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Last modified
1/7/2009 3:28:48 PM
Creation date
11/18/2007 12:21:42 PM
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Mine Books
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Hinsdale
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^ <br />~r ~c ~~ f~--~ ~ i <br />MINE REPORT <br />Note-Please Sll out this report carefully, write plainly and answer all questions fully. Be sure to <br />date the report and stBn it. Fill out both/sides of the sheet. ~/ <br />~~~---~`--!'~^ ----------, Colorado, --~ .27_`___---• 19l_3 <br />BLREAII OF hfIIvES, STATE OF COLORADO. <br />T. R. Iienahen, Commissioner of Dlinea, <br />Deaver, Colorado. <br />Sir: In accordance with Section 4299nnR__evisedStatutes, Colo/rado, 1908, I,~sub/mit report as follo~cs: <br />i <br />'flame of Company-The_i!±"~_4?ltz~'`Q_-~tJ - -'~"L------~-=-------- <br />'Incorporated in the Ste~of_________ ~'----'--- ~ ---------------------- <br />IPrinci al office ~ c 1L --`"`!L`=---------------------y------------------ <br />P --y-------- <br />J Capital stock __~2,.~~ --------------- Shnres, nt 41~d__ _ per share. <br />--- <br />u a ccmYaW. , O AddresseB <br />eu aw :hl. A'a e ~i <br />l Presrdent ~[~ - 4 ' - - <br />Secretary -/3~=LL._!-~1'~ ------- _.. _ ~7G[.--- - '`-- <br />------------ <br />1 _ _ _ <br />(Treasurer ~--~~~~!/~ GjO'`~----------- - ~~ ~~IT_li/ <br />___ ~ ___1_'cC~L_______ <br />~'',9ianager _ i ti------------------ - <br />Title of Partnerahip----------------- --- ------ ---------- <br />r ------ <br />Partners' .'~umcs --- Y. O. Address <br />1: a ern. <br />or YarwrnWD. .___. ____________________ <br />01: om thu _ ___._ __________________ <br />I ___. _. __ _____._-_ <br />ryam o:Lrtwlat <br />Ka.. is Llulk i ._______.. _.. ______________________ <br />~~9ianuger_____- -------- <br />Karnes of Owners P. 0. Addresses <br />' Lf1:L.r <br />tVlnl~ali• LUf _ <br />Mrmnn6iY. <br />'uu ________ <br />.Yps _ ____ - _ <br />___- <br />I_____ <br />_ _ ... _ _ <br />~ _._-- <br />.- ~lunuger____.-_. - ._. ...-. ...-~-. <br />~S:ul ~~ names of claims: <br />• Uaputealr,u <br />`., Patented <br />,\ - - <br />-- <br />------ <br />- - - <br />- --- <br />, • ------ <br />- ---- <br />- _ <br />-- -------- <br />----------------------------- acres. <br />•'~ Y'ut;.! acreage pnteuted__------~-------'-~----noes; unputeuted_.. -- <br />` I - - _ _ - - _ - - - - <br />--- . <br />llo you own orIease these clnimst____---- --- -_- ---~~- -- - <br />' --- - <br />~~ if you louse them give unme of compuny or person Yrora whom h:used__ . - --- <br />___ - <br />_....----'------ (Over) <br />.- - ~e <br />~~! <br />I <br />', <br />,~ ~ <br />, III <br />~. <br />ttl <br /> <br /> <br />~' ( 1 <br />,I <br />t., .. <br />
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