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<br />~~ ~~ ~ MINE °~"'~' ~~`~ sQ
<br />REPORT
<br />Note-Please fill oat this report carefully, write Plainly and answer all gneetione folly, Be sere to
<br />date the report and sign it. Fill out both sides of the sheet.
<br />,~o ~drac~l ~~lrv,.t~ __, coleraao,c.~~r~y__ J -
<br />P____---- - ------------~ ls_[~
<br />BUREAU OF bIINES, STATE OF COLORADO.
<br />T. R. Ifenahen, Commissioner of 1•lines,
<br />Denver, Colorado.
<br />Sir: In accordance with Sectioa 4299, Revieed Statutes, Colorado, 1908, I submit report as follows:
<br />(Name of Company-The~1f_ ~ p- ~ ~,~~~,
<br />- ..i----- - --------
<br />I! ~ Com
<br />en out e>r tr:°r'
<br />ptm; aNenrW
<br />i..a It hl.,,t
<br />Incorporated in the State of__IG~~wZ/ei.cly~_
<br />Principal ofSce .~=__!~_!%ra~Gd _ ./~`y-r-,~„
<br />-/1---- --~ ----- •-------
<br />Cnpitnl stack ~_Q_O_uQ ~ _____ ______ __ Shares, at $__~ _~_°_--
<br />i o o~p s ~ r~ /acaz.~ ---- per share.
<br />~J~ 7~1V /~Qe ~_~ P. 0. Ad eases
<br />President _.1~__,1-~ ~~~„~y~p-=-----------
<br />- ---
<br />------- -~~L[~ '-~
<br />Secretary ------ --~_c~s~.~-------------- ~'Y
<br />-------
<br />Treasurer __ _!!__ ~I
<br />--------------
<br />--- --c ------------ -------- ---------'----------
<br />Slannger _ __ _~_ p~~~~C
<br />Citle of Partnership_______________________
<br />-----------------
<br />----------------------
<br />Partncrs' Vnmes P. 0. Address
<br />II . etm
<br />ar Wrtnmblp,
<br />E11 out tbl~
<br />tp.re: othet>.W
<br />leve It Dl~nk
<br />-----------------
<br />Ifanngcr---------------------------------
<br />Nnmea of Owners
<br />If udthn
<br />romlun) pq
<br />p~rtnenhlp.
<br />ell out tub
<br />~P~tY
<br />Stntc nnmea of claims:
<br />~j~~,./~ Patented ~j
<br />v~~~~ ~-------------------. -
<br />P. O. Addresses
<br />
<br />---------------------------------------------
<br />--------------
<br />otnl acreage patented__ _______ _____acrea; unpatented______~Q
<br />--------- ----------------scree
<br />Do yon own or lease these claimat_1~-?~~.1__
<br />'---
<br />you ]ease them give name oP company or person Prom whom leeaed______________
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<br />-------------
<br />(Over)
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