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.rkpe Jate reDOrt. <br />fWr name of n~h claim 6nlon¢in¢ to Company Or croup. <br />fill In orcfullr-VEK E\1rLOYED. <br />Fia out blank oO ~ODOaIrc alde anJ al¢n report. pp ` ``~ !~ <br />____Ca ° ~ ~Q4 0 1___, QOle., `` 1~ya________r 191]._ <br />BUREAU OF DIINES, STATE OF COLORADO. <br />T. R. IIennhen, Commissioner of Dlines, <br />Denver, Colorado. <br />Sir: In accordance with the above section, I submit report as follows; j ~~" <br />Name of claim or claims_~______ <br />- ------------------------------------- l ~,i <br />--- ' <br />f <br />Location ---------- --------- --- --~ _=------------------------------------------ ~. <br />~~~p~~p~ ~ pp ------------ ' <br />Dlining District _______it^stx2sw.a ~!\71Adi`L.c __ County ___~l. _______________ ~. i <br />Olvner or owners and addreas~------------------------------------- -------- ~ ', <br />A'nme of Company---------------------------------------------<r o naareea)-------------------- ''~ <br />(Il IDcorporated) ~ <br />Capital Stoch-------------------------------------------- shares, nt ~------------___--- perehnre. <br />--------------------------------------President,--------------------- ;; ---------------------- ~ ' <br />--------------------------------------Secretary,----------------------;;----------------------- ;'(I <br />--------------------------------------Dlanagcr, ---------------- li; <br />„ ~. <br />--------------------------------------Superintendent -------------------------------------- --- <br />Lensed to ~a.~cs -- --- --- -- -----°-------- `------------------------ 1~ <br />SCork in chnrga ol__ ~+~ . ~~s_c~n___~____~1C=~(~_QJS-yV naarese) --------------------_ ~I <br />`- _ ._ °- <br />Is property worked continuously) Slar•~~_D----------------------------------------- l4 <br />Cornmonced war]c~sw~nil_______®______________ ~i <br />` ` -------------------------------------~ 191--- <br />Stopped work -~!~57------------------------------------------------------------, 191--- ~l <br />MEN EDIPGOYED. <br />A'o. Employed. No. Employed. <br />-.3._Dincllino ArillmoD, ~_ ~__Por_~_Ifourelrlft. __?-En6innorn, _ _ _ 1(t__~e_for_~_llourelfitt. <br />__.1__Dlachino Ilolpore, $t_~~for_ __hournbift. <br />~ _____Purn mon $______for____bournhilt. <br />P ,---- i j <br />-~ Dliners, _ _ _ _ _ $_~.__lor$__hourehift. _____Firmnen, _ _ _ _ >$______lor____hourshift. <br />_____Timbcrfnon, _ _ _ ~______for____hourshift, _ 1__Illncksmitbs, _ _ _ 1~__~._for~__hourehift. <br />-5....7'rnmmcrs, _ _ _ _ ~l__~._lor~ _Ilourallilt. _____Toatnntare, _ _ _ $______for____Ifourslftlt. <br />-__-_Oro Sartorr, _ _ _ ~._____for_.__Ilourrllift. __1_Foroman, _ _ _ _ gl__!~(._for~__Ilourellift. <br />--~_1'aprnen <br />_ _ _ ~__~J._for_g_llouralfift. _____Supor3ntondont, _ $______for____Ilourelltft. <br />, <br />---__Lnborere, _ _ _ _ ~______for____bourehift. _____ORlco 6olp, _ _ _ $------for____llourehift. ))) <br />---__Asanyorrl, _ _ _ _ $._____for____hourehtft, Dtilhnon, _ _ _ _ _ ~P------for_.__bournhift. <br />-°-- ~ <br />~, <br />-----------------°-- ~------for----hourahift• ----------°--------- ~---°-for----bourn6ift. ~i <br />Averugo mm~ber of mon employed for tho year 191___, .~~---------------------°-°°-°"'-'"'" ~~ <br />' - <br />Chnrnctcr and value of oro~!,~en.+~t- ---- <br /> <br />(Q Vera i <br />~, <br />,: <br />~- <br />~iW <br />;xifl~ <br />