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Last modified
1/12/2009 10:25:36 AM
Creation date
11/18/2007 12:14:40 PM
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Mine Books
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San Miguel
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im- <br />' 362 <br />MINE REPORT <br />Nota-Please fill oat this report oarefally, wrI pte latalp and answer aII gnestfons folly. Be sore to <br />date the report and sign it. Flli oat both aides of the sheet. <br />,..- . ~ , <br />---'----~ ~ =-~ _. '_ --,-.0,------+ Colorado, _ J~ --- ~"-- <br />---'-= v----- ~---------+19~~ <br />BUREAU OF EfINES, STATE OF COLORADO. <br />T. R. Iiennhca, Commissioner of illines, <br />Deaver, Colorado. <br />Sir: In accordance with Section 4299, RevisedQ/Statntea, Colorado, 1908, I submit report as follows: <br />Name oP Company-The_~~Q ~J-/_t~.n. n'~t,~.,.,-. ~rrh, ,t,~ t---- <br />------- - --- <br />--- --------- <br />> // - <br />Incorpornted in the State of____~~e4'_?'~ ~t!'________ _ - - _ - <br />------ <br />Principal o6ice ____T C~1t-_a.~c ,(S.~ v ~u> .••=~~ <br />s ~ ~~pae7 Capitol stock _____L_Q=D.~? _¢ a ______ Shares, nt $_ ~_-L _____ per share. <br />EII out tbl. <br />,D.tt: umn.w Nome <br />L... le hl.nt ~ i---n P. 0. Addresses <br />NZ~Pre~ident__~~~_~~__. ___c- T.fQc.z~de CSC'. <br />---------- <br />a~ <br />SecretnrY -+C~s~t..,.~1_.E~-~.~~_---_-_-------- --Ts.E'E'c~ssic-----~'•~irs_~~ <br />~- p <br />Treasurer ~ ~ z.__ ~ ~ ! c~- <br />-~__ ______________ _________L_____________!C____ <br />~~ //~~ ___ <br />1I8n8 <br />ger ---'a'1i4_~ _~ __ h ~_ ~- <br />of Partnership---------------------------- <br />Partncrs' Names <br />Ir . erm <br />er D.+tvmhlp, <br />EII oul lhl. <br />+D.tt: otherdw <br />Ieue It hl.vk <br />__ <br /> <br />---nnge3ftr r------------------------------------ --------------------------------• <br />------------------------ <br />Nnmea of Owners P. O. Addresses <br />If velthn <br />mmp.n7 vor <br />n.nnmdlP, <br />ell out D <br />•P.tt <br />_ - _~_ <br />_ _ __ <br />--------------------------------- <br />Sttlte names of claims: <br />Patented Unpntented <br />---------------- <br />------------------------------ P <br />------- <br />Total acreage patented____it~c~..,..______ _acrea• un ateated______ ~~rs, ~____________acres. <br />----- <br />Do you own or lease these claimaT_____________/__ <br />----------------------------------------------- <br />If you ]ease them give name of company or person from whom leased_~ _______________ <br />--------------------------------------------------------------------------------- <br />(Over) <br />
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