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1/12/2009 10:55:08 AM
Creation date
11/18/2007 12:15:28 PM
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I ~ <br />~~' ' <br />- I i O ~„~ <br />~f <br />eem-~ MINE REPORT' 4°~ ~` ~tij' <br />~'j' <br />Note-Please fill oat tbia report aarefnlly, write pL3inly and answer all gnestioas folly. Be sere to <br />date the report and sign it. Fill ony both alder of the sheet. <br />---- <br />---- <br />/ o~ rw~ ------- -- - -- -----~ Colorado, ~°~!--~G---------~ 19L_!~ <br />BUREAU OF hIINES, STATE OF COLORADO. <br />.___ T. R. )3enahen, Commissioner of bfines, <br />Deaver, Colorado. <br />--- ' <br />Sir: In accordance with Section 4299, Revised Statutes, Colorado, 1908, I submiE report ae follows: , <br />--- Name of Company-The_!!3~±~~J-~=~-'-~`"~'-'---_-= -------------- <br />4 <br />--' Incorporated in the State of__ ~"~~t~`--------------------------------- <br />--- Principal office ~~t~ Ae..l -~~~ - =~~-~-- <br />_ 00 <br />Capital stock t~_QrJ_QQ __________.-_-- Shares, nt $_l_=_______ per share. <br />u . com w. <br />ea oue eBr /,j ~/N//aJme ~~ P. 0. Addres/Jaea~.,, ~j/,. <br />lft. Ir~ia ll butl~ol[~ /~// V_._ ///. ~_-_ ~~(i!/ C~Cy /v '-^F' <br />President /_~_4/p_/~Dr_ /~C.~r_of~ ------- <br />ift. 1: ~GLlh~`~ G.G_ ~~~'1_./1,c,A.•~ <br />Secretary ~~"---'------- ---------------t~------------ <br />ift. ul <br />Treasarer~l~~------ --- -- - --------- ----------------------------- <br />ft. 1ltanager /_-4-- - - --- - --- --- --- ------------L U <br />Title of Partnership-------------------------------------------------------------- <br />Partners' Names P. 0. Address <br />if . 0em <br />a. wtto.,.mw <br />011 oat lbl~ <br />ry.rolt bIW[w <br /> <br />_________________________1___._______________ _________________-______________. <br />~{anager____________________________________ _________________________________ <br />• Names of Owners P. O. Addresses <br />------------------------------------------- --------------------------------- <br />-------------------------------------------- --------------------------------- <br />--------------------------------- <br />---------------------- <br />If oelther ---------------------- <br />mmp~ol oor <br />ptrtoanNpp. _____ ____________________ _________________________________ <br />011 oat tIW _________________ <br />.ptn <br />Slanagar------------------------------° ---- ---------------------------°--- <br />St to names of claims: <br />LTnpatented <br />• atented <br />~~ • <br />c~0~t'!d!~?;zigr/Q~~sy2-`kort'aX~~~~a~~,~fl/Y~orTkorrt~---~i _`~~)nn_ ~3Zrtix~ <br />~~~ICZ?s~ ~S1.sc~~11~2~~~'Y~y--`,r~I__________________l______~l/_~~~~-______ <br />f~El~Z~~~Q72j~Y~Z~Z¢Lro.C_~Sr_~6_idLa~n=--------------t --------------- <br />TT yy y- y 7 •~ -jJ--------- <br />i~.~v~ct_4L~.._--- r~~~i'I1jiIX.-,-~7t~7i~0?Z_~GLL_Glf+Y------------------------ <br />~ ~ `~~ ~-ryi~~ __ ____________________ <br />_~. <br />X-io ~ 8320 2.. /Nr t Z e 8 oz. -------------acres. <br />Total n sage patented_____(~ ~-0 ~f----------acres; unpatented__________.'~_ <br />Do yon own or lease these claimsT___~~`-"~ -------------'---'-"---"" <br />If you lease them give name o4 company or person from whom leaead____________ <br />------------------------------------------------------------- <br />(Over) <br />
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