MINEBK00688

• County: San Miguel
• Document: Manager
• Suffix: A

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- ~ MINE REPORT ssZ
Note-Please fill out this report carefully, write plainly and answer all gneatlona tally, Be ante to
date the report and sign it. Fill oat both aides of the sheet.
-'-~ /~ --------- --- ~'--, Colorado, _[~ _ /019!__
BUREAU OF MINES, STATE OF COLORADO.
T. R. lienahen, Commissioner of llfinea,
Denver, Colorado.
Sir: In accordance with Section 4299, Revised Statutes, Colorado, 1908, I submit report as follows:
Name of Compaay-The_
-- - -- -- -------
Incorporated in the State of____
--- - ------- ------ --
Principal office ---------------------------____--
--- ------------------
u ~ comg.or, Capital stock _ ___________ __ Sllarea, at $___
------------ per share.
en sae t ~ ----- --
•wa•• ueban.W Name( P. O~i idrea
love It blaEk - ]~ - _- - -- ~~~j/~ _
Presiden //{/11-
Secretary ---- - ----------- - --. -
---------- - - -
--- -- -
Treasurer ____________________
------------ --------------
---------------
Manager --------------------------------
If . Gm
en wt m0.
ryve; atbanrlw
Irve It blank
'Title of Partnership------------------------------------
Partners' Names
11 ---------y-~-
~~~--~z~a~~~~z
-------_~~: -------t-
P, 0. Address

'~._
Names of Owners 7 ~' 0 e s "
i
----------------- -------------------/!r
-------------------
If OeltbM ___________________________________________.
mmpao7 nor ________________________________
pattnMhl ,
Ell out tiW ____________________________________________
,~,ty _________________________________
____________ ________________________________
bfanagar------------°----------------------
---------------------------------
Shttc names of claims:
Patented Unpatcnted
Total acreage patented_________________________acres; unpatented___________________________acrea
Do yon own or lease these claimat___________________________
if you lease them give name of company or person from whom leased_ ____ ________ ____ ___________
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(Over)
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