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tS <br />MINE REPORT <br />Note-Please fiII out this report carefully, write plainly and answer all questions folly. Be sere to <br />date the report and sign it. Fill out both sides of the sheet. <br />---------------------------------. Colorado, -------------------------,19--- <br />13i'RFAU OF <br />T. R. FIent c, ~ J.~~ <br />Denve v'F,~ <br />Sir: In a~ (il ~ C L~ : ae follows: <br />. -----.. <br />~~~/~, % ~~ hors. <br />I! ~ Com ~n), gg <br />nu not tel. I ~ /l - 1 9 /~ <br />i~:~.li~t.n`~ F <br />/r/ ~~D~-~' ----------- <br />~vr/itr/fit/ <br />.f,i'Ga~rJ ~ ----------- <br />u . em, ff (vJ' <br />fill out [hb may,,. ~ ~i0 <br />{nce; athenrl~a , / <br />lerv. it blunt ~---'/ / /, ,( ---------~~- <br />r <br />/ / ~` / /J ~-(itit/ <br />,p.e~vre-tom ~~ .~~~~~'f7"„~s"t! y~ 6. /~~~ti`"'~ / ,6 <br />II neither Qi~ / 1 / ---~---~ -- <br />Innnrnhlp~ ~/ .. I./Y/C/M- n~vi.i.7 (~y~.~ ~I/Yt'ri <br />till out thb /~ O ^/ "~ _ 4 !/// <br />ryes <br />air-ti ~-~ ~~Z~. __________ <br />~~~i~~2~~~Q~~'~ -------- <br />Stute names of claims: <br />Patented LTnpatented <br />------------- <br />------------- --------------------- <br />------------ <br />_ _ __ucres. <br />Total acreage patented_________________________scree; unpatented________------ ---- - <br />----- <br />Do qou own or lease these claimet-----------------------'---------------------------------- <br />-------- <br />if you lease them give name of company or person from whom ease _____________ <br />~~I~ !1 <br />'~ ,I <br />~i~ <br />1 <br />IIII', <br />`. ~` <br />'i <br />i ~'~ <br />(Over) <br />