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on:- <br />~.(` <br /> <br /> <br />MINE REPORT `')9 <br />Note-Please fill out this report carefully, write plainly and aaswer all gneationa folly. Be enro to <br />date the report and aiga it. Fill out both sides of the sheet. <br />BUREAU OF bIINES, STATE OF COLORADO. <br />T. R. lienahen, Commissioner of Slinea, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, Revised Statutes, Colorado, 1908, I submit report ns follows: <br />Name of Company-The__~¢~G__~l_~ ~__~j__~i__''~________ <br />Incorporntad in the Stato// o44f__~____________________________________________________ <br />Principal aQice _______.^%__L~` _` `_-.'~______ <br />~DOd UU U ~/J <br />u ~com Cnpitnl stock y_______s__________________ Shores, nt ¢l__===_____ Per share, <br />en sue tom' Nln~~m~e `Q~ P. 0. Addressee <br />ip.`a~ie e° L~ntw /~~~~~ I <br />President ~- - -- - - ~/ ------------ ----------------------------- <br />Secretnry ~-- ------ - - ---------------°---- <br />Treasurer ------------------------------------- <br />?4ianager --------------------------------------- ----------------------------- <br />u.e.m <br />at prtnenN0. <br />all out Wb <br />ry~n; o~EerwW <br />le~~e It Elavt <br />If oelther <br />mmpuy ~ <br />D.rtnetdipy, <br />OII out tali <br />.pin <br />Title of Partnership-------------------------------------------------------------- <br />Partncrs' \amca P. 0. Address <br />-------------------------------------------- --------------------------------- <br />____________________________________________ _________________________________ <br />Siannger ------------------------------------ --------------------------------- <br />Nnmea of Owners <br />-------------------------------------------- <br />-------------------------------------------- <br />J[annacr _______________________________.____ <br />P. 0. Addressee <br />State names of clainv: <br />Patented i~patenten <br />~. <br />------------------------------~-------/l- `'1- <br />~,. , <br />Total acreage patented___~~~---------------acre~npateated_______----------------- --acres <br />Do Son own ar lease these c]aimst--------------------------------------------------------------- <br />If you lease them give name of company or person [rom whom leaaed-------------------------------- <br />--------------------------------------------------------------------------------------------- <br />(Over) <br />'. i7: <br />I <br />I ~,1, <br /> <br />