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~_ <br />%-~ /9~~ <br />~-..) <br />hifi <br />hift <br />hift <br />.ift <br />lift <br />lift <br />lift <br />rift <br />lift <br />lift <br />lif--t~~.CC~~ <br />~_L4[.~. <br />` MINE RE ~ /~9 <br />r~RT <br />Note-Please fill ont this report carefully, write <br />date the report and sign it. gill ont both aides of theeh sand answer ~ 4neatioae folly. Be sore to <br />~~ ~ Colorado _~____~_____'_~___~___ <br />BUREAU OF bIINES, STATE OF COLORADO. ~ -------~ 19l`~ <br />T. R. lieaahen, Commiseioaer of 1lfiaes, <br />Denver, Colorado. <br />Sirt In accordance with Section 4299, RevisedStatntes, Colorado, 1908, I submit report sa follows: <br />Name of Company-The__~ _ <br />-- - <br />Incorporated in the Stateof_-- _ ~%^'~<~LR-~~---------- <br />-- --- -~w~~~-~-- <br />Principal ofNce _--,[~_,,. ~Z^"~!( ~ , -- -- ------ <br />-- ----- -- --- -- `~~-4-<~~ ---- - <br />----- ----- ---- ~-~C~~> <br />u , oem ,er, Capitol clock __ <br />au oet egi. ~- -'Vi'e------`--- Shares, at $-- _ ~ <br />N~~ -- -- Per share. <br />Inn It bl~intk ~ P. 0. Addressee <br />Prceident ~%__,- _ <br />--- ~~ fi_-~„-- /J~ _ <br />Secretary __ - ~ ~~~~--- ,!-~~?~rrr~rroP -- <br />- --- <br />Treneure .ice _ ~L'i ~ - _~~2 t_~'c-`~!__5~--- <br />1lfannger ~ --------------- <br />i <br />Title of Partnerehi ~' '~ <br />P~rtncrs' n 1es ! ~~------ <br />.Y7~ ~ ~ f~7 P. 0. Addre~ <br />-----1~---- <br />---'----t----= -- -_ <br />It . erm . ----- ` <br />-°----- <br />------------ <br />an out Nb i=-~____.-'/ <br />_______________ <br />lase It !4o)c -' ---- <br />___ ,Yana Cr ~_________________ T __________ <br />___ ~ ,~Natgcy of Owners `~ <br />-- -- -------_ <br />--- <br />he <br />~O ~wc~t <br />w 3 0 ~lvt <br />~~~/H~ <br />T <br />~I <br />tf odww ----------------------------------- <br />wnn~ h~l~v, -------- <br />GII oet t4L __________________________ <br />rp.a __________________ <br />---------- <br />6[anager ------------------------------------ <br />Stnte nnmea oP claims: <br />Patented <br />'-- - - -- <br />--t- -- - --- -- <br />o - ij ------ ------------- <br />------------- <br />__________________ <br />L~~~~.. ______ <br />// ~ /w i <br />~/~j- P. 0. Addresses <br />__________________ <br />l !~!f <br />\ :1 <br />I <br />--------------------------------- <br />Unpatented ~, <br />~.. <br />------- <br />_- it <br />--------------------------- <br />-------------------------- <br />otal acreago patented_________________________acrea; nnpatented_________________________-_aerea <br />Do yon own or lease these claimat________- <br />)t you lease them give aamo of compnay ar person from whom leased <br />----------------------- <br />(Over) <br />