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-, c <br />40 <br />MINE REPORT <br />Note-Please 9ll out this report carefully, write plainly aad aaswer all gneetlons folly, Ba aura to <br />date She report and sign it. Fill out both aides of the sheet. <br />---------------------------------~ Colorado,- - --- -- -~~~ 19~eJ <br />BUREAU OF hfINES, STATE OF COLORADO. '~'~ <br />T. R. Iienahen, Commissioner of ilfines, <br />Deaver, Colorado. <br />Sir: In accordance with Section 4299, Revised Statutes, Colorado, 1908, I submit report as follows: <br />i <br />Name oP Company-The___ __ ____~/Ytiy~Yl„[y___~'~Q __ <br />u . coo,~w. <br />EII out b <br />puc~ otbunrlM <br />lane IL bi.ok <br />If . ecru <br />ar Durtomhly, <br />EII oat W V <br />%n~lt blutrk ~ <br />a odeba <br />rompmf nyo~r <br />Ellrtout~thia <br />mua <br />Incorporated in tQhe State ______./--_ ~ n___ _______________ ~ ____________ <br />Principal otijpry _~.zi.~_1~LS~-L.~-t!c.?-~,~C~~.~_„ <br />Capital sto n(lrrrrD,~/~_--.~,uvro_o~hares, at $_1 _-~___ per share. <br />N/o~me ~ P. 0. ddre e , ~~~ <br />/~ /L/ U <br />President _1UVV;_I..Rk _ __ <br />ij ~I - --- <br />Secretary -(r G =tn`s..¢`n~ -- - --------- -`L~7~ - ~ -~'~-~--- <br />Trensarer Y~-_ ~(~J , -Q p ------ __~_~ ! -- _ <br />i11/.ulr-Prf1~ - - ----- <br />\lanager -- -t - '-- -- - - - ---- --- 9u ~ ~~ <br />~it~.tw.~c.c.. <br />Title of Partnership-------------------------------------------------------------- <br />Partncrs' Names P. 0. Address <br />-------------------------------------------- --------------------------------- <br />-------------------------------------------- --------------------------------- <br />Slnanger ------------------------------------ <br />Names oP Owners <br />-------------------------------------------- <br />-------------------------------------------- <br />____________________________________________ <br />------------------------------------------ <br />\Innnaer ------------------------------------ <br />P. 0. Addresses <br />--------------------------------- <br />--------------------------------- <br />--------------------------------- <br />State names of claims: <br />Patented Unpatenteu <br />~J , <br />-• Ra.Jtr.] ~j- -cs..~a.~ti~~-~------- ------------ ~'~------------------------ <br />~~~,~~(~ <br />Si.tiu- _ _ A • -~..~~- _ _ _ <br />Total acres e / ~ _acres. <br />B Patented_____Cr.U_-~ -----------acres; nnpatented__IJ.~e <br />Do yon own or lease these claimsi____!9_W_`~- ---------------------------------"-""---""---- <br />IP you lease them give name of company or person from whom lensed-------------------------------- <br />--------------------------------------------------------------------------------- <br />(Over) <br />