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1/12/2009 10:55:08 AM
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11/18/2007 12:15:28 PM
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em. <br /> <br />40i . <br />MINE REPORT <br />Note-Please fill out this report carefully, write plainly and answer all questions folly. Be sere to <br />date the report and sign it. Fi7I out both aides of the sheet. <br />-- ------- ---- ------------~ Colorado, ------- \\\~~-------------~ 19~s~- <br />RUREAU OF 11fINLS, STATI; OF COLORADO. <br />T. R. Henahen, Commissioner of Dlinea, <br />Denvor, Colorado. <br />Sir: In accordance with Section 4299, Revised Statutes, Colorado, 1908, I submit report as follows: <br />~Tnme of Company-Tho_S~neck+swY!~e_~`l_~____________________ <br />Incorporated in the State of__~~____________________________________________ <br />Principal office ~n.~ ~ R~-°~----------------aa---------------------.. <br />Capital stock ___~ Q-'st_-9_-9_...____Shares, at $__ ~ _ ~____ per aharo. <br />1f ~ Cam W, <br />all out tgi. Name P. O. Addresses <br />.p.ee• otherw4e <br />love It blink <br />President --------------------------------------- ----------------------------- <br />Secretnry --- -~'~-~~.ct-~"~~r------------- -- ~-~"le~=`-.~-- <br />Treasurer --- - ----- --- -- -------- ----------~--------a1---Q--~ <br />Title of Partnership-------------------------------------------------------------- <br />Partmr:a' Xnnurs P. 0. Address <br />------------------------------------------- --------------------------------- <br />e .arm <br />ar Dvtnenhlp, <br />Ell sat thl~ ___________.________________________________ _________________________________ <br />rp~ean othend~s <br />Irve tt bl~ok <br />________________ <br />I1innngcr------------------------------------ --------------------------------- <br />Nnmcs of Owners <br />P. O. Addresses <br />--------------------- <br />I<fnnager------------------------------------ --------------------------------- <br />State names of elaime: <br />o ~ pPatented pp ~~ tp~ ~~ Unpatented <br />If ocllher ----------- <br />wmpanr nor <br />~rtnm6lp. <br />Sll out 0. ____________________________________________ <br />~D•ro <br />---------------------------------------------- -------------------------------------- <br />--------------------------------------------- ------------------------------------- <br />Total acreage patented__~A_o~tr~~___--scree; anpatented---------------------------scree. <br />Do you own or lease these claimst______________ ---------"----"'-'--- <br />-------------------------- <br />If yon lease them give name of company or person from whom lesaed-------------------------------- <br />
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