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~ 1 . VV.v-V,f^^+~. ~ ~ L.+ -Lit.-4~t1 <br />-u , <br />MINE REPORT isz <br />Note-Please ~l1 out this report carefully, write plataly and answer all gneationa fully. Be aura to <br />date the report and sign it. Fill out both aides of the sheet. <br />i, ~ _~ ~ <br />~` ~ih-`t~ ---` =' =-Z--~------_, Colorado ~ ~_~__, 19~ .`~'" <br />------------------ <br />BUREAU OF MINES, STATE OF COLD 0. <br />T. R. FIeaahen, Commissioner oP 11[inea, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, 'R~evi~sedQS,tn~tnt~es~, C,,olo~rfja~d-o, 1908, Isubmit/, <br />~Nnme of Company-The---C ~'~L C <br />Ie . comoaw <br />all oat ehb ' <br />Irwi•e N Ink <br />u . erm <br />or putnmhlp <br />0I1 out tDL <br />tD~ta; otDer~W <br />leve It Dl~ok <br />es follows: <br />P ~ (~ <br />Incorporated in the State oP________________________ <br />A~ ~ ~ ----- <br />Principal otRce ________ CI!2'~-~_____ <br />--- - ----• -a~~-d <br />Capital stock _I~Q..~'~,_________ urea, at $~_ ____ Per share. <br />n Nn Q . O. Addr saes <br />President ___ 6 ~ ~~• ~~~ 0_6 ~_ _ t?.~ <br />--- -- <br />Secretary _-:,- ,-- .--1_L' L' __ ~ ' •, <br />--- <br />Treneurer ---------'t--------~--~ -----------`~---------------- <br />-------------- <br />3tannger -----------u---------j~--------------- -----------`~-----------'1---- <br />'Title of Partnerahip______________._ <br />------------------------------- <br />-------------- <br />Partners' \nnus P. O. Address <br />--------------- --------------- <br />Z ________________ <br />Manager ---------------------------------- <br />Names of Owners <br /> <br />1(oelth4 <br />~ ----- - <br />_______ ---------- -------------------------- <br />_____________ _ ~__________________ <br />~tto <br />enkl~y <br />en oat eDL <br />-- <br />--- - - -- ------------ <br />•P~t'~ <br />b[nnnger ------------------------------~---- <br />State names of claims: <br />i--~ Patented <br />' ----- - <br />tl ~ , -- -~--~--- ~-!t t ~~---- -------- <br />P. 0. Addresses <br />--------------------------------- <br /> <br />Unpntented <br />l= <br />Total acreage patented_~~t.~__~e_______acrea; unpntented___________~,_________. <br />Do yan own or lease these claimat_________~~-----~~------------------------ <br />IP you lease them give name of company or pers~rom ~v}lom ]eased_____________ <br />(Over) <br />_acrea <br />Ii `II~ <br />1~ I I L\\171 <br />1~ <br />~!i <br />