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<br />~Q <br />MINE REPORT / z2~ <br />Note-Please fill oat this report carefully, wr]te plaialy and answer alI gnestiona folly. Be sore to <br />date the report and sign it. Fill oat both sides of the sheet. <br />-----------------------------°--~ Colorado, -------------------------~ 19--- <br />BUREAU OF' DIIN);S, STAT); Oh' COLORADO. <br />T. R. Hennhen, Commissioner of ~[inca, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, Reviecd Statutes, Colorado, 1908, I submit report ne fallo~va: <br />Noma of Com as r ~ ~ ~ ~ <br />P Y-The----f-~'~ ---------------- = -~ -- ~ ~~ <br />Incorporated in the State of_______________________ <br />------------------------------- <br />Principnl o0ice -------------------------- -----____-- <br />Cnpitnl stock _______________________-_-._ Shores, at .$____________ per share. <br />If . Comp.v), <br />p~K `oihen.,l.. Nome <br />P. 0. Addresses <br />Lve It Diank <br />President __________________________ <br />------------- ----------------------------- <br />Searetary ------------------------------------- <br />------------------------ <br />Tre¢surer ------------------------------------- <br />- ------------------ <br />\Innager -------------------------------------- --------------------- <br />(Title of P¢rtnerahip_______________ <br />~~-- ii ------------------ <br />------------- <br />-Partnl•rs' N:unrs P. 0. Address <br />s' <br />Ira erm 7 ------- ~ <br />or DrrtnrraDlp, ~:~ <br />ell out ttla _____ ._____ ________._________ ~~___ _____ _-~ ~~_____________ <br />___ <br />rPan; orneAlN i'______ ~ _____ <br />lo.e ¢ hank r~{' y. . <br />~-----r------ --=` ------~- <br />,^+ r ` ;- <br />___ <br />Slnnugcr ---------- -~ ------- ---- ~ ~{------------------------- <br />1 ----- - <br />r, <br />~, ~~ Nnme~ Owncrs~'t Si ~ ,~, P. 0. Addresses <br />a <br />011 out <br />rpan <br />-..-~~~--------'J '---- --; <br />' ,! <br />-..-_______ _ ___ W - <br />_ 'r-- 1 - <br />~•~~-_~_ -~+J <br />).____ <br />--------- --------- <br />~ -- <br />., <br />.~. 11 • <br />. `:- <br />-t---------'' -- x- <br />lfnnngcr----------i- -----------------1---- <br />'~-- ; <br />State names of claims: <br />.~ <br />-=z--------------- - ------------- <br /> <br /> <br />P¢tented U npntentad <br />---------------------------------------------- ---------------------------------------------- <br />Total acreage patented_________________________acres; unp¢tented_________________------_---acres. <br />Do you own or lease theso claimst------------------------------------------------------------'-- <br />If you lease them give name of company or person from whom lensed-------------------------------- <br />---------------------------------------------------------------------------------------------- <br />(Over) <br />I <br />i <br />r <br />I <br />i <br />~'iii <br />I~III <br />L•r' <br />t <br />~,~ I <br />j~! <br />IiI, <br />I~~. <br />~ ~' r <br />~;~ <br />I <br />~ I <br />9 <br />i t. <br />~. <br />~o~ <br />~~ <br />