MINEBK00598

• County: Gilpin
• Document: Manager
• Suffix: A

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,(~~,~/ r"'~ MINE REPORT ' 141
~" ote-Please 8II out this report carefully, write plainly and answer all questions folly, Be sure to
to the report and sign it. Fill out both sides of the sheet.
------%~~'-- --_ / -- - ---, Colorado, ~1.~~__`/f~' (~_ _, 19!_`~
f1URF.AU OF ItIINl;S, STAT>; OF COLORADO.
T. R. Henahen, Commissioner of 1Iinea,
Denver, Colorado.
Sir: In nccordnnce with Scetion 4299, ReviaedStatutes, Colorado, 1908, I suhmit report ne follows:
name of Company-The_~~~ ~U'! ~ ~~yyyrti
~!~i •~, --------G ~---
Incorporated in the State of________-__! _-__
Principal office _~ ~~ijl1/%iyl_ (_/~i~!"~___
--- ---
--------
u . com Capital stock t ~ _~~".(~l1 d ,~fQ_ ~ /'
_-____ _ __-__Shnres, nt $_~ _____ per share.
-----
an uut t d. Nome
1"n' °tn~ P. 0. Addresses
Ie..e ie hl.nk ,q
President _~__~,_~,,j'_ _ a~~_(~_Q_~D-/,~~~
s --- -
Secretnry~__cJ Y fi(~! _~"~jJ,~~ ~~~ {y~~ -
----------
Crensurer~____!_________ ~/ .•
---------------------'-- -------
----------------------
,.
. nnngcr ------------------- y r
-------------------- -----------------------------
of Pnrtnerehip_______________________-_
-------------------------------------
Pnrtnrrs' Vnmes Y. 0. Address
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~IIIDRSCr____________-_______________________
Nnmee of Owners
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P. 0..lddressos
-1lnnnger ---- ------------------- ----- ---- ---------------------------------
Stntc anmes of claims:
/, ,,oo Patented _ Unpntentetl
Gu a5_li_Ti_C~ - - - - - - ------------- ------------------
'total nerenge pntented____ _ __~J_~____._-.__acres; nupntented_____________________._ -_acrca
llo you own or lease these clnimn4~c.G_~-C________________________________________________
]f you leans them give nano of company or person from w}toln lensad___________________
(Over)

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