Laserfiche WebLink
~,~ Gounty D Est ~ u-~-C -~~~~, ,! <br />~_~~~ <br />MINE -REPORT <br />Note-Please fill out this report carefully, write plainly aad answer all gneationa folly. Be sure to <br />date She report and sign iL. Fill out both aides of the sheet. <br />------- 4-- -- ~-T"~'?~_, Colorado, ____! <br />~R~ky ------ ~->~_-~----------, 19~~L <br />BliREAU OF 11IINE5, STATE OF COLORADO. <br />T. R. ]ienalten, Commissioner of Itfines, <br />Deaver, Colorado. <br />Sir: In accordance with Section 4299, Revised Statutes, Colorado, 1908, I submit report ae fallowe: <br />Name of Company-The---------------------- ----------------------------------- <br />Incarpornted in the State of_____________ ______________________________________-- <br />Principal office ------------------- - ----•-----------•------------------------- <br />_.. <br />Capital stack __________ _______________ Shares nt <br />It . Comp.or. -- . ~------------ Per share. <br />°0 °"` "' Nnme <br />rn•rr: mne.w P. O. Addresses <br />lore It bl.ok <br />President ----------------------------- --------- ----------------------------- <br />Secretary ------------------------- <br />- ---------- <br />Treasurer -------------------- <br />------------ <br />?~fanager ------------------ ------------------- ----------------------------- <br />Title of Partnership______ <br />u .arm <br />cr D.rtnrnhlp~ <br />°II out thl. <br />gore; otherd.e <br />Irn• It bl.ok <br />n ~rnnn <br />oml~.nr oar <br />Prnnrnhlpp, <br />ql out tbl. <br />q+cr <br />Partners' Names P. O. Address <br />_ _ ~_____ <br />_____________ ________________ <br />_________________ <br />Jinnnger------------------------------- --- -------------------------------- <br />ATnmes of Owners <br />-~-~-~--~---T--~-------------- ~--- <br />st;q~• names oP claims: l~ <br />P. 0. Addresses <br />Patented ITapntenten <br />--------------------------------------- ------------------------------ <br />----- <br />--------------------------------------- ----- _ <br />_____acrea; unlrntented_________________ <br />'fatal ncrenge patented_~o~f_~?./_rZ,_ ~~ ~-------acres- <br />llo you own or lease these claimet___~!r/udL-'~-- ~-~--~'i-_4°sr=~----------`-" <br />if You Icase them give name oP company or person from whom lensed____~ ___ .___, ----------------- <br />--- ----------------------------------------------------------------------------------------- <br />(Over) <br />I'I <br />~I <br />q, I I' <br />~,r <br />i-~ <br />j~; i <br />., <br />~'i <br />~, <br />i <br />i <br />t. I i <br />J I ~ <br />'~ r <br />lr <br />'~I'~ <br />~ ~ ~' <br />I~~ <br />I <br />f'. ', <br />i ,; ; ~ <br />I, ~jl 1 ~, <br />'~ ~. <br />..i' <br />,I <br />~~~r~ <br />j. <br />!'I~ <br />I;,'~~i <br />