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com• <br />gift. <br />gift. <br />lift. <br />Iift. <br />lift. <br />lift. <br />lift. <br />lift. <br />gift. <br />lift. <br />lift. <br />ho <br />%/ ~,.,~ <br /> <br /> <br /> <br />MINE REPORT ~s <br />Note-Please 8ll out this report carefully, write plala]y and answer, all gneationa fully, ga am.o to <br />date the report and sign it. Fill out both aides of the sheet. <br />"'~`~~~ - -T-Colorado, _ ~ ~ ~~_____ 19!!f <br />-- - <br />------- <br />BUREAU OF' MINES, STATE OF COLOR 0. <br />T. R. Iieaahen, Commissioner oP 11Iinea, <br />Denver, Colorado. <br />Sir: In necordance with Section 4299, Revi/s~edStatutes, CoOlorado~1.908, I submit report na follows: <br />Name of Company-The_____~ `-5.~~ _ ~-~u.~4, ~21 ~~ <br />`_____ 1- --------------- ~------ <br />Incorporated in the State of_______________________C~_________-_____-_-_-____-_-___ <br />Principal office --------------------------------------- - <br />u . cDmp~r Cnpitnl stock ________________________.__ Shares, at $____________ por share. <br />en out thl. <br />.P.n; Dth.r.w Name P. 0. Addresses <br />leve It biuk ,,~~// <br />President _____________.t~~°~'~[_ z.r-~____ _~~ g___ <br />~- ------ <br />~i r <br />Secretary _____________ <br />---- <br />CX 4c_ ¢~''-------- <br />- ------ -- -- <br />Treasurer _____________ <br />------ - <br />Dlannger ls,_.~ - ~ ~ <br />--1----- <br />---- <br />Title of Pnrtnerahi ry~~ ~ .-.~ ti/~L ~ - <br />p------------------------------------------~'-- ~~- --- {~ <br />Partners' Values P. 0. Address ~- <br />---------------------------------- <br />II . nrDt ---------- ---------------- <br />CII out thl. ___________..________________ <br />tP.n: other~ir ________________ __________ <br />_______________________ <br />Ie.re It black <br />____________________________________________ _________________________________ <br />~fannger------------------------------------ --------------------------------- <br />It DdNn <br />mmDae7 Dof <br />e1 rtaomh~ <br />rD.w <br />Nnmea oP Owners <br />-------------------------------------------- <br />____________________________________________ <br />____________________________________________ <br />____________________________________________ <br />nlnnnger-------------------------------•---- <br />State names of elnima: <br />Patented <br />P. 0. Addresses <br />--------------------------------- <br />Unpntented <br />---------------------------------------------- ---------------------------------------------- <br />--------------------------------------------- ---------------------------------------------- <br />---------------------------------------------- ---------------------------------------------- <br />Totnl acreage patented_________________________acres; unpntented___________________________ncrea <br />Do you own or lease these claimst--------------------------------------------------------------- <br />IP you lease them give name oP company or person from whom leased________________________________ <br />---------------------------------------------------------------------------------------------- <br />(Over) <br />