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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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he names of the leasing caa• <br />P. 0. Address <br />----------- --------------- <br />_ $______far____henr Blllft <br />_ $______far____ hourshift <br />_ $_ <br />_____far__ hourshift. <br />\ <br />! <br />_ $7~ 0 for <br />k hourshift <br />__ <br />_ . <br />_ $______for_.__ hourshift. <br />C <br />_ ~__for_~__hourshift. <br />.o <br />_ $~`_for_ '_hourshift. <br />_ $______for___ hour shift. <br />_ $______for____hourslliR. <br />~_ _for__- -hour shift. <br />~ ~ y <br />(J~$3il?z_for~ hourshi[t. <br />____...- <br />Done in 1913 <br />coat per ft., $_____ --- <br />coat per ft., $- ----- --- <br />coat per ft., $-------- <br />coet per ft., $_______--- <br />ccurring to workmen in the <br />~2t'/_!% llEl~_Compsny <br />' .- I <br />r <br />- ~ _ - <br />-- --- <br />r -------------- <br />~ ~~I <br />MINE REPORT U <br />Note-Please fill oat this report carefully, write plainly and answer all questions fully, Be oars to <br />date the report and sign it. oat both aides of the sheet. <br />~t <br />~!~ ~; : . <br />---•-----=== -`- ~-----------------, Colorado, --------- ------~ 19--- <br />13URP•.AU OF DIINES, STATE OF COLORADO. <br />T. R. };enahen, Commissioner of DIinea, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, Rev'sedS lutes, Colorado, 908, I submit report as foliQ~ve: <br />. ~ <br />Name of Company-The~~_ ~071171(Oc -~'r .--~L_~l1[ll=~-- -_- <br />--- <br />Incorporated in the State of_______~ _r:___._c.<;wr ~__,____ __ <br />Principal o(8ce _____________ _ ^ ~/ ~~ i a L ci .' <br />----.. <br />Capital stock ___ti•_ C o c7 _o oc___ Shnree, at $___~__ ~____ per share. <br />I! a Cam .v), <br />en not tel. me / ~ P. O. Addresses <br />President ~_ v L_~ (. ~: l~r __,. ~! =`= ='----= ~---------- <br />n ,-~y-%:~,,,.::,.,. <br />Secretary aK_.-~- ~~-- ------=~ -=- -------- ----------------------------- <br />Y// / <br />-------- -------------- -- <br />Title of Partnership--- ~---------------------------------------- <br />Partners' \ttmes P. 0. Address <br />---- -- --------------------------------- <br />------------ --------------------- <br />II . Grm r -- <br />or Dartnenklp, ' <br />flli oul thl. _____________~____________.._________________ _________________________________ <br />,p¢r: othervbe I `. <br />Ir.re It hl.nk <br />____________________________________________ _________________________________ <br />:lfanugcr----------------------------------- -~-------------------------------- <br />Names of Owners P. 0. Addresses <br /> <br />ndihrr <br />rum <br />.n _________________ _ _ ________. ___..___________________________-_ <br />/_____________. <br />/ <br />p <br />l nor <br />parinrnhlp / <br />// <br />/~_ ________________ <br />Y <br />_ <br />. <br />1 <br />IIII out lL• _ <br />___________ <br />[/ <br />777"'___________________________ <br />-----'-'---°- <br />^P.re / <br />~i <br />I <br />~ ','~ <br />1ltannger __ <br />Mate names oP claims: <br />P <br />~~71/7u~~( _U/Z~0! <br /> <br />Unpnfented <br />71~c?tjlC~(~LCt f--~~<GC.ILlIL --~-~-= ------------------------------ <br />'fotrtl acres a _____________acres; unpatented____ =_='=~-=--------------acres. <br />g patented______-5=5- _ <br />Do you own or lease these claimet___ ~~---~=~L`-/~ ~ ----------°°'----°-------------------- <br />!t you Icaec them give name of company or Person from whom leased____~__!--------------------- <br />--- ----------------------------------------------- <br />(Over) <br />
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