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_. - ., 206:
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<br />_ 6udad. ~+Y UK Gene*a1 Assembly of llu Stan of Coburapdea Approved ;April 10,.1903.., :. , : . , - ::"1 :•
<br />Sacrto~ ~• ~atwo oyr m arme~n~°iaall~report to the Eurean of Mfaee an~ to wlieo iwork lac mm aced -
<br />plant and emplopin~d mines working conttanomly shall report on or before November l o[ each year, together - - ~ ~ ' ,
<br />.. and when stopped, .
<br />- with the names of the owners and maoagera opre lessee In charge of aald work, to ether with the poetotitce
<br />address; the name of the claim or claims W be oPedtrect~ybtbe same helve claeelHed nw miners itrammen, Umr ~ - - -
<br />mfllmen teamsters, etc. The necessaryry blanks to carry oat the provlaloas of this section
<br />b~etrmea, ore maeeortere, en employed, directly or a B
<br />shall be tnmlahed upon appllcatloa by the Cammlesloner of 3Ilnes tlo o ratio
<br />- gacno:t 28.- Any owner; agent, manager or lessee whether indivldnel, partpaenhlp or mrpoca a, pe B
<br />formtbmorielther o is°7 ~eraote hall be deelmped gailty of a mledemeano[ e d whie° oothotbeepwl eapro(vlded, shall :;., , ,
<br />b~habpple~welon not compiled with, and ea bvdayoafter (rnnvictlion o[tsflnre to romply with soy provleio~a h~eieot,
<br />shall be deemed a separate o8ensa and panlehed accordingly.
<br />1~I1~IE REPORT.
<br />N e~ eldm MMe~tea to oennar er anew , ~ , ,
<br />wehtWnYey~jeellerMde inn Ana onset.
<br />BUREAU OP MINES. STATE OP COLORADO.
<br />E: L WHITE. CortunTltlotta of Nines
<br />Denver. Colo.
<br />Eta: In accordance with the above section, I submit report ae tol~ we?~___
<br />Nameotclaim or cla{me_____ - ---- ----- `.~
<br />_ -
<br />---•----•--I------•-•-•------
<br />Location_._.--_ -•--------
<br />_Connty-- - ------- •-•-•------
<br />Miaiag District-------------•-----------------
<br />------
<br />Owaer or owners and addreea__._____________________
<br />Nurse of CompsnY•--------•--•-----------•--iirl.con.o..nv.i-----•-•-•----••----•-•-•
<br />_____ehares,at S---------------•-•--por chars.
<br />Capital clock--•--'-----••--••--'•-'-----'_'•_
<br />__Preeident --•-•----^
<br />~. ...
<br />- --
<br />Iraatl to ..........................................................•_ ..
<br />Worh in charge ot_____________________ --••---'•
<br />b property worked cootinoond~l-- - --- -- -- - --- • • "" ' • -
<br />_••_-••_..._•_100_..
<br />.._•
<br />Coruweaced work .....................•-••
<br />.ISNI-.-
<br />-•---•-
<br />8topl.~l work ........................................
<br />>i~l gMpLpYID.
<br />„Farrtorea. _•___.tur....bonrabJJt.
<br />a. wnorea. F.n acen, -
<br />._..]JaebineUrtllmsn,=._...for..._twnrabitt. ---• tur....Jtoarahltt.
<br />_.PDtA tla,• _•_...
<br />....3lsebinollalpen, i•••••Jm••--1'0orebltt. -- ~ .:•_•-_tur....Jwarablft.
<br />.__.Flroman,
<br />....Sheen, _.....lor....hoarahitt. Iilaekemttba, f_-•-•tur....boarabih.
<br />__..Timhrrraert, . f•---•tm••-•1i0Orsbllt ---• . a•-••,tur....hoorebltt.
<br />_ _..Teamaten, -
<br />._._Tnmtaen, , f•....Wr•••-bOOrabltt. . _•_.••t„r•••-Iworabllt.
<br />Jtonrahllt. _...Foroeaaar
<br />...-OroAaeorten, • f•--••~•^• •,tlo riatradent, • i..••,tor..._hoarabltt.
<br />... _ToPmeo, .:.....ta•.• •~r shift, ~ • ~ .:..... tar....boar abi/t.
<br />• . _,....lo-....hoar ablJt. _...OtAa 6a1ps _
<br />.•..1~~~, ... .....tor..._boarabllt.
<br />a
<br />• . f,....lor.._.boarahJlt. _._.Yl
<br />_...Awlen, ..,_ _•,...tor....boerahltt.
<br />ahlh. .... .....'. _
<br />............._.,,...f.....for..•.bosr
<br />aQ'6+ pW~d kr flea Tau 190...r . .................................
<br />•r aaaabr of rteeat sea
<br />r e+aa t
<br />
<br />n.
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