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m~~xss~ <br />m~~ <br />MINE REPORT ~ 301 <br />Note-Pleaeo fill oat this report carefully, wri pre ]aialy atad aaawar, all gneatlona folly, Be sore to <br />date the report and sign it. Fill oat both aides of the sheet. <br />~, ~ __~ ~/ <br />BUREAU OF MINES, STATE OF COLORADO. ~ ~-- ~~~ 191- / <br />T. R. Heaahen, Commissioner of Mines, <br />Deaver, Colorado. <br />Sir: In accordance with Section 4299, (g//~`^,_aedStatates, Colorado, 1908, I submit report u follows: <br />Name of Company-The__[~/ <br />----------- ------- co ~/)-9.w~~ <br />--------------N - <br />lncorporated in the State oY__-- Gk-ti==Z ----------- <br />--------------------------------------- <br />Principal office -------------------------------------- <br />----------------- <br />Ir.c,,,, spiral stock ______ <br />mle,ttl~' __ <br />--------------------- Shares, nt $ . __ <br />•~'••~ ea~» Nnme - Per share. <br />Iov It bleak <br />P. O. Addressee <br />President _________ <br />-------------------------- <br />---- ---------------------- <br />ecretary _______ <br />------- <br />------------------------ <br />------ -------- <br />--------------------- <br />eaenrer -------------------------------------- <br />----------------------------- <br />Maanger --------------------------------------- <br />----------------------------- <br />Ir . et,n <br />en o i iel~. 10. <br />epees; otherwlr <br />lure It bleak <br />Ir oeltber <br />mrtry e1oyyo~t <br />SII out tkL <br />•Ded <br />_________________________ <br />___________________ <br />fnangcr _______ <br />------ --------------------------------- <br />~'1'Itle of Partnerehip__________ <br />--------------------------------- <br />---_._------ Par'tners' J$mes ------------------- <br />P. 0. Address <br />------- --------------------------------- <br />________________________________ <br />_______ _________________________________ <br />r Na ea of <br />---__ era <br />/ t, ------------ <br />--5-------- <br />State names oP claims: <br />Patented Unpateateo <br />Le <br />-- --------- ---------------------------------------------- <br />------ ---------------------------------------------- <br />- ------- ---------------------------------------------- <br />---------------------------------------------- P <br />-- --------- <br />- ----- <br />oral acreage patented_________________________acrea• un ntented_____.~__ <br />`~ ------- 6 ______acrea <br />Do you own or lease these claimet________ <br />-------------------------- <br />If you lease them give soma of company or person from whom leased_______ <br />------------------------------------------------------- <br />(Over) <br />1~1~ <br />it 1} <br />it n <br />P. 0. Addresses <br />