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<br />MINE REPORT s3 <br />Note-Please fill out this report carefully, write plainly and aaswer all gnestions fully. Be Bare to <br />date the report sad sign it. FYIl out both aides of the sheet. <br />iL,.l.iJ .a,ill) 3 COl0 <br />g _'_-----_'____, Colorado 191'_` <br />BUREAU OF biINES, STATE OF COLORADO. <br />T. R. Henahen, Commissioner of Diines, <br />Denver, Colorado. <br />Sir: In accordance with Scetion 4299~,^R~ev~isedaSta~tuptes, C~olo~ra~d~o,~1~908~Ijs~ub~mitQre~port~np/e~~f/olnlvows: <br />Name of Company-The_l~'`IC!~!~S_`t-K-~C?59.4.rti4_"~~~_~~!(,_!_ /__~0___ <br />---- <br />--- <br />Tncorporated in the State of_________________ <br />-- - k --------------------------- <br />---- <br />e~no ~rrlpgs, Colo. <br />Principal office/-J~---------------------- ------------- --------------------------.. <br />11 ~ cam~~r Capital stock _lL1!t~L_~~!f~-5!t%!'f!L~... _ Sllnres, nt :~_ ~ ~.~______ per share. <br />su not [ 1. N me <br />rptct: otberwW P. O. Addresses <br />Iorr It bl.nk ~~~ <br />President _ ~ _ _ <br />-- --- --------- ,~,p <br />Secretary ~~~-~_ _ _ t~~no :~prigg3, Colo. <br />- --- - -~-~j-~-- - ----- ---- -- - - ~u-c-a <br />Treasurer -_V_---- -- _--°--- -------------- ---------------------------- <br />-- - I~£II~.~' lccilo Spriggs, Colo. <br />1\tanngcr _El~_.S~_.~L,~ ----------- ----------- - <br />of PnrtnerehiP--------------------------------------------- <br />Partners' \nuux P. 0. Address <br />II . Erm <br />or D.nnenblp, <br />EII out thh <br />rP¢e: o[AtnrW <br />It.re It bhok <br />:lfaanger-------------------------------- --- --------------------------------- <br />~- <br />ATnmes of Owners <br />I! nelNer <br />comDrnl nar <br />p.nnenblPP, <br />DII out tiJ. <br />.Ntt <br /> <br />P. 0. Addresses <br />l1[anagcr ------------------------------------ --------------------------------- <br />Stntc nnmea of claims: <br />Patented t Unpntant~e~dQ [ <br />--------------------------------------------- -------------------------------------- <br />---------------------------------------------- <br />'rotnl ncren a ____________.____nrres; ntented_____________ ~ U- V-------ucres. <br />g patentea__ 3_ `S b <br />Do you own or lease these clnima4_______v `~v--"~' ----------------' '- ~ <br />if you lease them give name of company or person from wham lensed_____5_!'_j'fl____ -_r_"_Q'~'~-------- <br />(Over) <br />