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com- <br />'~.A=~[ 1 <br />-- <br />;hilt. <br />;Lift. <br />;hilt. <br />;Lift. <br />;Rift. <br />;Lift. <br />shift. <br />:hilt. <br />;Lift. <br />shift. <br />Shlft. <br />r~J_ - <br />D- <br />~.; :. <br />.t, <br />MINE REPORT <br />Note-Please fill oat this report carefully, write plainly and answer all gnestions fully. Be sure to <br />date the report and sign it. Fill oat both aides of the sheet. ~~ \ <br />-- --~ - -------• Colorado, --1~l~-~~-----, 1B/a3 <br />BUREAU OF AlINE5, STA OF COLOR O. <br />T. R. Henahen, Commissioner of liinea, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, Revised Statutes, Colorado, 1908, I submit rep ft ns follo~va: <br />If ~ Compul. <br />.Ij l~orut oNltlw~l+ <br />bare It blank <br />If .arm <br />or partnmkip, <br />all uu[ th6 <br />q~are utnerdu <br />luv It blank <br />'IQ1tme of Company-The_ ___ _____ "x-`-"~-~~~-~~-~'~-'-r'-~'-rs-~'~~ -~~~'-'-`f~ -~'~-- -- <br />~aC~J ~~ / <br />ivoorPorated in the State of__' ~ ---------------------------- <br />--- <br />-_- - J-_ -__-______. .______________ <br />Principal ofSce ~- ~~ ---'----"---' <br />Capital stock _-_ ~?_~!°__~!od`~____.__Shnres, nt $~ ~~----- per share. <br />Ngme P. 0. Addresses , <br />Preaiden ~~------------- ~~ ~l"l4c~ r- <br />a ,. ~~ , <br />Secretary -- -:~-~~~~r.~-~_-r-r-'-"-'-`s!------------- ~!~'~"~~ ~`-- -•-~-j-~---- <br />____ <br />U <br />~ N <br />'I4•easurer~2_~*!ti ,_~~J-el=-'------ -------------------------- <br />~~ • ~' <br />Title of Pnrtnerahi ---------------------------------------------- <br />p---------------- <br />Partm•r~' \nmes P. 0..lddress <br />I _--___-_-__________________.._-_. <br />~Dlnnagcr------------ ------------------- <br />Names of Owners <br />1' uHtlmr <br />•umPanr'nor <br />pann.mblp• <br />CII uut Lhla <br />.pan <br />----- <br />--- ---- - <br />I~hlunager------- ------...--------. -.. - <br />P. 0. Addresses <br />tithl~• names of claims: <br />~ I'' <br />Patented Unpatented <br />(-,lwv,(~ ~/ ~ ~ ~ ~ --- -------------~---------- <br />__ / <br />--'---- <br />--------------- <br />------- -------- . ~ 1 <br />- ------------ <br />._--- - - ---- .._ - I <br />---------- -- ,I <br />---- i <br />__~~ a•reap uu nt~tc-- ~--~ ~^-".. _. I1 <br />----- .. ------- ---------------------- 'Xs.. acres. ~I !;. <br />'fut:d acres c mtentedGC.~lt~~ <br />~1 <br />Pant' Do you own orlleaee tbeae claimatS~~'/~~~ leased_"-"~ - ---- i1 ~ I • <br />_____ if you lease them give name of company or person Yrom whom I <br />