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~ ,~ dv' <br />~iar„~.~ ~~ounty IJ~... ~~ .t i i <br />~' MI `~ <br />NE REPORT <br />;, <br />.+~ ote-Please fill oat this report carefully, writc plainly and answer all gnestiona fnlly. Be sere to <br />'~~date the report and sign it. Fill oat both sides of the sheet. / <br />-t~Ltl-~-------------~ Colorado ~--C G' <br />---------- ~ --=-------------~------, 19 ~t/ <br />BUREAU OF MINES, STATE OF COLORADO. ~ <br />T. R. I3enahen, Commissioner of lIines, <br />Denver, Colorado. <br />$ir: In accordance with Section 4299, Revised Statutes, Colorado, 1908, I submit report ns follo~va: <br />c- <br />President ' <br />------- ------------------------------- <br />Secretary -------- ----------------------------- <br />Trenaurer ----------- -------------------------- <br />nlanager --------------------------------------- <br />----------------------------------------------------------------- <br />Cnpitnl stock ___________________________ Slmres, at $____________ Per share. <br />Name P. 0. Addresses <br />Name of Company-Tho_________________________ <br />Incorporated in the State of_____________________ <br />Principal oiRce _ <br />of Partnership_______________________ <br />Partners' \nmrs <br />1lnnnger------------------------------------ <br />Nnmea of Owners <br />-------- --- J <br />~~_--~z~ ~~~------- - <br />------------------------------------------- <br />\fannger ------------------------------° --- <br />State names of claims: <br />---------------------- <br />P. 0. Address <br />P. 0. Addresses <br />--------------------------------- <br />-- -- E ------------ -- - <br />---- - - <br />_,~SJ_ f~„l~~,-~__---- T{ <br />- --------=--------------------f- <br />Patented ~ ~}'°"°"~ ' <br />d y.a~ !r'-~-'-------- <br />PG_nc-L,~-=---~°~-~,u ~c~~---~-r`_'~r1~1~~6G_~._.~c ~_7~?~..~--,P-fc,F~__. <br />~ A <br />w~c ~f' ~.~ , ----~ - ----~~------------ <br />------~----- ~L~c~1------ ------------ <br />G_~ ~ d ~~~~-~=--------------- ---------------------------------------------- <br />Totai acreage patented______ '~';=~~----------acres; unpntented----------------------- - -acres. <br />Do you own ar lease these claimet-------------------------------'-'----------------------------- <br />If you levee them give name of company or person from ~vl+om lenned-------------------------------- <br />----------------------------------------------------------- <br />(Over) <br />