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~i'OClilt~ i",~fLetm ~ ~~~~;~ C'~c~~ri ~G2ct.~zl~ ', (~_ ~~-/^\ e leasing com- ~ `ANNE REPORT ,,.. lreea Note-Please fill ont this report carefully, write plainly and answer ell gnestiona folly. a sere to ___________-. date the report and sign it. Fill out both sides of the sheet. ~~ ,. -~, .~' ~ ~ y [3URPAU F' AIINI;S, STATI: OF COLORADO. , , ------------- T D '- - _. ~- , _.'_hour shift. _ =_hourshift. _ _ _ _hour shift. _ ~ _hour shift. ____hour shift. _ ~ _hour shift. _ ~_Itourshift. _ ~ _hour ahitt. ____hour shift. _= _hour shift. _ _ _ _hour shift. ~. r ~ _ ~ C /l ~r orkmen in the •--__Compan7. ct_---------- ~r-'`- ~------- ..- II • Compp.nr, ell aut Ihla pare; otherwW bare It blavk n . Erm ar partnen6lp, eIl aut thb ,p¢r: athrrw6e len'r It blank .ch Section 4299, Reviser. _ - .4nme of Company-The_~L~~F~ ~til~ ~ _- -dam'-~ -~~ Incorporated in t~t e~State of_`~~GG~Ay-------------L ---------- Principal otyic .:/...f.~itrltiuc ~~-~.~-~1r -//--~ ------------- ------.. Capitol stock~~~~_C_G_~>__-_--Shores, nt $l__~_ _ per share. _, ~. 0. Addresses President -~_e., N/~'7~.-~Ici~ -~Gtcr~u-"..------- ~ -~-~1t~t~[F~L~--_~`~f{GG_~~ Secret ~ ^~S~ %l.Li --------------------- ~-_----~~----------'-~/- ~_ ~t .l- i^ ~ ~ 1. ,J -~ 'T'reasurer _,__~-"~~----------------------- ~1%/-q__~ICict<t.~_~~~_ot /!/ ~Innnger --~ / - - -------------------------- -=-----____-------------------- C~ ~Titlo of Pnrtnerehip------------------------------------------------------------- I Partners' Nuns P. O. Address 1lanngcr-------------------------------- --- Names of Owners If neither compaM nor p.nnrnhlyy, nil out ruin •patt P. 0. Addressee Btntc names of claims: Pntente~~ ~~ ~T~~UnpnQten~d , ~_ ' ""~I ) G~J9___________ r/' __ --- ~_-- 6 --~------~-------.~.Q ~ ` - '- -t--- --- --i n.~--.---- _ / -_-__~ _--_-_-_ ---_~• // -_ ~ as 4 -r' ~ r ~ -- _- ~_-_-• v'~L_~LG-- '~-~---~ Ti_L_GL_liG~'- --- ~ ~"~G~Z ----- ---- ~- ----------------------1----------° ----------- - L'.~_ ------- ---------------------------------------------- L4 ~~ - -" ~- ___nerea Total acreage patented-------------~-~-'------acres; unpatented___------------------- - --------------------------- Do you own or lease these claitnal_°~~~LF-.-----------------"-`-- 1 If you lease them give name of company of person from whom leased__,Lt- f = ------ --------------------------------------------Over)