---_
nu not tsl. Name P. 0. Addresses
.nncn: otbenrL.
Irn~e I[ blank

President _-...__________________.._
SoeretnrY ---------------------------------------
-------
Treasurer -------------------------------------- -----------------------------
Jlnnnger --------------------------------------- -----------------------------
"Pitle of Pnrtnership--------------------------------------------------------------
Partro~rs' \umes P. 0. Address
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ur pnrtnrnhlq
nu unt tau
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1lnnngcr----------- ---------------------
C Names of Owners P. 0. Addresses
._..1--~`- ------ ~ -
II nrllh<r --------------------------------..-. _.__..
)f .__. _.-.._....-------------------~-----
mmp.N oar
yartnenhlpp~ ...._________________.______________
!Ill out titl. .___________________________________________
9nr!
~kmen in the
C
_____________________ ___
nCnnnger _~?~~~c~----------------- ---- ------------------ ----------..--
state names of elnims:
~~' Patented Unpntcnted
--- ----------------------------
-- ------------------------,-`-.~^- ---------------------------------------------
'I'otal acreage pntented__ ~V _____________ ____acres; unpntented_____----_---------~-------acres.
bo You own or lease these elaims4_1~~~ '-
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if you lease them give name of compnnp or person Yram whotn lensed___~_--'~--------------------
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(Over)