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com- <br />• . ~lri <br />'f'f.1. 1- J <br />~Y~ <br />;Lift. <br />;Lift. <br />IhiCt. <br />s}1 i ft. <br />Ihik. <br />III i Ct. <br />.Lift. <br />Ihift. <br />shift. <br />.Lift. <br />illifi. <br />Y_^_+~- <br />the <br /> <br />[lN <br />MINE REPORT <br />Note-Please fill out this report carefully, write plainly and answer all questions fully. Be sure to <br />date the report and sign it. Fill out both aides of the sheet. /~ <br />• _55~~-- ~~~ ------, Colorado, _ _X--~-G-- --.__, 19~~ <br />I3L'ItF.AU OF 11fINRS, STATD OF COLpRADO~ <br />T. R. Henahea, Commissioner of Mines, <br />Deaver, Co]orndo. <br />Sir: In accordance with Section 4299, Revised Statutes, Colorado, 190!8, I submit report us fol~loj",vs: <br />rNnme of Company-Thc_.~-~~`~`~~ ~---"~ - <br />Incorporated in the,~S,,t77ate~~of____ ~~-- -------------------------------- <br />Principal office ____~/'Q!~-' tj"` ~ ?~~------- <br />_ -- q --- -----------------.. <br />Capital stock .~c'~!~~~___~__ _-- _.. hares, nt $_l^_____ per share. <br />I(a Comp.nr, <br />ml t,m [hla Name P. O. Addresses <br />npvcr; omanrlw ~ ) <br />Ira-r ll Llank QQ ~~~~ <br />President _ _ _ W ~_~La!~!i%'~ ________________ ___~---- ~d -~~-- <br />^ {.l H <br />Secretary ~------------- ------- --------------------- -'---- <br />cc c c <br />Treasurer --"- =t----------------------- ------- ---t---------------- ~-r------- <br />µ /r <br />Manager ---[~- '-----"----- -- ~r---------- -------------- <br />of Partnerehi ----------------------- ---~- - - ------ <br />p----------------------- <br />Pnrtnrrs' \::nus P. 0.:lddress <br />u .env <br />cr Pvru(nh1R ) _ _ _ _ __ <br />quo-: c[hrcwW <br />Ill! mrt thb I __ __. ________ __ ____.. ...___ _______ ____ <br />luv« 1[ black <br />fllanagCC___________..._. __________________.__ <br />Names of Owners <br />t uritha ----------------- <br />an0~anr nor <br />wtn.nhlpp, <br />.I ucc <br />P. 0. Addresses <br />.. _____ <br />~'lunager_- .. _. _ .--- ---- <br />~t:lle ualncs of claims: <br />atented l7npatente[ ~ <br />----------- <br />---------------------- --- <br />--0- ---- <br />_O.._ acres. <br />~--- <br />'fnLll ;wreuge patented----_---- ------%--------acres; unputented - - <br />I J ------------- <br />sny. lle you own or lease thew claimst__!Q ~_~u -~ -- <br />---- <br />.___ give Hume of company or Person Yrom whom case -- - --- - - <br />lf you ]ease them - <br />---------------- ---- <br />--- --- (Over) <br />~ .:. <br />~;lf , <br />•~i''L . <br />~ ; , ~. <br />. ,,) .~, <br />i I~ <br />I <br />I' ', <br />'ll <br />i <br />1 <br />t 7, <br />cif <br />ill <br />