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m. <br />C <br />~~G~. _ <br />MINE REPORT ~~~ <br />Note-Please fiIf oat this report carefully, write plainly and answer all gnestions folly. Be sere to <br />date the report and saga it. oat both sides of the sheet. S <br />---•-- ----~------ ------------~ Colorado ~"" -------.19~~ <br />BUREAU OF bfINES, STATE OF COLORADO. <br />T. R. Iienahen, Commissioner of lfines, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, RevieedStntntes, Colornd~OB~~t re o ae follows: <br />.~ <br />Name of Company-The__ _~~_______ _ a9~ _ - ~G~i"~r.y <br />------ ----------= <br />Incorporated in th State of ______ _ ~~/`G!~ <br />/~ -----~~t ==T-/~`------- <br />Principnl office ~`3y_ etr~c.tJ(l!_'i__ ~/~ ~,,,,,~ ~~~- <br />u ~ comvv.er Cnpitnl stock __~_ p_q_yf_oc~p___ Shares, at bf ~_=____ per share. <br />OII Wt WIC <br />ipn. ,th.t.w ame ----.~ :%~~dresses e <br />L..e It m.nt .~~efGj;i~~ <br />President _ ~/ <br />Secretory _ _~ __ _ /i <br />_. ~1 ----------------------------- <br /> <br />itlo of PnrtnenhiP-------------------------------------------------- <br />------------ <br />Partncra' Names P. 0. Address <br />------------------------------------------- --------------------------------- <br />----------------------------------------- --------------------------------- <br />[anagcr ------------------------------------ --------------------------------- <br />Nnmce of Owncra <br />It eelNer ______________________________________..__..__ <br />mmP~er ear <br />partaenhly. <br />all outle -'----------'_____________________________"_ <br />•v.ea <br />\[anngcr -------------------------------•---- <br />State names of claims: <br />Ae4eM eA <br />C~~ <br />Totul acreage patented_________________________acrea; unpntented___________________________ncrea <br />Do yon own or lease these claimst--------------------------------------------------------------- <br />If you lease them give name of company or person from whom lensed________________________________ <br />---------------------------------------------------------------------------------------------- <br />(Over) <br />P. 0. Addresses <br />--------------------------------- <br />--------------------------------- <br />_________________________________ <br />_________________________________ <br />Unpatenteti <br />------------ T - ---- - -~ ---------------------------------------------- <br />f~`°-~°---- ~~ Y- -- ---------------------------------------------- <br />_ ~~ <br />