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,(v r ,_ _..., -, . _ , <br />`j0~.._.. - ....,_~ <br />403 <br />MINE REPORT <br />Note-Please f111 oat this report earefnlly, write plainly and answer all gnestions folly. Be sore to <br />date the report and sign it. Fill oat both sides of the sheet. <br />- ---------- - -------------+ Colorado, -----~!~ __, 191_ <br />BUREAII OF MINES, STATE OF COLORADO. <br />T. R. Henahen, Commissioner of Mines, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, Re/vJi~sedStatntes, Colorado, 1908,/I sabmit report ae follows: <br />Name of Company-The_~~1'=~~-- ~(~-~- -~-~-~-f <br />Incorporated in tke-~&a°te-oft=~:__~__<y----------------------- <br />Principal office -C~i~-tt.a~(- - -------------------------------.. <br />Capital stock 7_~aea~-~aL.lao~m+-=_ Sllnres,~tc~~ih~f/,! Per shore. <br />u . ooo, 6. <br />ell out tBi.°'' Name P. Addresses <br />.pace: otberwbe <br />Iran IC blank P-PBaid6St _OL~IJ`L~~ - • ~s~^•.•~~. _~w'°°""r_ <br />---- "-`- o~ ~.C.~...i <br />--- <br />Secretary -----~- -- ----------------- ----x--------~~ n <br />Treasarer -_ ------ ------------------ <br />----- ----- <br />---------~-y~~~ <br />Partners' Nnmas P. 0. Address <br />(Title of Partnership-------------------- --------------- -----------°---------- - <br />u . ereo <br />ar paRnenhlp, <br />ell oat t61~ <br />rpan; otber~ir <br />leva It bl~pk <br />if neither <br />mmpenr nor <br />partnen-I , <br />-------------------------------------------- --------------------------------- <br />____________________________________________ _________________________________ <br />bfanager------------------------------------ --------------------------------- <br />Names of Owners P. O. Addressee <br />-------------------------------------------- --------------------------------- <br />-------------------------------------------- --------------------------------- <br />y _________________________________ <br />eli out thL ____________________________________________ <br />rpaca _________________________. .. <br />Ianage[_______________________________. ____ _________________________________ <br />State names of claims: <br />~ Patented <br />-~.t.~..~/,t___~.~-may ---------------- <br />Unpntented <br />-------------------------------------- <br />----------------------------- - <br />____acres; nnpatented--------- - ------------acres. <br />Total acreage patented___~la-~-~-=------- <br />Do you own or lease these claimst____ <br />If you lease them give namo of company or Person from whom leased___-_--~--------------------- <br />(Over) <br />-c- <br />