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eom• <br />ft. <br />ft. <br />ft. <br />ft. <br />404 0 / <br />MINE REPORT ~~~ <br />Note-Please fill oat this report carefully, write plainly and answer sll questions folly. Be sore to <br />dale the report sad siga it. Fill oat both sides of the sheet. <br />C ~_ r <br />----~ST~wrU-r~~==------~ Colorado, -`~~--~-----------~ 19~ 1~-_ <br />iIURF.AU OF 11[INES, STATE OF COLORADO. <br />T. R. Hennllen, Commissioner of Dfines, <br />Denver, Colorado. <br />Sir: In accordance with Sectioa 4299, Revised Statutes, Colorado, 1908, I submit report as fo~llo/ws: <br />Nome of Company-The_C:.2[lr~~'y?!!'!?!~!~_--~ f~___€---f~~l~~`^~---~~-- <br />incorpornted in the State of______________________________________________________ <br />Principnl aBce ------------------------------------------------------------------ <br />Capital stock ___________________---_-.._--Shares, at ~____________ per shore. <br />i c°m~'°r' P. 0. Addresses <br />ell out t I. NIIIDC <br />~p¢e• othmrl.n <br />lerte It bLnk <br />of Partnerehip-------------------------------------------------------------- <br />Partnerx' Names P. 0. Address <br />~n (( <br />u .aim <br />or D.rtnmhlp. <br />DII out 161. <br />m.ee• othenrlN <br />levee it hLnk <br />It ne1Na <br />rnmpanr eppa~~t <br />ellnooti6thi. <br />~D.ro <br />President --------------------------------------- <br />Secretnry --------------------------------------- <br />'I'reasurcr -------------------------------------- <br />\fanager --------------------------------------- <br />:llnnnger------------------------------------ -------------------------------- <br />Names of Owners pp ~Pj O. Addresses <br />7 -, e _ s-------------- ~ ----~ - <br />---- <br />_ ,- <br />_ _ .~ _ __ ~YYLrG <br />V1/ --- '~9r---l~-~--- <br />-----:-- -- t <br />_________/_-__ J _- /_ /f}_____ <br />hlanagcr v~L(--~~-~-~~---`-~=~ • ---- ~~~c--~ _ut_UV __ `J'" ~ ---- <br />State names oP claims: <br />- ~ _ <br />- ------- <br />'----- // / c/ - / c- ~ <br />• ~ ~=C ~Lu v~Z _ ~I <br />~`_ __~ - `n~~~..~n~,,1~~~-~~_4-mil ~ ------=------r----------- - <br />---------- <br />~i ~nr _ /~~~~~•_--1 ~_~a.~-lam ------------------------ <br />- - -- ,- , <br />Total acreage patented_______~ ~ -------------scree; unpatented__~L-^-'~ =----------------acres. <br />Do-yon own or lease these claimst__-- -- --- - - - - ----------------------------------- <br />It yon lease them give name of company or person from whom ~ased-------------------------------- <br />___________E ___________________________________ <br />--------------------------------------------Over) `~~ <br />!~\ ~\\\V <br />\ W <br />