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m. <br />,../ <br />MINE REPORT Aso <br />Note-Please fill oat thta report carefully, write plainly aad answer all questions fnily, ge anre to <br />date the report and sign it. Fill oat both sides of the sheet. <br />----------- ----------~ I9 <br />BUREAU OF' ItIINLS, S 1'I; OP COLORADO. <br />T. R. Ifennhen, Commissioner of J[inca, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, Reviacd Statutes, Colorado, 1908, I submit report as folloPVS: <br />Name of Company-The_ ~-1-[!q-~~[.e.l _ ~! _ ~`~o. /~v ~J,~,% (J <br />--------------s=--Y-l~-'--- <br />----- <br />Incorpornted in the State of_______'^P~ 4f <br />----- <br />Principnl ofrce ____`v?-!~ ~~ __ C°~%T _ N,./, <br />Ir . Com .nn Cnpitnl stock ~.ir. ~~-~J.u/_ /.~i~w.yShnres, at ~-----~ _`~~ <br />ell nne t~~ Per share. <br />•P.~.: otherw4. Name <br />Ie..e a hLnt Q ~. Addressee <br />President ------=-- /`" 'a~°~--------- -------- Pte' -r~~. t~.~ <br />------ ~--- ----------------- <br />Secretary ____-~~__ ~___?~-~f_O,.« n.r <br />---------------- ------~_'-_ ~ a~ ---~- <br />Treneurer ____ ~ _ •• <br />--- -- <br />----- - - <br />-----------==------ <br />---------------- -------- Ls. <br />Title of Pnrtnership_______________ <br />------------------------------------ <br />------------ <br />nres' \mnes P. 0. Address <br />------------- <br />u . p,,,, ---- -------------------------- <br />----------- -------------------- <br />ar p.rtnmhlp, <br />all out thl. ____________ ___ <br />tP..e: othvw4r ____________________________ <br />_____________ <br />Ien• It hl.nk __________________ <br />_____________ <br />,:T lSinnngcr------------------------- ----- - <br />Names of Owners I P. 0. Addresses <br />If ntlther <br />mmp.n7 nor <br />pnrtnenhlyy, <br />1--- -- -- <br />all oot tiWL - -- - ---------- --------------- <br />•p.ay _________ <br />----- -------------- --------- <br />i ~\[nnager <br />:~ <br />State names of claims: <br />Patented <br />J_ <br />' -~-~-.y: 1~!-'-Cif`-~'-------~~---`-------~~---- <br />- ----------------- <br />Unpatented <br />____________t_________________________________ <br /> <br />---------------------------------------------- ---------------------------------------------- <br />Totnl acreage patented__l_~_eo`_'~ ___~ ~~~___ncrea; unpatented______ ~_____ <br />___ ~...___ncres. <br />Do you own or lenso these claimat_____ -~~ ~~- -~ -~"`~"-lam ____ <br />-- ---------- - ------- --- <br />----------- <br />--------------/ <br />If you lease them give nn of company or person from whom leased_________ C1 ~'^ ro <br />cp ~ ~------------- =---- <br />----- --- ---------------------- ----- ---------- <br />(Ocer) <br />J <br />~, <br />~~ <br />~ , ~~ <br />i~ <br />i <br />I <br />i, ~' j <br />Fi i~I <br />