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e leering can:• <br />Tress <br />-~ '_ ____ <br />o o o -o <br />___honr shift. <br />___hour ellift. <br />___hour shift. <br />___hour shift. <br />___hour shut. <br />___hour shift. <br />___hour shift. <br />___hour shift. <br />___hour shift. <br />___haur shift. <br />___honr shift. <br />~__o~_~ <br />-. <br />kmen in the <br />~~ ~~-.~~ <br />__Company <br />~~~~~~ <br />~!~ ---- <br />MINE REPORT <br />Note-Please fall oat this report carefully, write plainly and answer all questions fully. Be sure to <br />date the report and aiga it. Fill oat both sides of the sheet. <br />-------------~ Colorado ---------------------•19 <br />[3URF.AU OF MINES, STATE OF COLORADO. <br />T. R. )3enahen, Commissioner of Mines, <br />Denver, Colorado. <br />Sir: In accordnace with Scetion 4299, Revised Statutes, Colorado, 1908, I submit report ns follows: <br />Name of Company-The---------------------------------------------------------- <br />Incorporated in the State of______________________________________________________ <br />Principal office -------------------------------------•--------------------------°- <br />Capital stock ________________________-__ Shares, nt $____________ per share. <br />If a CampanL <br />en not t f. Name P. 0. Addresses <br />rpme; otberwlaa <br />lo.e it blank <br />President --------------------------------------- ----------------------------- <br />Secretnry ------------------------------------- ----------------------------- <br />Treasurer ------------------------- ------------ ----------------------------- <br />Manager --------------------------------------- ----------------------------- <br />of Pnrtnexehip-------------------------------------------------------------- <br />Partncrs' \ames P. 0. Address <br />II . Orm <br />ar mrtnn•hlp, <br />all out thla <br />eDare; o[herwaa <br />Iurr it blank <br />____________________________________________ <br />Sfanager________________________________..__- <br />Names of Owners P. O. Addresses <br />J,F.Tho^.'r•^cn °.~.~~:; L~? Lor.-_c ~.?t C~liC. <br />I~Teltber J ___________________________~_____________.-._ ___-.____--__-_______.____________ <br />Mal nor <br />livrtnrnhlp. _.-_______________________________ <br />;111 nut tbl. ------------------------------- - <br />nface <br />Rinnnger___________ ___________________.____ __________________..__________.__ <br />dote names of claims: <br />Patented Unpatented <br />?] ~ tY.e ~lai^. s fcr-..•er]y o•cne~ i;y t:~e iie~l ':ountair. E.]-t.r.ir.ir~ ::: <br />-- ------------------------------------------- ------------------------------------------ <br />---------------------------------------------- ---------------------------------------- <br />Total acreage pntented_ tt~uT__?Q~_________--acres; unpntented_?..~9Jlt__3~_1_________. ___ncres. <br />cwr then ----------------------- <br />Do yon own or lease these claimet---------------------------------------- <br />If you lease them give name of company or person from whom leased__________________-------------- <br />-- ------------------------------------------------------------------------------------------- <br />(Over) <br />I <br />~Ifl <br />~I i~ <br />I <br />