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1/9/2009 11:25:48 AM
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11/18/2007 12:10:16 PM
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f the leasing com• <br />Address <br />for____hour shift. <br />Eor_ _ _ _ h our shift. <br />°or____ltour shift. <br />''or____hour shift. <br />'or___ _hour shift. <br />'or____hour shift. <br />'or____Itour shift. <br />'or____hourshi[t. <br />or____hour shift. <br />or____hour shift. <br />'or____hour shift. <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 oat both sides of the sheet. j <br />~",t~~~.lc/-------°55,,- -----~ Colorndo, - =~°-n'---lf---------~ 19!_.3 <br />BURI3AU OF DIINES, STTTATN OF COLORADOv <br />T. R. Iiennhen, Commissioner of b[ines, <br />Denver, Colorndo. <br />Sir: In accordance with Section 4299,i~sed Statutes, Colorado, 1908, I submit port ns follows: <br />.~, , <br />;damo of Company-Thm_~__~: _-_/-~~_.>'~____ __:.~_ <br />Incorporated in the S ate of_________y-_ _ _______________________________________ <br />_~ / <br />Principal office __ ~~~~-~-w___~n-~_-~4_•-_,l ~ "~'%12srtc~~.. (~i%r%r _ __, <br />Capital etoclc __~fl~ ~~~___________. _Sltnres, at $ ~c_°_~ ~~__ per eltare. <br />If • Compvnr. <br />en nut t 1. yU _.j~lame ~~ .~,P. 0. Address~~{p7 <br />puce: otbenrlr / J% / TI_~ <br />inre It 4lmk / ~~~ ..l LG//f/I~ <br />Presiden ~-- ~~°- ~-=- ---------- ----------------- ---- <br />Secretary --~~~-_~-`~--((~-rcU.uli--------- ------------------- ~C-------- <br />G_ / <br />Treneur~r `f _.1_ ~~~L`~~---------- ------- ~~ ----------=~ -------- <br />~binnnger ~~. ~•'-~r~z ~~ .• <br />'Title of Partnership-------------------------------------------------- <br />Partm•:•s' \uwes 1'. 0..lddress <br />II .arm <br />or Dvrtnenhlp <br />011 out lldv --------'__._.'.-"------"--_------___"-------_ .--"--"----------_-"-"-_-_------- <br />ryvice; atherwlw <br />trn-e 11 Glvnk I <br />t4 <br /> <br /> <br />~ 1f unngcr _ _ _ _ <br />C Nnmea of Owners <br />s_..-------- <br />1---------- <br />vorlcmen in the <br />P. O. Addresses <br />Unpntented <br />-------------- <br />-------------- <br />Totnl acreage patented-------------------------acres; unpatented____-----------------------acres. <br />-----Company. Do you own or lease these claimst--------------------------------------------------------------- <br />______________ If you lease them give name oP company or person from whom leased_______________-----------__---- <br />------ <br />------------------------------------------- <br />-------------- (Over) <br />If nclthtt (-------------°----- <br />~nmpvnr not <br />pvrtmnbl , <br />cu uut w~ ----------------------------------------- <br />,I,a~ 1 <br />~1lanager_______- <br />titntc names of claims: <br />
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