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<br />138 <br />MI E REPORT <br />Note-Please fl11 out this report carefaQy, write plainly and answer all questions folly. Be sure Lo <br />date the report and sign it. Fill out both sides of the sheet. ~ ~,~ <br />- - ----- -----__-, Colorado. ---~-(A_ ~_'__----, 19-/_.¢-- - <br />[IURF.AU OP MINES, STATE OP COLORADO. ~ i <br />T. R. Henahen, Commissioner of i•fines, i <br />Denver, Colorado. <br />Sir: In nccordnnco with Section 4299, Revised Statutes, Colorado, 1908, I submit report ne follows: ~ <br />Nome of Company-The=__'_:-_____ T. GOLD DIZ.I IJ G cC l,l _ T n, ~ <br />incorporated in the State oP_____________________.._.____~po o ____~___~_~______-,_______ <br />Principal office ______________ fir/ 1, ,'.~ <br />- ---- - -----------A- --------------------- <br />-----.. <br />ifnl °/nnlr !°~DU ~ <br />Cnp---- -•---- --~------6OQ_-____-- ---Shores, at .y1 per share. <br />If ~ Cam ~n1. <br />°° °°` `gl' Nnmo P. 0. Addresses <br />rMce; °wrt.b. f~~~ .e~ yw <br />lone l[Dl~ok ~ /~Q"~"'~ _~Y_C__-_I~_~___ 'I <br />President -[[-~------ ~-~-yam ~------- - ----------- ------- " `~~" <br />Secretary -_YcL4__ ~I---------- ---------- 4~C-..C~(/-- ~~ <br />Treasurer --_"u-'~~CG'-m~--------- ----- --- -- --------- ~ -~-- <br />----- <br />Title of Pnrtnerehip____..__________________ ~i <br />Partners' \nmes P. O. Address <br />i <br />-- n --- -- -- ------------ I . <br />If .arm ~ <br />°r Otrtnmhip ~~[/~~ »/t <br />nli out thb -- _->•_______________ ____ ________ ~ ~/ ~ <br />rpne: °therwW <br />Irrvr It Dlmk ~. " <br />_____ _________________________________ <br />1' <br />1lnmmgcr- ~tl_-~1- ~~-- ---- --- -°---------- - ~ <br />j <br />f Names of Owners P. 0. Addresses <br />1' <br />----------------- ------------------------- --------------------------------- <br />II neither <br />rnmp.n7 nor <br />partnenhlp, <br />eu out Gw <br />.p.ce <br />ninnager------------------------------- ---- <br />State names of elnime: <br />/ Patented . <br />rr~i~r~se•. 1C ~5~_C- --_p ~~ E -_~~~~ye-rte <br />- --- <br />~,-?-J - - -- -- - ------- I <br />----- - - <br />rra ~.------------------ ---------- ------- --------------- <br />-------------------------_ n ----- --------------- ---~-~-~~ <br />Total acreage pntented__C3Xl~t-~~------acres; unpntented__l~-`-`--"--~U--'--acres. ; <br />Do you own or ]easo these clnims9___~!_-"_^_^------------------------------------------------"- <br />If qon Tense them give name of company or person from whom lensed___________________------------- <br />----------------------------------------------------- <br />(Over) <br />