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com• <br />Ihift. <br />Ihi[t. <br />rflift. <br />Ihift. <br />Ihift. <br />shift. <br />shift. <br />shift. <br />hift. <br />hift. <br />IlI1fC, <br />r--- <br />Q-0 <br />-- <br />the <br />say <br />~~. ~ ~~~ <br />r~' 39 <br />MINE PORT <br />Note-Please fiII oat tbfs report careYnlly, write plainly and answer all gnestiona Ynlly. Be sere to <br />date the report and sign it. Fill oat bot~h(aides of the sheet. n <br />vU~ / ~i <br />-------------------- ~--f-r`-'~-----. Colorado ~. Cn _ r~ <br />BUREAU OF 11fINES, STATE OF COLORADO. <br />T. R. Henahen, Commissioner of 1lfines, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, Revi d S~tntytes, Col~~,p, 19Jd8, ~mit ort as Yollow~j~ <br />Name of Company-The_________ _ ~ ~ 4--_<_<_~__ ______ <br />//~11 r <br />Incorporated in the Stntc oY_______`¢l~j_'~_________ ___ <br />Principal office ------------~ - /C-< ~/~-------------- <br />u .camy w. Capital stock --------------------------- Shares, nt $----__---- <br />en oue tAl. -_ Per share. <br />p.na; ,Ik.,.r. Name P. 0. Addresses <br />Irnr It 61.nk <br />If . erm <br />ar pummkip <br />ea mrt tkl. <br />.peer otkerwb. <br />Iene It Elmk <br />President --------------------------------------- <br />Secretary -------------------- ~'- <br />Treasurer -------------------------------------- ------- ; <br />i<Canager --------------------------------------- ----------------------------- L 1~ <br />'Title of Partnerehip-------------------------------------------------------------- <br />Partnnrs' \'nmes P. 0. Address <br />-------------------------------------------- --------------------------------- <br />--------------- --------------------------------- <br />----• <br />OCnnagcr ------------------------------------ --------------------------------- <br />Names of Owners <br />If oelthv ~ ----------------------------- <br />--------------- <br />mmp.n7 ym~r <br />____________________________________________ <br />Iplllnaut~tiW <br />rp.n <br />~nCnnnger_____ <br />State names of claims: <br />Patented <br />P. 0. Addressee <br />Unpatented <br />-------------------- <br />Tatnl acreage patented_____-_ ____________acres; unpatented___________________________ncres. <br />Do you own or lease these cla~.nai--------------------------------------------------------------- <br />If you lease them give name of company or person from whom lensed________________________________ <br />---------------------------------------------------------------------------------------------- <br />(Over) <br />I^ <br />,., <br />', ~;'I~ <br />I. <br />I~ i Li <br />