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is lensing coin. <br />dress <br />3;(i^~jI O, <br />n7+_ ~n_ ~_~_;ner <br />.., <br />_''"'11-"------ <br />-___hour shift. <br />-___ltour sllitt. <br />-_ __hour shift. <br />-___hour shift. <br />._ -_Laur shift. <br />.___hour shift. <br />.___Lour shift. <br />.___hour shift. <br />.___Lour shift. <br />.___Itour shift. <br />.___Itour shift. <br />t~~e_a'~a LL_ <br />lr~i_ Ji:,. ~ ar' a , <br />atae,auoit r~ <br />-~yb--- <br />rkm,en in the <br />T rt ~ <br />Zy-Company. <br />.Y <br />%_. . <br />MINE REPORT "' ~ ~3 <br />Nate-Please 8ll out this report carefully, write plainly and answer all questions folly. Be sere to <br />date the report sad sign it. Fill out both aides of the sheet. <br />/- <br />~i C -~ <br />-------- ~-----~ -~~-~1~-,~= ~~-. Colorado, -------------------------~ 19.~_ <br />t, t <br />I. <br />tr. accordance with Section 4299, Rsvisl / L.I~~e~s,, C~,ol-orado, 1908, I submit report na follows: l i <br />+ Nnme of Company-The__ ~~~_~~-`~!!~"~`-~_ ~rr~` •-•9 ~~`u~r./ ~i:~ ~ <br />Incorporated in the State of________________`~~_t_f!.2~~-~/___:______________._ ~~ ,!~ 1 <br />Principal office ------------------ ~~!~ ,~ ft~-a--------------- <br />------------------- <br />00 <br />Capitol stock _____:_ ~?~•!~_ °_~..__ Shares, nt $___ ~ _-__ per shore. <br />I(a Coinpmr. <br />all not thl. me P. O. Addresses <br />apace; atherwlaa <br />leave I[ blank ~ (~ <br />President 5. ~G~r-QG~~~ ~ ft rx _ ,~3-~~0 <br />Secretory 'f^j_pp__~'C-~-oa/-r= ------------- --C-'"-1i~~~~__~Lr~L~/o <br />--~~"'~i -- - atrtlGU,o,Glu-<=_tls-/---- ~ ~ z/C~_~/-cc.D <br />Treasurer -__._-- Y{~t_1~=---=-- =------- -------- .f__ <br />itlanager `~_'J_'_~~/Ct,GC~~CGlr=z~-r~~-l -----(~- --~--'- Q~~ -~_ot{.~ <br />- ~ ------ <br />u . atm <br />nr partnenblp. <br />nn out tins <br />goes; o[herdw <br />Ir..r It blink <br />If neither <br />rampant not <br />partnenhlp~ <br />all out this <br />apace <br />'Title of Partnership__________________________ <br />Partncrs' \Tomes <br />---- --------------------------------------- <br />Ainnnger------------ ----------------------- <br />--------------------------- <br />P. 0. Address <br />P. O. Addresses <br />_________________________________ <br />5innnaer----------------------------------- -------------------------------- <br />Names of Owners <br />____________________________________________ <br />Stutc names oP elaime: <br />~/J Patented Unpatented ~ ,, <br />-"--~- ---------------------------- <br />f,~y.,~~~u~, -f!" _~_1_ :it_'_-_,c~LC----/~rf~"t~`~------- yy// <br />//' <br />------ ------------------ <br />----------------- <br />---------------------------------------------- ---------------------------------------------- <br />'Ibtnl ncren a ~___acres; unpntented__~_f2___~~__--- - -acres. <br />g Patented--------~~------- <br />Do yon own or lease these claimet______~-----4=`~==-----=`-~-=-- --- --'-'-'-"-'---`- <br />If ou lease them n p r$ ~~ ~u'_~'_(_ r_~LC -___ <br />Y(, give name oP coin any~9yr e, on from whom lenaed__________________ <br />-- ~~"~-tt- lQ ----- ~= -------------- ------------ <br />~ti lI ~'/-QiD ~ir. ~° ~s -.--. d ~ - ~- .-,~-ewz ., i -: r- <br />