MINEBK00852

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

s"~ MINE REPOR ' `'
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.:l oat this report carefully, write plainly and .....,.
date t::- report and sign it. Fill oat both sides of the sheet.
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-- ---, Colorado, -- ~%/// __1_y----------. lOl_~
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Iil'iti:9U OF MINES T TE OLORADO.
.__ T. R. gennhen, om seasoner of ?,Lines,
Dencer, Colorado.
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Fir: In accordance with Section 4299,
Name of Comps
incorporated in
Principal otHce,
Capital etock~
Ir . comr•v.
;p out itlme~/IM
tr~.e it bimk
President/{. /1
Secretary .,f`s(~nJ[!
Treasure _
Manager ~'f2
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State of
Statutes, Colorado, 1908, I submit report as o of
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~1T1-41`-~~_____ FLurea, ut ¢___~C7__--- Per share.
~ P. 0. Addresses
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ur's.~ _ i.s-..~-------
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of Partnersllil,------------------------------------- P• 0. Address
Partners' Names
linnager---- -------------------------------
Flumes of Owners /
j1~ - - -
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_-----~=a-~-------~ ..
V
_____
________
>int~• muuetl of Clai [,/il~~ /~
Patented
P. 0. Addresses

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___________________________
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Ltnputented
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_________________________
------------------- -- ---------•-__---- -_aC7Ctl.
----___ecree• Patented------'-'------------
~'Tntcl acreage pateuted------------------ '~ --_-----
/iio vuu own or lease these claimst--------------------
~~3f puu base them give name of company or person from whom leased-_------------""
- - ----------------------- (peer)