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'o©. <br />ft. <br />ft. <br />ft. <br />ft. <br />I! . erro <br />or p.rtnmklp. <br />ell out lhA <br />.lose: o[herdr <br />Irrre it Llank <br />r:.. <br />`"~1 ~; :.:." a- ~/sue ~e ~ .- <br />-.11i. <br />MINE REPORT 201 <br />Note-PIease fill oat this report carefully, write phtialy and answer all questions fully. Be sera to <br />date the~, ~atppprt and sign it. Fill oat both aides of the sheet. <br />-' I . `~lI ~r ~~id'' . -~j~ <br />( /~'~',,^• ---~~~------ - ---~ Colorndo, --L~~.y_ 8 ~_, 19/_~ <br />BUREAU OF MINES, STATE OF OLORADO. <br />T. R. Iienahen, Commissioner of Mines, <br />Deaver, Colorndo. <br />Sir: In accordance with Section 4299, R1evi~(aedStntutea, Colorndo, 1906, I submit report as follotve: <br />Name of Company-The____?~ __ __ _ _________________________ <br />Incorporated in tltc State of______________.__________________________________-__-_ <br />Principal otSce -------------------------------------- --------------------------.. <br />It.c.tn r, Capital stack _____________________.._____Sllnres, nt R____________ Per slmro. <br />°° mtt t~ Nnmc <br />.p.rn; otherxW - P. 0. Addressee <br />Irve It blink <br />President --------------------------------------- <br />---------------------------- <br />Secretary --------------------------- <br />---- <br />'Crcaeurer --------------------------------- <br />----- ----------------------------- <br />l:1[nnnger --------------------------------------- ----------------------------- <br />Title of Pnrtnerehip--------------------------------------~----------------------- <br />Partncrs' Vnmt's 1. 0. Address <br /> <br /> <br />1lanagcr ----------------------------------- <br />Names of O~vnere <br />If neltber <br />mmpnr tppu~~ft <br />Illlrtout~thl. <br />.Prtr <br />P. 0. Addresses <br />--~~~-!? - ~.--------- --- -GLa_~r_rr,--~ - 9,----- <br />• /'~ <br />________________________y_`-____C ________ <br />Stntc names of claims: <br />_!'r_~-~r,-~~- <br />~i ((Patented ~7~/~~~ '~'n'~~~ <br />~~~Q------------------------- -~- 1~1~------------------------ <br />--~Iv_- 3--------------------------------- ~a~~-------------------------- <br />Total acren a ,___ ______acres. <br />6 Patented_l.~~A"~---AS Ll----acres; unpatented______ -_- <br />Do yon awn or lease thews elaimst___ Alrrz9-- ---------------------------------------'--'---" <br />IE you lease them give name of company or person from whom leaeed________________________________ <br />---------------------------------------------------------------------------------------------- <br />(Over) <br /> <br />