MINEBK00506

• County: Clear Creek
• Document: Manager
• Suffix: A

i;il
MINE REPORT
Note-Please ffiI out this report carefully, write plainly and answer all questions fully. Be sme to
date the report and sign it. Fill out both aides of the sheet.
T r
• L: ' .
---------------------------------~ Colorado, --- ----- ----. 191_
EtiRF.AU OF MINES, STATE OF COLORADO.
T. R. Aenahen, Commissioner of Diines,
Denver, Calomdo.
Sir: In accordance with Section 4299, iced Statutes, Colorado, 1908, I atrlbmit report as follows:
I7 . Camp.n).
.11 nut [ V
y.ee: oNmrW
Irate It bl.nk
Jame of Company-The _ rC,fAllaatr--- - Ml I -~ ~ ~ -
'ncorporated in the State o ___/_~ ____-- ~ ~~ I_fl~l~lle_ _-__-~---- ---------
?rincipal office --------------~/--itd.G-6-~ d- ----------------------
6~
capital stock _____~ 6 A__Q 0_¢______-._Shares, rat $_~ ~_ pern~hare.
Presiden~_ _O.u.t,~Q~~-~----- i1-~- d'- a a
Secretary -~ --- -~~(~~ ----------- --------------~~------------
Treasurer ------1F- -- -- ~ - ------------- ---------------1~------------
DTanager ~ -I~~---~~ Q LIM.L.A,'lat+ /l --------------- ~i------------
of Partne rP--------------------------------------~---------
Pattncrs' \uuus 1. O. Address
II . Orm
or O.rtnrnblp.
011 out t4b
gncr, otherdw
1•u+ It 41.nk
DTanager---------- ------- ---------
Karnes of Ownem
n ndtnrr
wngi.nr nor
purtnm4lP
n!1 Vul 141.
.li.n
-
Afunnger__-- -- ----- --- ----
P. 0. Addresses
~: 7
titutrt names of claims: I',i
IJn utlentctl ~_ 1
- atented p~ , / ~~
n the .~. ~or,,,t - Q-, (rY!h1 s~wl.5' '-(-1'+''t -- -L~l--- - ;.
,aa ( I
- ---
y --~------------ ----- - - -
0.
H ~-~ hlr.,,~; o,t.- _rrwl_J-Jr _ tt•/~ Ind - " i,ult
_..--
--- ~~
0 ~-----------~---- ---------- -. - -- -- -- --- - -- 1,
___ acres 111
~~~-- 1
t _acres; unputented_. ~ -
Totul acreage patentod____~-_7- ~~ --- ~
/ ----- _. .. --I
pany. f)o you awn or lease these clarmsT___-- - 1 I~~ II~1
__ ----- '
-----
lf you lease them give name of company or person from whom lease __----- -
----- I
--
-- - ;~
------ ---------------------------- -Over)