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-_ r~l <br />~'~~~i.t~ I}a~~~ ~t <br />r^°~ <br />. MINE I~~P~3RT ~ "' ''~ <br />Note-Please $ll out this report carefully, write':plainly and answer all questions fully. Be snre to <br />date the report and sign it. Fill out both sides of .the sheet. <br />---~~tr~~--- - ------- - , coleraae J~U~r~.~_~~ , ls_/_~ <br />--- - <br />BUREAU OF MDJES, STATE QF COLpRADO. <br />T. R. Ilenahen, Commissioner of Mines, <br />_ Denver, Colorado. ,, ,",,, <br />Sir:. Isaccardance with. Section 4299, Revised Statutes, Colorado, 1908, I submit report as follows:. <br />Name of Company-The____ _ ~ ~ ~~ <br />'- ""' Incorporated in the State of _ <br />~ ---- - - tc' ~l~~ ' <br />Principal office ___ ~ f!~ __ _ ~~c~~ ~~- <br />~ o~mgi~ Capital stock __n~0~e ~~~ _____ Shares, at $_ ~`~ _ per share. <br />apace^.otheryrtaa Name - -- _ , -. <br />leave'(t blank - - .: /~? " ~~ P. 0, Addresses <br />Bresident ~ ~ Z"C(~O _ ~pir,~ i,~ ~~~ ~ ~ `'-~~J~~ '~~' <br />Secretary ~~ ~~I •__C~G~'E?i~_~~~~~ ___~_~i'~g1~~ <br />. ' <br />Treasures _ ~~4s!~ ~ _ol_~i~{/t-_f~~C"G_-G_G~ ---~~-~_~~~~CC~;~ <br />Manager _ ~_-Q~`1'r1~~~ -(~L __ ~ `' <br />Title of Partnership_______-- _ <br />Partners' Names. P. 0. Address - _- _ - __ <br />_. _ ;_ ----- I <br />u ¢ nen, ------ - - -- ---- ---- - -- - - -- <br />----- <br />or Par!¢erehtP, ----- - <br />911out~this -- - - <br />apace; otherwise __ _____ _____ <br />____ ____ <br />leave it black --- --- <br />-__ <br />____ ___ <br />___ _ ___ <br />____ -- <br />____ ___ <br />__ ____ _____ <br />____ ____ <br />_ ___ , <br />Managei _ `- <br />Names of Owners <br />P. 0. Addresses. <br />---- ---- <br />---- <br />If ¢either _______________ ;' <br />rnmPeny¢ot _______________________ <br />______ <br />part¢etehi ~ _________ _________ <br />PP ________ ___~ j <br />9ll out tufe - _ _~_ ____________ .. <br />epatt _ ____________ _______ <br />Manager _ --- ---- _ -- - - - -- - - -- ---- - --- - - Nt <br />----- ---- I~i <br />- ---------- <br />State names of claims: ' <br />Patented Unpatented ~~ <br />- -- - -- -- ----- /J~ p ,~,, ~// _ <br />4-~i~c <br />_-- -- - <br />- -- ---- - -- <br />" - --- - --- --~ ~~- ---- -- c <br />Total acres e ~-~ <br />g patented __ ~~?L~ ____ acres • un ented ~_ <br />- r P~ !/Y~4~~--~L~ __ ~aK~y'e9c ~ ~~ <br />Do yot`own or lease these claims9_____~~(r-~___~~~ <br />-f,-.~ ~=- -- ----- - --- <br />If.you,lease hem give name of company or person from whom 3eased___ ______________ ` ~" <br />~~car <br />(Over) ------- - - - - ,~,~~>~~ <br />.§" <br />a <br />i ~~ <br />