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<br />- , Ftoded by the Gulent AuealWy d fhc Slated Cda'+da Approv[d "AprD I0, i903. ~> r , srl u ~ ~~04 !
<br />t3scrroa 4R That say owner. Person or Persona o r..•1•, .. • • ,'..r ` '~~ ~ ~.-
<br />_ phms and employing two or more men ahsll re rt to ° ' meai'•ferO°s m(ne, a>!1! or metallurgical- ~-" ~ 1
<br />' ` . and when etopPed;agd mince tvotklsg continaoaPOely ahatj re awn of Mlaes and state when work k commenced . I
<br />_ address Btae aamo o the claim or c{~ ~ ~ ooyrerlaetsesdee !a nl?ortharon or beforevNntoyvembBer 1 of esch ye+r, together ~ - • - „/
<br />- with the number of men employed, dlrnctly or Indlrertfyhtha same be g c~lam!$edp ntomm oereV~am~m~ ~~ I
<br />bermes, ore assortere, rNilmen teamsters, eta The a `
<br />. , shall be tarnished upon appllcaaon by the Commisatonez of lobe ~a ~ ~~ oqt the ptovlsfoaa of leis section ,~
<br />8zcrtotr td. Any owner, agent, maaagtr or teeeee,whether lndivldnat, parmerehlp ar corporation, op!raasg .
<br />a metalliterons miss, m111 trc matallargical pleat fa this state, who fdta w comply wltp the prcvtatoms herein set .
<br />- - forth, ar either or sny thereof, shall be deemed gallty of a mledemeaaor; and when oot atberwise prodded, shs11 ,; ~.. ,~
<br />be sable to a Sae or not leas thaq twentyHve dollars (t)26.00) nor mare thaq three hgadred dollars (a8(Ip,Dp) fur
<br />each pylovisioq not complied with, and each day attar casvicaoa of fdlIure to comply with nay p on hereof, .
<br />shell be deemed a separate o8enee and pmrlshed eccordlsgly. .. - _ `
<br />.... .. ._.. _ r
<br />MINA REPORT.
<br />...~.._
<br />dm Mlsn~ yIn[ N Gmpnl er araar. ---~-----_,~
<br />I [MKptr[p,
<br />Wla Wa arse N[n rnaarl .. ~ ..
<br />. - -~_.Itb.LC.
<br />BUREAU OP MINES,STATE•OP COLORADb.
<br />~r E L WHRE, Colnmlablln of Mina,
<br />i DaDVtr. Colo.
<br />8ta: ID ~ccordancepwith the above [echo , I eabmi report ae tollowa .
<br />N e of c1aI or cla{ma_C,C ~ _ _ ~ ;
<br />Locatlon_.--- --- ~ ------- -------•----•-------
<br />Dfiaiag Dfetrict___.
<br />'- -- -- --Co tY----..
<br />----
<br />Owaer or ownero and addrese__ •G~~~- - •
<br />Nurse of Com}y~D --'-- '-•...~. ~~-r••• -_ ~ •_• -.-..~.. `l ......... ................ __'_'-'
<br />r ~-;_ tlV•_Jlr~ ,y„xvvJar. lu ~~u.-.11 Y~ __ _
<br />Cepi Dt00 ~ ~ _____ __________ ___
<br />j~~ ~ ,, ~ _
<br />-- _ s-- -^---•• ----- --•--•--.eLarue at i.lit'-r~t:.t...!__-' .. r a6 re.
<br />• - _- _._6ucreta Ir•o.Aaaatati• ---
<br />_ _.___uF_---'-_
<br />- _ t"- - - __._bfana r~
<br />----•---•----------------•-• _.._._tiD rlatandent
<br />....-- pe
<br />Lwael! to..._.__...
<br />•--••---
<br />Work fn charge ot,. ,.- ,~ -
<br />- - .. ... .............../ _~..f~~.
<br />__._---••-------•--...._..7 ...._ C~~----•----
<br />Ia proper(Ir NOrfCed tADelDDOaaI t_. _-__ .• _ -IP.O.Aooaua! .............
<br />....
<br />COIn111enCed Nerk_ .. ,~.-~~ L
<br />l / ~... t. .......................ItiO.
<br />81opl,ulJ work----Li'G~~-!it't/! - ~"'~ • D _.
<br />.....` --------------------------I~.6
<br />MFF EMPLOYED,
<br />w.[rrtovco.
<br />--, _]taeLtae DriUmeD, _..... for... _ host sLfft.
<br />!
<br />p3fachlw Ifalp[n, f.....for.,. hoar [Lift.
<br />;` K
<br />3fl
<br />~
<br />~
<br />~
<br />,
<br />oar[, . it7
<br />•
<br />tor.
<br />htror atilt,
<br />-_..TlmbertMD, i_._..tor....hoar ah1lt
<br />----Tramlrten, . i_....tnr....haarah!!t.
<br />. _..Oro Atalorten, _.....lo-.... hunt ahttt.
<br />•..,Toptaea, i.....tor....honr[h[ft
<br />._..InF,onr[r . i.....lor..,.honraWtt,
<br />....A[rfrn, - i,....tor.,..bar[hLft.
<br />
<br />4r ,
<br />~gw aemLa of man amplolad for tbl[ ~w 1D0...,....... .................
<br />NI. aall[OI[O.
<br />._..Eagiawra,. . i..._.for....LooraLJft,
<br />....rautplDSa,. . i.....for....Loor[L[ft.
<br />..,.t7romaa, . i,„..for_...lwarahtft.
<br />._._IllaelamJtba, . i_....fer_...LDOf aLlft.
<br />-•--?samaters,. , i.....fur....Loar[Ll/t.
<br />_._Yorrmaa, , i.,,..fur:.:.bonnL(tt.
<br />....Bnprdateadeat, i.....tur...,Loar-L(R.
<br />....OAla help, .'f..... Wr....Loar abitt.
<br />,...3tlllmea, . -: i.....tur..:.l[,or[L[tt.
<br />...................: i.....tor._:,hooraLltt.
<br />
<br />t OrRt
<br />SEC 13 i9Q&
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