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~.od <br />MINE REPORT <br />Nate-Please 8ll out this report carefully, write plainly and answer all gnestiona folly. Be aura to <br />date the report and sign it. Fill out both sides of the sheet. <br />--~tz.¢r~C-- -------. Colorado G~ <br />-- . ---~--~---------• 19L~ <br />BUREAU OF hIINE5, STATE OF COL ADO. <br />T. R. Fiennhen, Commissioner of Dlines, <br />Denver, Colorado. <br />Sir: In accordnnco with Section 4299, R^^evised S~tatute~~s, ppColorado, 1908, I submit report ne follo~va: <br />Nome of Company-The---~„//~~CG~fTGAA___,~!2 _____-~-~-`~- <br />Incorporated in the Stgte oP_______'~~_u.~R1~~ _ `J --=~?,~~~~C' / <br />---- ----------------------------- <br />Princi nl office --~--~"-~~-[.'C_ta,: -=---==~ ---- ..t_~ .f~Ct-S--=~---'----- <br />Cn ttal stack __ ~ ~ ~~ C O _ Shares, at . <br />u.Conpt.r. p -- r---------------- ~--1~--- ~- Per share. <br />au one thl. Nome P. 0. Addresses <br />.p.at: otb.t.l.. ~- ~ <br />Ime It Olank ~ <br />President __ ~-/f2Z~/~<G0__~L7.U?lcl1:.~ L ~!Ll/t~~~-t/r!_~t/~'f/~_~:~3!_____________ <br />SecretnrY -~•_~I__~lLrt6_~~~___~rE!Lt.~.~¢i: .__!U_~-_1_R/-------------- <br />Trenaurer ___ • ' " ' <br />~Innn er ~~~ ~~ A <br />g -- - .rr -- -1~1~--~ ___-~===-~1-~°--~-- <br />Title oP PnrtnerehiP-------------- ------------------------------- --------------- <br />Partnrrs' Names P. 0. Address <br />-------------------------------------------- <br />It• Nm --------------------- <br />------------ <br />or D.rtnen6lp <br />Gll out t6l. ____________________________________________ <br />.put: otbotrrLr _________________________________ <br />le..e It bluk <br />1lnnagcr------------------------------------ ----------------------- <br />--- r Names of Oivnera P. 0. Addresses <br />-------------------------------------------- -------------------------------- <br />Ytiz~ <br />_________________________________ <br />It otither ____________________________________________ <br />-- romD.nr vor <br />p.rtnenbl <br />_ ~Il out _________________________________ <br />-- •o•ro <br />~1lnnnger------------------------------~---- --------------------------------- <br />State names oP clnime: `~ <br />Patented ~/lJnpntcnteti <br />the ._~t'1~:%L~/..~~~~~-U1~~271t~L'--- --Sv ~°v:'=~--llGf~~i/-l`-`F~.OS'-`'-- <br />~, ~ ti . <br />--- ~~t=-~-~ G~~-- ---------------------------------------------- <br />- , - ,~ <br />.__ <br />__ ___________________________________ <br />'[otnl ncrenge. patented___ r _~_~____--____--scree; unpntented_______~ ~_______--_-.---acres. <br />~y Do yon own or lease theao claimet___~-~-----------------------------------------------'--' <br />,__ I4 you ]ease them give name of company or person Yrom vvhorn lensed________________________________ <br />----------------------------------------------------- <br />-- (Over) <br />r,' <br />(1 <br />'+A <br />~1 <br />I1f <br />I <br />I' <br /> <br /> <br />