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~ao~~~' ~ ~ 9-.~ <br />/a.~cc~~ <br />212 <br />MINE REPORT <br />Note-Plesee fill out this report carefully, write plainly and answer all gnestlons folly. Be sore to <br />date the report and sign it. Fill out oth aides of the sheet. <br />_~ ./ <br />- ~-- =~~~~=~,/---------+ Colorado, _J~~~' <br />-------- ~ -------+191_ <br />- ---------- - <br />BUREAU OF bIINES, STATE OF COLORADO. <br />T. R. liennhen, Commissioner of 1<Tines, <br />Denver, Colorado. <br />Sir: In accordaace with Section 4299, Rev' e~d Sit lutes, C/oloradryo, 1908, jI~ub7mit report as f/ollows: <br />Nome of Company-The~!'~_ `! C_~~ ~! _ ~(_~C /! _/lf.~LllLl r/ t-O <br />jj~~ / // -~- •- ----- L '--- <br />Incorporated in the State of___l.._G_~CI/_'GCGL~ ____ _ ______ <br />----- ------- <br />p,f -? ---- ------ <br />Principal ofHco _~~___GU.(lGGlcc fie!/l~__.__ (CCIJ_C~ __--- ~ <br />`~ t~ a <br />uecam r Capital stock ____~_nna.l'_~a____Shnrea, nt $___.~_-_ per share. <br />en oot e~i °. <br />.p.n; ote.t.w N¢ _ P. 0. Addr sea <br />Irne It Dluk ~ ~ /~/ G L ./~, <br />President --=----~_7~~/111~L--I--~/--------o.30~y/,/~~f~V'Llll~.~i_ <br />Sccretnr~~ ; ~~J~''f-C~Y~t~yi~ --- f+---------------- <br />Treasure ------------------------------- <br />------- ----------------------------- <br />hlTnnager --------------------------------------- ----------------------------- <br />of Partnership________________________ <br />Partnrrs' Nnmes <br />aee~ <br />or DermenhlD. <br />eu mrt tDl. <br />ryero; etherwW <br />bare it Dleck <br />If oellDer <br />rompecr cot <br />eiiwOei~u~: <br />rNn <br />-------------------------------------------- <br />------- ----------------------------------- <br />------------------------------------------- <br />~Tannger------------------------------------ <br />Names of Owners <br />_____________________________ <br />_____________________________ <br />,T°°nacr --------------------- <br />P. 0. Address <br />--------------------------------- <br />--------------------------------- <br />--------------------------------- <br />--------------------------------- <br />--------------------------------- <br />P. O. Addresses <br />--------------------------------- <br />_________________________________ <br />--------------------------------- <br />Unpatented <br />---------------------------------------------- <br />---------------------------------------------- <br />---------------------------------------------- <br />---------------------------------------------- <br />Totnl acreage patented______ ~~_r _- =--_-----acres; unpatented---------------------------acres <br />Do yon own ar lease these claimeT_ a`_'"~T_'~__ ------------------------------'------"- <br />If you lease them give namo of company or person Prom whom leased________________________________ <br />------------------------------------------------------------------------=--------------------- <br />(Over) <br /> <br />State nnmea of claims: <br />