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,~. _ _,r ~~ ~f~ <br />MINE REPORT ass <br /> <br /> <br />Note-Please fill oat this report caratnlly, write p7ainiy and answer all gnest{ona inlly. Be anro to <br />date the report and sign it. Fill oat both sides of the eheot. <br />`_'_~-~-,-~-~---------------- Colorado (~ /.~ <br />BUREAU OF ]MINES, STATE OF COLORADO. <br />T. R. lienalten, Commissioner of illines, <br />Deaver, Colorado. <br />Sir: In accordance with Seetion 4299, ReviaedStatntes, Colorado, 1908, I submi r~epo/rt~ae~followe: <br />rNnme oP Company-The- _ __-- .Q~J~~r~~-o <br />If . Com ur, <br />eu wt ter. <br />ryrre' awrnrlw <br />leer It nl.nk <br />If . enn <br />ar prrtnrnhlp, <br />en nm tm. <br />•D¢e; awer~W <br />lorr It blurt <br />If ndt6er <br />rom~.nr nW <br />n•nnrnhlp, <br />ell out w4 <br />mrtt <br />--- <br />Incorporated in the State, f_____ <br />----r--- ---- -- - ---, -- <br />Principal office ____ ~Q __L2~ ~-__/ r(~~ ~'~ <br />Capital stock ____!__ ~_____ Shares, nt $__.~~_ <br />_ per share. <br />President <br />Secretary <br />Treasurer <br />i<[anager <br />'Title of Partnership______________________________ ______ <br />---------------------- <br />Partners' Names P. 0. Address <br />----------------- --------------------------------- <br />------------------ --------------------------------- <br />Dlnnnger------------------------------------ <br />--------------------------------- <br />' ~ amcq of Owners <br />// . .= - _ - <br />.-lam/ _ FF ~-,- i <br />Stntc nnmce of claims: <br />Patented <br />~P. Addresses <br />---------------- <br />__________ FF____i_______________ <br /> <br />-------------------------------- <br />--------------------------- <br />Totnl acreage patented_________________________acree; unpatented_ __ ______ <br />/'~ ~a --~---------acres. <br />N.i-v`, . <br />Do yon owe or lease these claimeT______(,J <br />---------------------------------------------------- <br />IP you lease them give name of company or person from whom leaeed________________________ <br />(Over) <br />