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m• <br />._ <br />- .. LAKE, _.. .. ^ALiFOi?i:iii. <br />`~ <br />MINE REPORT <br />Note-Please fill oat this report caretnlly, write plainly aad answer all gneations fnIIy. ga anra W <br />date the report and sign it. Fill oat both sides of the sheet. <br />--------------1.~3riv_il' er----, Colorado, -_SIOJ_@IIlhf~T_7_.______-, 19]`4. <br />BUREAU OF TiINES, STATE OF COLORADO. <br />T. R. Iienahea, Commissioner of -fines, <br />Deaver, Colorado. <br />Sir: In accordance with Section 4299, RevisedStatutea, Colorado, 1~9~018',II1tsubmit report as follows: <br />Name of Company-The-_ANllldd__LL11111C_~11D_][~0.~Z.t1~_911`_'PAL~v__________ <br />Incorporated in the State of___ ^'.bLOr11i.~ ____________________________ <br />------------ <br />Principal office ___C. oX9TL1'._LY.oItllr;•----------•---------------------------- <br />Capitnl stock ______250~OLlile---_____ Shares nt ]-.D_Q______ <br />$ per share. <br />u . c•mg.w. <br />en wt i ;. Namo <br />ry.n; nttin°t•`w P. 0. Addresses <br />President ---~;.__G..._.(:o111t13-.--------------- -11'11Y°S.--C-°-12•--------- <br />Secretary ---11,--i1..-5o111n~--------------- -1.C1dv1]14~_~.Q1Q,___-- <br />Treneurer -------°---------"---------------------- n n <br />----------------- <br />3fanager _DiIIn__~t_sZ':~~L1...--------------- -------------------------° <br />Titlo of Partnership_____________________________ <br />Pnrtnors' Names <br />-------------------------------------------- <br />-------------------------------------------- <br />-------------------------------------------- <br />Sfaanger ------------------------------------ <br />Names of Owners <br />-------------------------------------------- <br />-------------------------------------------- <br />-------------------------------------------- <br />Jtnna¢er ------------------------------° ---- <br />Stote aamea of claims: <br />--------------------------------- <br />P. 0. Address <br />--------------------------------- <br />--------------------------------- <br />--------------------------------- <br />--------------------------------- <br />--------------------------------- <br />P. 0. Addresses <br />!~~ +'i ~~ <br />1' ;, <br />~,, <br />~U <br />i ;I 'i <br />I I <br />I I <br />t <br />--------------------------------- <br />--------------------------------- <br />--------------------------------- l <br />Patented Unpntenten <br />•-/-- <br />--~ _2Lzrac_./ln.n,_r~3xy_..Ians.---------• ---------------------------------------------- <br />---r' ~ .--U•--LVit13~1~~'u1n.`.-IL'1;t =-------- ---------------------------------------------- <br />--------------------------------------------- ---------------------------------------------- <br />Totn] aerenge pateated__ri_~.o_lt-57-.--c _---scree; unpatented---------------------------ucres. <br />Do yon ownror lease these claimei___].0.?33--------------------------------------------°-----" <br />If you lease them give name of company ar person from whom leased__The_1,s~l1~_and_____________ <br />------~11aTfiy--Ji~4ngr-dCi]-11n.3_atul._Aed_i~:.xirln_ D.otspvlY~---------- --------------- <br />(Over) <br />~. <br />r <br />~• <br />P <br /> <br />