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:om- <br />Lc~. - / <br />. , - v~ <br />~. <br />MINE REPORT ~~~ <br />Note-Please HII oat this report carefnllp, write plainlp and answer all questions folly. Ba sore to <br />date the report and sign it. Fill oat both aides of the sheet. <br />/~~///, ~ <br />--------~~P~-~--~'-~----------~ Colorado, _'!(.~P1!;_-~--`-~------. I~J!5~ <br />[3URF.AU Oh' l1IINLS, STATI: OI` COLORADO. <br />T. R. Hennhen, Commissioner of Mince, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, Re0vi~sed Sta~tutes~J~C//olorado, 19~08~,/I submit report/~ns~ follows: <br />Name oP Company-The__~~~~~n~4Ot-.--J~-vL~-•r,-~-~,r-~ ~(/_~~~_ t-tl <br />Incorporated in thet,State of____L~L1~'_ _ U <br />^ ,~ _-e-- --- - <br />Principal office __L.7 ~ 5 _ ------- .~--------- ---------------- <br />// n ,g ~~77 --- --- ------------- <br />Capital stock ---f~Q_tC_~G1i7~GZ~~.~i- ---- -~--------- <br />u•cnm •nr _____________._Shnres, at $_~_ ____ Per share. <br />---- <br />eu not t i. Name <br />rD•cn; otherwL. ~ J/~resses <br />Ir•re It bl•ok <br />President , ._il_~!--~_ _________ ____ _ _ _-~-_ ___ ~._ /~ <br />---- --- - - ------ <br />SecretaryLl~.-''~` -~'-------- ----------------- ~r?~~Gliy?~_l'`_'~°`-~__~'_l-- <br />Trcasurer __-- ~~-- rr _ -~---_----- ° r <br />--- - <br />llnnager --- -- ~- ---------- ----------- --------------------- ---- <br />(Title of PartnerehiP-------------------------------------------------------------- <br />Partncls' Vnmes P. 0. Address <br />-- -- - -- <br />If .eon <br />or D•rtnm6lp, <br />ell oat tnlr _..--------`--------------------------`--- <br />rDrrn; otherd•. 1 . <br />leer it blink <br />~IanagCC_______________________________.-____ <br />Names of Owners <br />If neither ______________________________________..- <br />mmpmrnor I _-- <br />ppartnrnhlp, <br />Illl out tab ________________________________________ <br />~ ---- <br />rD•tt <br />_________________________________ <br />P. 0. Addresses <br />1[anngcr----------- ------------------~---- --------------------------------- <br />State names of claims: <br />j slanted <br />~ ~ Unpntented ~ r <br />--~~G~°-~-----~ 2------ 3 -------~`- <br />~-~----~ -6---- ~,7------------------ <br />---- <br />--------------------------p-----,/-------/------- ---------------------------------------- <br />'1'otal acreage patented_CLf~f-f!_!___ffo________aores; unPntented____ ~?~~_ -----acres. <br />Do you own or lease these claims4_____~?~!'K~.------------------------------------------°-°- <br />If you lease them give name of company or person from whom lensed________________________________ <br />n <br />----------------------------------------------------------------------------------------- <br />(Over) <br />