MINEBK00774

• County: Clear Creek
• Document: Manager
• Suffix: A

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.j ~d~~"~/',jy,'.~~~ MINE REPORT
Note-+Blease flIl out thfa report carefully, write plainly and answer all gnesttona folly, Be sure to
date the report and sign it. Fill out both sides of the sheet.
-------------/---- =-------------. 6alctvdo, _ ~IG_"vx*_...~-~_ / 2X 19! 5<
BUREAU OF hIINES, STATE OF COLORADO.
T. R. Iienahen, Cammiseioner oP Iviines,
Denver, Co]orado.
Sir: In accordance with Section 4299, RevisedlStntatea, Colorado, 1908, I submit report as follows:
Name of Campaay-The-____-- /L~G_ '~~4~ --~~~~
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Incorporgted in he StaEe o2______________'_ -
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Principal office ------ --------------------------__----
17i~~ Capital stock ________________ _________ Shares, at $____________ Per shore.
°0 01t 1i Nnme
.pk•• otD.r.l.. P. 0. Addresses
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President --------------------------------- -----
-----------------------------
Secretary ---------------------------------------
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Trensurer -------------------------------------- -----
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1lfanager --------------------------------------- -----------
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Titla of PnrtnerehiP----------------------------------------------------~----
Partncrs' Nnmos P. O. Address
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Slnte nnmes of claims:
Patented CUnpatented _ /w~ = ;:
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~6 L._t._ _____-_-_ sSrr7~u~ ~•S. ]_ __r~y.~..~,~.~. r.t o- C /Y.for I~
r W Fy ~ - ~ vann~/ J Jam. !~ Vii------- - --~_ r v tr,- 8`~t,_L_,_-js ~ rs v .t .~ ,
Total acreage patented_ c 4i1'_`~___ 3-~~•-------acres; unpatented---------------------------scree. a
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Do:yon own or lease these claimat__~'_"'_`__~`^-^--~------------------------------------------- 1 i
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If you lease them give name of company or person Prom whom leeaed----- ------------------------- ' ,
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(Over)