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om- <br />ift. <br />ift. <br />ift. <br />ift. <br />ift. <br />ift. <br />ift. <br />ift. <br />ift. <br />ift. <br />ift. <br /> <br /> <br />1 <br />V ~ / ti <br />MINE REPORT 20 <br />Note-Please 8ll out thts report carefully, write plainly aad aaswer all questions folly. Be sere to <br />date the report and sign it. Fill ant both sides of the sheet. <br />-----------------c0._--__-, Colorndo ~C_L!f!!r_--°-~- ~ `---, 191_'f', <br />I3URI3AU OF bfINLS, STATF. OF COLORADO. <br />T. R. FIennhen, Commissioner of bones, <br />Denver, Colorndo. <br />Sir: In accordance with Section 4299, Reviecd Statutes, Colorado, 1908, I submit report ae follows: <br />t 1 <br />Nome of Company-The____~i_ ~_ ~_ p__~ ~_ _______________ C4_.____ <br />incorporated in the~Stntc of______________ c~4'e.t7_~ctve.p _________ _ _________ <br />Principal office _~`~~_ 4'f^~_,_ _~vu~c~,~,__.. <br />w, <br />Cnpitnl stock ____ _ ~~~~~~_-____$hnres, nt ¢___~-t______ Per shnro. <br />If . ComD.ol. t _ _ _ _ _ <br />e" °nt ehl. Name P. 0. Addresses <br />pees: olbernbe <br />leas It bunk ~ ~_~t__Y`"'°~t_ _`_'4-e~ 5,~/1'~`'~^'~-d_~ <br />President ---r~li ~ 9~------~---- ---- ------- r- ----------- <br />Secretary ----~•-~1/~"°'~ -"= `^-------- °~j-~--- <br />'I~easurer _ ~/_~~_~3/_U^eE4_Ea~id!!L__ _______`_`_____ <br />of PnrtnerehiP-------------------------------------------------------------- <br />Partnsrs' Names P. 0. Address <br />Ir. arm I -------------------------------------------- <br />or pertoennlp, jIl <br />all out tM' ----`-----------------------------------.. <br />eryer otberwiee <br />leery It bleak <br />j binnnger _____ <br />Names of Otvnere <br />If ndtber ____________________________________________ <br />eompeN °°e <br />pertnrnbl . <br />mi ooe tbP. ------------------------------------------- <br />ep.ee <br />llnnngcr------------------------------ ---- <br />State names of claims: <br />P. 0. Addressee <br />--------------------------------- <br />--------------------------------- <br />--------------------------------- <br />--------------------------------- <br />Patented Unpntented <br />-------------------------------------------- ---------------------------------------------- <br />--------------------------------------------- ---------------------------------------------- <br />---------------------------------------------- -------------------------------------------- <br />Totnl nereage patented--------°'---------"-`-neres; unpatented--~y-~ ~ ---acres <br />Do you own or lease these claimsi______lY~le/?~~-.,--^-------°-----------"-------- <br />If you lease them give name of company or person Yrom whom leased-------------------------------- <br />-------------------------------------------------------------------------------------- <br />(Over) <br />i <br />~~e <br />