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m. <br /> <br />11 t~ <br />~; , <br />~~ <br />MINE REPORT <br />Note-Please fill out this report carefully, writs plainly and BnsR,e~, all gneaUoas fully. Be sure to , <br />date the report and sign it. Fill out both sides of the sheet. <br />--" ~?_~-'--___, Colorado, _ ___ ______ lg f~ <br />----°- <br />BUREAU OF bIINES, STATE OF COLORADO. ~ <br />T. R. Hennhen, Commissioner of 11Iines, <br />Denvor, Colorado. <br />Sir: 'In accordance with Section 4299, RevisedStatntes, Colorado, 1908, I submit report as follows: <br />Name of Company-The__ _____ ~ ' <br />------- ------------ - <br />- ---- --------- -- <br />Incorporated in the State f_______________ <br />-------------- <br />------------------------- <br />Principal office _______ ° ~ ~.---r--r ~~ _ <br />-----------------s-------------------- <br />----- <br />rr ~ rAn Capital stock _f _.~ Q D o_ O as ~~ <br />t - - --------Shares, at .$--~-- _-- Per share. <br />en we ~' <br />rD•ee: othenrly. Namo ~ -- P~~~~eae <br />lo.e it m.ok r ~~--yy <br />President _~•_l.__~1___ <br />- ---- ---- ---------- <br />- --------------------- <br />Secretary _ _ - ---__--,- <br />__4___________________ ____________ ~~____________-_ <br />Treasurer __ _ ~~ _ <br />--- <br />7--p------------ <br />11lnnnger ----=- -_ i:L~-a.d/ ~~ DOT_>~-K:cy. ,C.11i~-Q. <br />oP Partnership__________ <br />--------------------------------- <br />------------------- <br />Partncrs' Arnmes P. 0. Address <br />If . Crm <br />or D.rtvmhlp <br />EII out thl. <br />rDae~ a[hmrlvv <br />r..a is hrwt <br />If vdthn <br />mmp.n) twr <br />D.rtnenhlp, <br />Git ou[ 4, <br />•D~tt <br />----------------- <br />------------------- <br />Sfnnagcr------------------------------------ <br />---------------------------------- <br />r Names of Owners <br />-------------------------------------------- <br />)[aanger------------------------------------ <br />P. 0. Addresses <br />----------------- <br />t <br />______________________ <br />State names of claims: <br />~.r<,.,.t~,a. V~.t, Q ----- - -- --~---~ 9 <br />r v '.- lL ~o n '' i I, <br />------- <br />Total acreage pateated_______ ~.,, <br />pn sate __ ____.~.P~e~~~& <br />------------------acres; u -------- trr <br />Y <br />Do ou own or lease these claimst____---- --------------------------------------------- ~'t <br />~' <br />IIyou lease them give name of company or person from whom leased_____________________ f ;','t <br />1,1~~i. <br />_l~'. <br />~: <br />1, ~. <br />r <br />f ;I~t <br />...p <br />~ 11 <br />~~ <br />;j!;~ i <br />I i'I' <br />it I <br />II N.i <br />if i l <br />~.t <br />i; <br />i~ <br />I' I ~ ` <br />I` I <br />~ ,t r lti <br />1 ~t <br />E; I`(~~ ~ <br />'j' 1 ~; <br />I. <br />'; .111 <br />4I <br />I' i <br />i ~''1II <br />I .iI <br />ILA <br />I~ .~i <br />.~ ' <br />'°` Unpatented I ~ ii' <br />---- ----------- <br />-- lno s'~v&a / , , Y--o 7 ~ir~.-2 ~ k <br />I~ ___~;7__rr__~_~__i______________~__,_',_a_ <br /> <br />- ------------- <br />(Over) <br />------------------- ~;1~!I~ 7 <br />