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,cv ,, <br />//-'~`~ / <br />%~ /, ~ 9/ 3 MINE REPORT i'~~' ~ : , ~ ~ <br />Note-Please flll oat this report careful]y, write plainly and answer aII questions fully. Be sere to <br />date the report and sign it.~Fill~on~tbo~th aides of the sheet. <br />~~~~!/~12cCvlL-.}.~~~g --- x'11/_ ___~y~--. 19__x,-- <br />[dUREAU OF 11IINES, STATE OF COLORADO. <br />T. R. liennhen, Commissioner of Jlines, I <br />Denver, Colorado. <br />Sir: In accordance with Section 420, Revised Statutes, Color/.¢~do, 1008, I submit report na follo~ve: <br />Name oP Camp¢ny-The~J~ ~ ~~g 4lPUd ~' ~- <br />- ---~- - - <br />Incorpor¢ted in the S me of___ <br />~/J,~ - - _ -----,~C~----------- <br />Principnl office' ~110I11Q~(i ~~(,~~_~~~ ~~.11.1[:-/r,S _ ../ti ~~ <br />u . cDm .n) Cnpitnl aloe]: ____ ~ _ ~OQr _Q Q ~ Chores, nt <br />__ ___ <br />- R--- --______ per share. <br />ell out [ b <br />.par; othrlwlw ~ ddrCSC <br />tram It bl.nk P. , <br />President 0__ -' _ ~___ ~~f~e~criY_G~~jz,~__~~j__-lst~i <br />Secretary <br />------- <br />Trc¢aurer <br />1~ / ' - <br />iM¢auger _~:._~~_.~,1~[,GGr~fiJ~`C~ -- <br />'Citle of Pnrtnerehi ~ <br />p---------------- -- - - <br />Partnrrs' Xam°s P. 0. Address <br />----- <br />--- <br />lI. enn ---------------------- <br />------ <br />ar D.nnmhlp. ______________ <br />ell out fhb ___---. -----------_----- <br />Irv~. it blink ~ - ----------` <br />. nnager -----------------------------.__.. <br />Names of Owners <br />P. O. Addresses <br />----------------------- <br />Ifnelthrr __________________________________. __ <br />mmp.n) not <br />_______ <br />Dvtnenhlpp, <br />eil out fhb ---'------------------------------------- <br />'Far ______- <br />______________________ <br />,1fan¢ger ------------------------------ <br />--- ---------- <br />----------------------- <br />State names of claims: <br />- Q Patented Unpntentect <br />~a2~o,L~-~1~:-:.. <br />-------------------- <br />otal acres e ------'- <br />g tented_______ ~~~' <br />- -------acres; u~nt led---___-~s _-- _1------acres <br />Do you own or ]ease these claimst_______ <br />1~s~ ~-------------------r------- <br />If you lease them give name of company or person from whom leased____~Gfiy'__~~ri( <br />- -------------------------------------------------- <br />(Over) <br />~ ~j. <br />I, <br />.: <br />i <br />,~;~ <br />~' <br />I <br />I <br />,~ <br />i <br />I <br /> <br />.~ f <br />i <br />I <br />t <br />t.: ~ <br />r <br />,~ ~' <br />I ~ <br />1i <br /> <br />' ~ , <br />I~~I <br />. ~ <br />.; <br />~~ <br />i I '~ <br />