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GSand Blue Ridg a <br />MINE REPORT isi <br />Note-Please 8ll out this report carefully, write plainly and answer all gneationa folly. Be sure to <br />date the report and sign it. Fill out both sides of the sheet. <br />_YaCt_s_1s _Cf.ty_,1do,___ ~rdac _ Nov_ 1,1914 <br />--------~ -------------~19--- <br />BURF,AU OF DIINES, STATE OF COLORADO. <br />T. R. liennften, Commissioner of \Iiaea, <br />Denver, Colorado. <br />Sir: Ia accordance with Section 4299, Revised Statutes, Colorado, 1908, I submit report ae follows: <br />Nome of Company-Thc_ A:ollie_Gt'ovea ;Lining & 151111ng Co. <br />--------------------------------------- <br />Incorporntcd in the State of______-.CIIlot3C~Q__________________________ <br />------- <br />Principal otTeo _.325_ZZex_YIlrk_L1:@_Bldg._ F:a,nsas C1ty, 1Lo. <br />Capital stock _2,IIOII.OA0.._______ __ Shnrce, nt :~_1.II0~___ per ahnro. <br />if . Comryvr, <br />OII out t b <br />luce• otherwL. Name <br />I.,,r it hl.nt P. 0. Addresses <br />President _Sohn_4i.ifones._ 440 utate Avt:r Ssnsas City, Y,as< <br />-------- <br />Secretary _I_,>~,Ant~ns{t.____^_________~_ ^ ^ ^ ^ <br />------ ------------------- <br />---------- <br />Treasurer ,hiL,,ione8._____~328_Hignl3nd_ Ave. i{ansaa City,irio. <br />----------------------- <br />------ <br />:lfanngcr _0•.2!.Gxosee~_~2.>._FL@YV__X9_Ck Zife Bldg r__"-_ n ^ <br />Title of Partnerehip________________________________ <br />Partners' Vames P. 0. Address <br />If . Erm I __ -- -------------- <br />nr n+rtnmhl0, ------------ <br />nn out tm+ ----'------------------ <br />rr,c<: othenrW ---------------- <br />---------------------- <br />lSinangcr_ <br />Names of Owners <br />If nellher ____________________________.._____..___. .. __- <br />mmp+n) OOr <br />penncnhlyy, <br />All oul tide I -----__..-----°----------------------------- <br />•P+ce <br />~alRDngoC __ <br />state names of elnims: <br />P. 0. Addresses <br />--------------------------------- <br />--------------------------------- <br />Patented Unpntenteo <br />•-- ---------------------------------------- ---hS_iday~_ix~s-t:y_-Esz11~R~J_iane_~~8. <br />- ----------------------------------------~ ---_T>tdsly.---~oat_~e+yfnss.ttahos--- <br />---------------------------------------------- -- true}'flip_Yan_3~ink].e.--------------- <br />- -------------------------------- ---~iyfla~uar.~'.tiitllts~iv_ing-ard----- <br />--------------------------------------------- ---=~YSlawer_Exte11s14n. ------------- <br />'1'otnl ncrenge patented_________________________arree; uapnteated__..114_________..____...__ucrea. <br />Do you own or lease these claime4_______IIutn_.t.~'1~83-------------------------------------------- <br />lf you Icnse them give name of company or perean from ~vltom leased________________..______ <br />---------------------------------------------------------------------------------------------- <br />(Over) <br /> <br /> <br />,' <br />/~ } <br />I' <br />!~. <br />