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<br /> ', y \ <br />m ~ ~ <br />MINE REPORT <br />; <br /> , <br />Note-Please 8ll oat this report carefully, write plainly and answer all gneationa folly. Be sore to ~' JJ <br />_ date the report and sign it. Fill oat both sides of the sheet. ~ ,; i <br />., <br /> <br />._ <br /> <br />._ 1 <br />~. <br />~ ; <br />/ / ~' <br />_________!~~Sc~-5_/_~J_____, COIOradO, _~&~~_~____l~ _~____, 19_I ~~~ i <br /> BUREAII OF MINES, STATE OF COLORADO. <br />I <br />- T. R. 13enahen, Commissioner oP 11linea, <br />' <br />~, <br />- Denver, Co]orado. ! .:1. <br /> . JI <br />Sir: In accordance with P ec~ on 4299 ~ d Stn <br />tea Colorado <br />1908 <br />I enbmit report as f~ s c I' <br />' ~ <br />~ <br />~ <br /> J I ` <br />' <br />Name of Com an -The <br />I <br />~ <br /> <br />_ - <br />- <br />- <br />' <br />_ <br />I <br />p ~ ~-~LL- ~-rn_a `I~i ~ ~ 7'Y <br />Incor orated in the State of__________________~T ___ ~,+~ <br /> Prlnm al o81ce s' <br />' u . ComW Capital stock ---------------------------Shares, at $------____-- Per share. ~ ! '. ~,'~ <br />thl <br /> J• U• Addresa~es ~ <br />:y:te `nN <br />~nW ~`/ Namervt~e~,u- <br />lava It b4nk Y ~ -,•-X11--~ JI <br />P <br />id <br />t <br />1 ~- <br />Ii <br />~~ <br />. _ <br />res <br />en <br />I ~ <br />~------- --- <br />-- <br />l <br /> , <br />Secretary --- - - --- - ------------------- ----%L-3-•~ - _ o-*-s-+.t-a-.e2-o /^r_t/ l <br />P------------- ~ ~;~ <br /> ,. <br />Treasurer % _ _ ---- _ --_--- ~ <br /> <br />i <br />------- ------ ----------------------------- <br />' <br /> I i <br />bfanager '- ------------------------------------- <br />• I~ <br />,, <br />Title a4 Partnership--------------------------------------------------- <br />- ---------- <br />~ ; <br /> ' <br />I <br />Partners' Names P. 0. Address ~ 1 <br />i <br /> ----'--------------------------------------- --------------------------------- ~ ~~i <br />,.If <br />-------------------------------------------- --------------------------------- <br /> ! !.:~I <br />u.ets <br />-------'--- l <br />l <br /> <br />i <br />ap~n; othvwlw <br />Iane It bIW[ 1 ~ ~ <br />__________________ <br />e naleher <br />rnmP~N not <br />annanhlp, <br />SII out n <br />aPUr <br />~~ <br />________________________________ <br />________________________________ <br />Sfanager________________________ <br />Names of Owners <br />------------------------------ <br />______________________________ <br />_______ _________________________________ <br />P. O. Addresses <br />b[nna¢er------------------------------° ---- <br />Unpatented <br /> <br />Total acreage patented________________~.j_~____~_~_a~crea; nnpatented____________________. <br />Do yon own or lease these alaimai_____S~!=1~+{~L-------------------------------- <br />If you lease them give name of company or person from whom leased_____________________ <br />----------------------------------------------------------------------------------- <br />_____aeres. <br />(Over) <br />State names oP claims: <br />