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g oom- ~/ / /1~-C/LLC sU~t / O/~ <br />MINE REPORT ~s <br />ndo._ Note-Please 8ll out this report carefully, wr] pte la{nlY snd answer all gaeatioae folly. He sore to <br />._____ date the report and sign it. Fill oat both sldea of the sheet. <br />i. <br />----- ~~ <br />~:c.. --°---~' =lul'~/-----------• Colorado ~__l_'Q_.~_i_-_L_4U___~_._U .~ <br />'----- _ <br />` ~ BUREAU OF iVIINES, STATE OF COLORADO. ~ --- ---. 191_4 <br />~--- j." T. R. Henahea, Commissioner oP Efiaes, <br />----- Deaver, Colorado. <br />Sir: Ia accordance with Section 4299, Revised Statutes, Colorado, 1908, I submit report as follows: <br />I_sj,lver. <br />____ Name of Company-The(_ ~_[~~yy/~f~ -G~ ~1~~ _ ~ `~ <br />G <br />Incorporated in the State of__: _ -~~--- <br />~a_a_R _Q~-------------------- <br />Prinoi nl ofHco _ _ _ ------'-~-•- ------ <br />------------- <br />+hift. aaCOm Capitol stock ____f_~oo_oao ~~ <br />eu o!t I~i!°J• -------_-___ Shares, at $__f_-__ <br />N e __ per share. <br />Ihift. ~!°:: ie e° ~ F ~ , , P. p. Addrease <br />shift. President ~`='_•__~(,_LL~IG~cJ ~3C~ ~ ,~--77 /(/ / <br />shift. Secretary/~~ _i~_._7X.~~,(~~~~ju, - <br />hift, TreasureY _ -= -J'--------------- --------=-----------='------- <br />--- - -------=----------------==--- <br />hift. rc?f!~_ <br />.r~_1/QuJ~------- ~-- <br />------- ___ iLi ~ ,, <br />~+ t. __ <br />---------------------- <br />hilt. Title of Pnrtaership_________________________________ <br />h+ft. <br />Parficrs' Names --------------''-- <br />-------- <br />P. O. Address <br />lift. ---------------------------- <br />---------------- <br />--------------------------------- <br />lift. a .ere. -------------------------------------------- <br />!r pneenElR _______________________ <br />en !et IeL ---------- <br />--- Lm`ii bLnk~ <br />--- ------------------------------------- <br />------------- <br />:.L. ------------------------ <br />--------------------------- <br />--- Sfaaager ---------------- <br />Names oP Owners <br />If ee1Nlr <br />mmWW pmp,t <br />SI" ~ut~tN! <br />rp.h <br />State aamea oP claims; <br />Patented , <br />LCLLt _~ . Z~-1_11_•~c~.r:i _~~!'v?E( __)~~lli_ <br />~/ ,C" v ^'/ .~ 3, <br />~eZ~~~-_~' ~= rr t [ _ C ~-1'GfS[CF+IC(CJ _ e/ /l'!![ - <br />P. O. Addresses <br />Unpatenten <br />'r! <br />------ <br />86 --------------------------- <br />Tote acreage patented______9G• <br />~------ ----------- Gres; unpatented___L___-- <br />Do you own or lease these claimei__ ~,~_ ---~-----_----'--scree <br />------------- <br />yon lease them give same oP company or person from whom leased_____________________ <br />--- -------------------------------------------------- <br />(Over) <br />