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t- <br />` V r <br />38~. <br />MINE REPORT <br />Note-Please fill out this report cazefnlly, write plainly and answer all gneationa folly. Be sore to <br />date the report and sign it. nt both aides of the sheet. <br />---------------------------------~ Colorado --- rj 19 '~ <br />BUREAII OF MINES, STATE OF COLORADO. ~•^"- <br />T. R. IIenahen, Commissioner of Mines, ~; ,G ~ ~~,~ ~C <br />Deaver, Colorado. ~`~ i~~ati. <br />Sir: In accordance with Section 4299, vised Statutes, Colorado, 1908, I sabmit report as follow <br />Name of Company-Tha-~S-~--~--~-- ----- ------ ------ - <br />~I t d' th St t f l ~0~.-~-Cnt <br />u. <br />EII oat la <br />rwra: otberwlw <br />Inre ft black <br />If .arm <br />ar wnamblp <br />EII cot thb <br />rpate; orhmrlaa <br />lens IL bhmk <br />u neithrr <br />compaor oW <br />wnornhly, <br />all out V <br />ry~tt <br />Secretary <br />Trcasarer <br />lfanager <br />ncorpora a ~n a n e e ______________ <br />Principal office --~ ~--~ ---~ ~- ---~--- -- ---------------- <br />Capital stock ~__~D_fI__Q_Q__Q______ Shares, at $__l ~___ per share. <br />- P. O. Addressee <br />President /^(/_- yA <br />_ ---__ _- ___ ~`_"_8_ <br />Title oP Partnership__________________________ <br />Partners' ATnmes <br />-------------------------------------------- <br />-------------------------------------------- <br />____________________________________________ <br />____________________________________________ <br />1lfannger------------------------------------ <br />Names of Owners <br />--------------------------- <br />lAfanager_ ____ <br />State names of claims: <br />- ------------ ~t--------ti----- <br />--------------------------------- <br />P. 0. Address <br />P. 0. Addresses <br />------------ --------------------------------- <br />------------ --------------------------------- <br />------------ --------------------------------- <br />____________ _________________________________ <br />Unpatented <br />-~j-- <br />Total acreage patented_____~d_______________ aac~res~nnpate/n~d____l_~_11_____________ acres. <br />Do yon owe ewtbeee these claimsT-------------.,,/--`--_~..__=~ .ter -~ -'-' =-------------------- <br />If you ]suss them give name of company or person from whom leased________________________________ <br />---------------------------------------------------------------------------------------------- <br />(Over) <br />