Laserfiche WebLink
eom. <br />shift. <br />shift. <br />stlift. <br />stlift. <br />shift. <br />shift. <br />shift. <br />shift. <br />shift. <br />s}lift. <br />shift, <br />r--- <br />'--- <br />the <br />say <br />~ ' ~ ~~-~ <br />~~- ~=~~~ <br />MINE ~~PORT s9 <br />NoL~Pleaae 811 oat this report carefnRy, write plainly and answer all gneations inlly, Ba ante to <br />date the report and sign it. Fill oat both sides of the sheet. ` ~- / ~/ <br />----------------~`-'-~-----~ Colorado, -- _! ° ". C~ ll.~ `/ <br />------------------. 19~ I:' <br />BUREAU OF DIINES, STATE OF COLORADO. <br />T. R. Iienahen, Commissioner of 1lfinea, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, Rovi d Stntpies, Col , 19 , ~mit ort ns follow ~{ <br />Y <br />Name oP Company-The____-~ ___ __ `V/V~.i1 <br />----- <br />------ <br />Incorporated in the State of________-4 <br />~t~ ./ ~------`--------------------`-- -------- <br />Principal office /~~~=_°~Y 7~~~ c~ <br />Ir r<COm •nr, Capital stock ___________________________ Shnrea, at $____________ per share. <br />ml sot egU Nnme <br />•P'r'' o1°'r'r" P. O. Addressee <br />lone ft bLnk <br />President --------------------------------------- <br />----------------------------- <br />Secretnry --------------------------------------- <br />----------------------------- <br />Treneurer --------------------- <br />----- ----------------------------- <br />hinnager --------------------------------------- <br />If . Erm <br />or D•rtamhlp <br />CII out N6 <br />tD•rr: atherwlw <br />len< 1t Dlmk <br />If vel[brr <br />tromP•tV oor <br />P•rtnmhfpp,, <br />flll aut titb <br />.P•rr <br />Title of Pnrtnerahip-------------------------------------------------------------- <br />Partners' Names P. 0. Address <br />-------------------------------------------- --------------------------------- <br />____________________________________________ _________________________________ <br />,llnnuger ------------------------------------ --------------------------------- <br />Names of Otvncrs <br />-------------------------------------------- <br />-------------------------------------------- <br />____________________________________________ <br />____________________________________________ <br />~IIIIlager _______________________________. ____ <br />State names of claims: <br />Patented <br />P. O. Addressee <br />Unpntented <br />--------------------------------------------- ---------------------------------------------- <br />Total acreage patented_______ .____________acrea; unpatented___________________________aeres_ <br />Do yon owe or leaeo these cla~.na1--------------------------------------------------------------- <br />If you ]ease them give acme oP company or person from whom leased________________________________ <br />---------------------------------------------------------------------------------------------- <br />(Over) <br />