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MINEBK00772
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Last modified
1/9/2009 3:25:27 PM
Creation date
11/18/2007 12:17:04 PM
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~~` <br />~~/ /9/3 <br />/ ~-~'.~ ~/'-x-12 <br />MINE REPORT <br />i~ /, ~/ <br />Note-Please fill out this report carefully, write plainly and answer all gneatioaa folly. ; Be sore to <br />date the report and saga it. FiII oat both aides of the sheet. <br />---- -~~ ~~!,_ ~ S <br />'' ~ --- - --------~ 19~c5^ <br />BUREAU OF bIINES, STATE OF COLORADO. <br />T. R. Iicnnhen, Commissioner of 11linea, <br />Deaver, Colorado. <br />Sir: In accordaace with Section 4299, viaed Statutes, Colorado, 1908, I submit~rt as follows: <br />iVnme of Company-The__ ~yy~_ /~ <br />- --- ~- <br />Incorporated is the Sta of_______________ - _ <br />Principal oRice ___________ <br />--------------------------- <br />-----~- <br />npitnl stock ______ <br />u . cnmp.na -------------- _ Shares, ~; <br />OII nut t b - - n _____ ___ <br />h --'- ____ per share. <br />lurn• ntherww Nnmc P. 0. Addr <br />lenre It blank CSae6 <br />President ______________ <br />Secretary --- ----------------------------------- ----------------------------- <br />-- ---------------- <br />------------- <br />rcaeurcr _________________ _ <br />------------------ ----------------------------- <br />Sinnnger ____________ <br />(Title of Pnrtnership________________ <br />I ------------------------- <br />Partners' Vmnes -------'- <br />---------- <br />I'. O. Address <br />J -- --------- <br />a . n.n, ----- ------------------------- <br />cr rv rt nrnhlp <br />~Il nut thb ____________._ <br />qwm: othervba I _____ _____________ <br />_____________ <br />Irv~r It bl.nk <br />_-. ___ <br />\Innngcr____________ <br />------------------------ <br />~ Names of Otvnera <br />----- <br />- --- -- ---------- <br />- ---------- <br />---- --- <br />nelihrr - ~- - -- ---- ~- --- <br />-- --- -- <br />,mpvnr nor ----- <br />______ <br />___ <br />f.uftn.hhlpp <br />All Out Lulu ~ _ ~~ <br />spur _.r_ __ `r <br />_____ <br />___.___ <br />______________________ <br />,1lnnnger__--____-- -- <br />Sinh~ names of claims: <br />P. 0. Addressee <br />---/-~- r-- <br />___ ___ _-_ _ __ T//T//' /f <br />Patented ~> "" <br />Unpntented <br />,_ _ , <br />------- <br />~rr:---------------- --------------------------- <br />--- _ r . <br />---------- <br />------ - ------- <br />- -~- - r <br />-------------------------- <br />Total acres a ~ -------------------- <br />8 Patented________~ Q acres; unpntented___ __ <br />-_ - - -- -- ----_ncrea_ <br />Do you ow~,pr tense these claimsi________ <br />if you lease tfiem give name of company or person from whom lensed--- - ~ ------ ----- <br />~ + ~I I~ <br />'~ r: <br />~' ~,~t ~: <br />~'~ <br />I ~ ,. <br />;i~~ <br />i; <br />(~ ~'~ <br />I' I ~ <br />~/~ ~'~'~14 ~~ ~ ~ ~I <br />I~- ~J~ II'''I <br />------------------------------------ ----- <br />(Over) , <br />:~. <br />
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