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~f,. r--- ~ - -- ~ ~ { <br />MINE REPORT ~ <br />Note--Please fill out this report carefully, write plainly and answer all questions folly. Be sure to <br />date the report and sign it. Fill out both aides of the sheet. ~/ <br />BUREAU OF bfINES, STATE OF COLORADO. <br />T. R. FIenahen, Commissioner of illines, <br />Denver, Colorado. <br />Sir: In accordnnee with Section 4299, RevisedStntutes, Colorado 1908, I submit rep/o t as follows: <br />Name of Company-The-- - __ ___ - - --~ - --~~_ iC~t~r.-~_ <br />Incorporated fn the State of___________ __~_ ~ ~____<U-------------~-------1---_-_---- <br />If • Compu). <br />en one tW~ <br />1 ~'re It blm~tw <br />Principal office ------_----- = - -~-`----------------° <br />~ ~~ <br />Capital stock _~~~---~ ~------- Shares, at __~_~__~__ Per shore. <br />am ~ P. 0. Addr <br />/~ .. <br />---- <br />President _ ---- - - --- -------- -- -` - -- -i--- ) <br />/l~~, ~~ ~ <br />Secretory <v --- ------- ~ '------ ~~----~J-~--,-,---, - ~-~-~J ~~ <br />Treasurer _ _ _ _____ _____ ___ ___~^~-~C_! _*»-..----c"-^=~--U <br />1lnnager s °- - - - - <br />Title of PnrtnerahiP-------------------------------------------------- <br />Pnrtaers' Names P. 0. Address <br />If . arm <br />or grtvenhlp. ____________________ _________________________________ <br />(al out thb ------------------------ <br />rp~ro: othenrW <br />lure lC bLnk _________________________________ <br />__________________________________ <br />:1Tnnugcr------------------------------------ <br />Nnmea of Owners P. 0. Addressee <br />If velther I - <br />rom0~v) nor <br />putnmhlp. __ _.._______________________________ <br />alI one the 1 -------------------°--------------------- <br />rp~ro I ... .._.._______________________. <br />~Sfnnnger____---- -''---- <br />State nnmea of elaima: <br />Patented ~ n D U ntenten. <br />--- <br />----- <br />-------------- <br />-------------------------------- <br />------ <br />------------------ ---------------------------------------------- <br />-------- <br />------------------ <br />-~----- <br />Total acreage Patented--- ---- ----------------acres• nnpntented____--------------- acres <br />' --- <br />-------= --- <br />Do yon own or lease these cla)mst________ <br />If you lease them give name of company or person from whom leased-------------------------------- <br />i <br />--------------------------------------------(~~er)- <br />