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1 <br />MINE REPORT 239 <br />Note-Please fill oat this report carefnlty, write plaialq and answer all gneatioas fNly. Be anre to <br />date the report and sign it. Fill oat both sides of the sheet. <br />_ - - _. Colorndo <br />----------------------------- ~ -------------------------.19--- <br />BURI:AU OF ]1IINI;S, STATI: OF COLORADO. <br />T. R. Hennllea, Commissioner of 3liacs, <br />Denver, Colorndo. <br />Sir: In accordance with Scetion 4299, Revised Statutes, Colorndo, 19Q)3, I submit report as follosva: <br />(Name of Compnay-The--~- ~~d <br />------ --------------- <br />Incorporated in tho State of_____________________________________________ <br />Principal o1Hce -------------------------- - <br />-- --- <br />Capital stock _________________________._ Shares, nt :~____________ per share. <br />If a Company, <br />en nut t 1. Name <br />p•n: ntber~lw P. 0. Addresses <br />Irarr It blank <br />President --------------------------------------- <br />----------------------------- <br />Secretary -------------___-- <br />-------------- <br />--------------- <br />Treasurer ________________ <br />--------------------- ---------------------- <br />------- <br />J[nnngcr --------------------------------------- <br />----------------------------- <br />'Citlc of Partnership-------------------------------------------------- <br />Partners' \:uacs P. 0. Address <br />I! . arm I -------- -------------- <br />ar partnrnhip, J <br />all out tAla ______.____..____..___________________.______.._ _________________________________ <br />rpace; of nrnrlw 1 <br />Lrtr It blink <br />lJtnnnger__ <br />Names of Otaners <br />1 ----- - -------------------------------- <br />If ndthrr ------------------------------------------- <br />companr nor <br />pop nrnnlpp, 1 <br />all our W4 ~ -..__________________________________________ <br />•prre <br />~\[nnagor_ <br />stoic names of claims: <br />P. 0. Addresses <br />_________________________________ <br />Patented Unpntented <br />'t'otal acreage patented_________________________pores; unpntented_________------------------acres. <br />Do you own or lease these clnimel_______________ ------ <br />------------------------------------------ <br />If you lease them give name of company or person from whom leased-------------------------------- <br />---------------------------------------------------------------------------------------------- <br />(Over) <br />I E~ <br />I f,.l <br />If ~~ <br />1 I~ <br />I''{ <br />~, ~I <br />. ''. I <br />i, <br />r_`, ~ 11 <br />u. <br />~, <br />I <br />1 <br />,i <br />l <br />J <br />~. <br />~i~ <br />' t~ll~~ <br />1~' <br />I~I <br />