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~~ ~ '~'7 , f T7 ~ a wC'.. {~ <br />MINE REPORT <br />:343 <br />4 <br />Note-Please fill out this report carefully, write plainly and answer all gneationa folly. Be acre to <br />date the report and sign it. ant both aides of the ~heet.~Q <br />C-~ <br />., y ~_ <br />BUREAU OF iVIINES, STATE OF Z'OLORADO. <br />T. R. Hennhen, Commissioner oP Mince, <br />Denver, Colorado. <br />Sir: ]n accordance with Seetion 4299, Ro lead Statutes, Colo~ra^d/o' 1908, I submit report as follows: <br />Nnmo oP Company-The__ °~'_k_Rt--/L V/L. <br />Incorporated in the State of______________________________________________________ <br />Principnl office -------------------------------------- <br />--------------------------- <br />ir. comp.nr~ Capital stock ___________________________Shares nt __ per share. <br />th r $---------- <br />ell one I. Name <br />rprrrr: otherwiw P. 0. AddresBee <br />Inm It blink <br />President --------------------------------------- <br />----------------------------- <br />Secretary ------------------------------------- <br />----------------------------- <br />'Creasurer -------------------------------------- <br />----------------------------- <br />l\Innnger --------------------------------------- <br />(Title of Pnrtnerahip________________ _____ <br />--------------- <br />---------------------- <br />Partners' Vnmes P. 0. Address <br />u a arm <br />cr Dannrnhlp~ <br />All aut thb <br />rprrr: atherwba <br />Inrr It blank <br />i <br />I <br />I, <br />j '. I~, . <br />~~ I <br />iI' <br />I. , <br />j ~. <br />.I, ~ ~'~. <br />~~ ~'r'~1i~?I <br />~;ij~ <br />~~ ~~ <br />;r :: ,~, <br />gar ~ ~ b <br />-------------------------------------------- <br />1lnnn <br />N+~es o ~cre <br />~~~ <br />---->n--------------- ------- <br />I: nrlther J _ <br />rompanr nor <br />partnrnhlq <br />en not thL ------ ------ <br />rpra / <br />i py <br />~ P. 0, dresses ! I , ~I ` ! a <br />i i <br />--- - i <br />~- -- w--------------------- ,' ~,', '~' I ~ <br />- -- --- <br />------------------ 1 1. ' <br />if- - __ '' <br />_ _ __________ ____ i' <br />___ _ _ 11 <br />________________________ ,. y <br />lCnaagor---------------------------------- ~~'.,~1 i <br />-- --------------------------------- 4,.',~ <br />~ t <br />State names of claims: ~ + <br />j .~I 1~+.~ .I, <br />k. <br />7 <br />Patented Un ate d ~ k. <br />1 <br />I' { <br />----- <br />----------------------- ~~~~I+, <br />--------------------------------------------- ---------------------------------- ------ ---- ~l i ~ " ~ <br />_ i, <br />---------------------------------------------- -----------d.'~vy~_ 7-~~acrea j1Qr'~~~!I~ ~I. <br />Total acreage patented________________~__J______acres; nnpatente ~ I' G! ; <br />.` ~, <br />IP <br />I) you ease them gtv name oP company o person h m leased____ ___ _____ __/______________ I~~, fPs' `' <br />(Over) <br />