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a <br />i,r0 ,v;,a, i <br />I E REPORT ~ i4s <br />Note-Please fill out this report carefully, wrl pte ]ainly and answer all gneationa folly. Ba sure to <br />date the report and sign it. Fill~outgboth~stdes of the sheet. / /) ?~ <br />- - -- - ------------~ 19__7_ <br />BUREAU OF itIINES, STATE OF COLORADO. f <br />T. R. IIenahen, Commiseioaer of lfines, <br />Denver, Colorado. <br />Sir: In nccordnnce with Section 4299~vised Stn tes, Colo o, 1908, I auL it report folAws: <br />Nome of Company-The__~-C~~ ~ `~' ~~~,~ /~/ <br />--- <br />- ------------- <br />-- --- --- <br />Incorporated in the State of,_____ <br />--- <br />Principal office __--- ~1_Zi'_r:..QtL.(./~-- ~~'-----_-_--- <br />Iracvm .nn Cnpitnl stock __~_1~~-pr_~Q______Shnres, nt :$___~~.v <br />ea oat eRl. u~m _ per share. <br />a0aer vNenrW <br />leve It blink P 0. Addressee <br />President <br />Secretary , ~ <br />t __ f. <br />- ---- - -------- <br />T ns r L <br />_._.,, ......a wca ouap________________ <br />______________________ <br />Pnrtncls' \nmes -------------p. O. Address <br />---------------------- <br />a . erm -------------------- <br />-------------------- <br />ar DartvmhlD. ____________ <br />fill aut thb --____. _______.._ <br />apace: otherwW ___________.._________.._ <br />_____ _________________________________ <br />leas It blank <br />lSlanager_____________ <br />~ ATnmes of Otvncrs P. 0. Addresses <br />------ <br />If ntitber I __________________________ <br />campanl vw __________________ <br />punnm6lpp, ---- <br />_ ____ _ <br />Ollouttula ~ ___ _____________ _ __ __________________ <br />aP.ra ------------------- <br />1Iannger------------------------------- - <br />------------ <br />Stnte names of claims: <br />`~ ~ ~I Patented Unpntented <br />,_ ~ % <br />l <br />-t - - - ------------- -- <br />/, ~, ~. --7------ <br />/~~ - -- - _ ~/- l7 -------------------------- <br />- _---------T------------------------------- <br />~ ~'~$i ~ 1.,sL2AY <br />Total acreage pnteated_~_a~/~_~Q~_y~~_~_~____acrea• un atented_____~,Q!j,.C~______.___ncres. <br />Do you own or tense theca clnimsl___~~/~LS1 U1! ___________________ _____~ __ __________~r <br />If you lease them give name of company or person Yrom whom leased_____~ ~ '' ...~ _ <br />;Over) <br />i <br />i• <br />~, <br />, <br />'' I <br />i <br />~,~ <br />ri! <br />~` ~.~ <br />V <br />