r ~, r,
<br />Y V~ ~ nnu
<br />"1 v rsexW~r ~
<br />~ r )
<br />,~, 1~1II1~E I-~EF?ORT' so
<br />-Pluae Tau rapo~ Gom n or Toup. \-/
<br />Gl+a nams oT qeh olalm Wlonpln9 W W Y C /W/Il,
<br />Gle In oaraTU lly-MEN EMPLOYED.
<br />rlll out blank on opPONt+tltla and alYn nporL
<br />- _.. Colo., ......_.._ ............._........._ __~ 19
<br />BUREAU OF MINES, STATE OF COLORADO.
<br />T. J. DnLZera., Cmnmissimter of dines,
<br />D]:l7VEa, Cotoanoo.
<br />Owns rr r
<br />Nome of
<br />n
<br />~,
<br />aC
<br />per xbere.
<br />..................................~>~we~....
<br />....
<br />Ia property workod eontiuuouxlyy ........
<br />Uun~Imeu`ur;'d-work _.
<br />(~...~a....>..
<br />or ............................
<br />MP;N Ir;ri1PLOYI;A.
<br />Nn. r.DiRLOY14rr~
<br />NO. L"M81AYL"U. ,...f0t, ,. ....hout'tlhift.
<br />Afauhinu Drillmeu, dr..-,., .-.fur.....,_,.hour•xlrrPt• fur,.. ,.Luurxhil't•
<br />,Pam anon, - - ~" ,
<br />.....,.,..MuuhBru Irulputw, qf... ,,.-,.,. for...--..huurnlrl ;~ 1 ,,,, for ..,.,....Lourxblft•
<br />.....fur I b'irmnun, .
<br />...,,, .,n1inura,
<br />lthrehawitlra, ~5,... .fur,..,.,.huurahift.
<br />~ for ....Luurxf ift, ~ ..
<br />..'Plntburnrun, !1`ounraturx dr .for... Uonrahlft• ~
<br />fur. huurxluft, .. t
<br />.Po 4
<br />!1'r•xuruu+ra, dr ....., tut .•...huurxbift•
<br />,U urun 4 '
<br />~_. ..... r .....,huuralrfft• ~ _.hourahUt,
<br />..Oro liar ru, ~ .fur
<br />~, ...,,.,.,.fur.........buuralrlYt. ~ ...f9 un•iutuudunt, rb.-,
<br />_ ...'I'upr •n, , - ,,O/flue Lulp, rb.....,., fur,,...-. bourahiPt•
<br />>b.,~„__,..,-fur....,~...buurabiY6
<br />ry.,, ......, fur,....,,,. hour shift.
<br />_..,.~.r tors, _.AlHbnuu, . ,
<br />Irv , ~ _,..........for_..~...lwurahUt• ~
<br />...,.....,may' , >Y fur huurablft.
<br />. ly ....,_. fur .....,...lrourahlft ~ _
<br />...,..,....w.,.,...__ ......................... ~ it (.>, r
<br />.NYUrnfte nuutLur of muu unrlrluyud fur thu year 1U0,.,,.,.- ~ ~ , ~ ~ } ' ,
<br />.. ~af~,,1~ Ulraruular nrrJ Ynluu ~~ru ~ ~ ~ r ,~~.., .u
<br />, _,.. ,
<br />..;~.~:fk _,~
<br />_.n .e ~.
<br />_-.
<br />__.. _-_.• fuY~uJ
<br />Ste.: In accordance with the above section, I submit report as follows:
<br />_.
<br />rT91YIp of claim or claima............_..._ .................._.........................
<br />
|