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he <br />F <br />_.. <br />~y. <br />L)t~ ~ . <br />t <br />~ °~`~ MINE REPORT 31 <br />It~esae flII oat this report carefully, write plainly sad answer all ne <br />(date tho report and sign it. Fill oat both aides of the sheet, 4 ~0~ fnuy' Be sure to <br />--- -----------------------------, Colorado, __(~Y _ ~?_~ ~ ---, 19_! `+`' <br />BUREAU OF MINES, STATE OF COLORADO. <br />T. R. Iienahen, Commissioner of Mines, <br />Deaver, Colorado. <br />Sir: In accordance with Section 4299, Reviso`d S''tat~~n''tea,""Colorado, 1908, I submit report as follows: <br />Name of Company-The ~v__wt~s~ _ ~' ~~ o _u_ ~~-- -~~ <br />------ <br />Incorporated in the State of_____________________________ <br />------------------------- <br />Principnl office __________________________-_ <br />-- ------------------------- <br />Capital stock --------------------------- Shares, nt $------_--_-- <br />~t.c<m~.w. Per share. <br />°° °°` ° Name <br />p.~.• ama.w P. 0. Addresses <br />lave It blink <br />President -------------------------------- <br />------- ----------------------------- <br />Secretary ------------°------------------------- <br />-------------------- <br />Treaenrer -------------------------------------- <br />-------------------- <br />1lfanager --------------------------------------- <br />Title of Partnership__________________________ <br />Partnc~•s' \'amcs <br />-------------------------------------------- <br />-------------------------------------------- <br />-------------------------------------------- <br />-------------------------------------------- <br />-------------------------------------------- <br />-------------------------------------------- <br />Managcr------------------------------------ <br />Names of Owners <br />-------------------------------------------- <br />-------------------------------------------- <br />bIa°naor-----=------------------------------ <br />Stutc names of claims: <br />---------------------------------- <br />P. 0. Address <br />--------------------------------- <br />--------------------------------- <br />--------------------------------- <br />--------------------------------- <br />--------------------------------- <br />P. 0. Addresses <br />Patented Unpatented <br />---------------------------------------------- -- <br />--------------------------------------------- -- <br />Total acreage patented-------------------------acres; unpatented_________----____-- <br />Do yon own or lease these claimsf-----------------------------------------------'-- <br />It you lease them give same of company or person from whom leaeed___________________ <br />(Over) <br />_acres. <br />i'f~?; <br />;a.l <br />IA• <br />i <br />~I <br />t <br />~I <br />i <br />I~ <br />i ,~ I <br />