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<br />MINE REPORT <br />^~ ,_ <br />1_ ,~ , <br />l t <br />Note-Please fill oat this report carefully, write plainly and answer all questions fully. Be care to <br />date the report and sign it. Fill oral both sides of the sheet. <br />---------------------------------+ Colorado,-------------------------,1'J`_!_ <br />DIiREAU OI+' 71IINES, STATE OF COLORADO. <br />T. R. Hennhen, Commissioner of 1lfines, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299~R/e~viacd Statutes, Coloradgo~, 1908, I submit report na follows: <br />Name oP Company-ThoL~l/i 7~_ Div- dGi~m`-'v-- <br />---- - <br />Incorporated in the Strata of_________-~1--?-!'_`-"t - - ----- _- -t ----------------- <br />----.. <br />Principal ofnce~_____ ~sC~_ ~"-"°-~• ----~L~- <br />"~- <br />Capttnl stock f_fJl o Da o _____,~woa. Shares, at ~____________ Pcr share. <br />Ir .canp.nr. P, O. Addressee <br />eu .rat lhl. Name <br />rpue; otberwh. <br />b.re Il bl.nk ~ ~I~ -'rrsit-(.(rL/ - `~v~ ~p ~ ~~ <br />President ______ _ --1- - - ----- -~"~="=f`-----' <br />/f .----- <br />Secretary ---vn*~~~`---~~+-a-E~--------- -------°~------------------- <br />Treasurer ~~ v G -~~u !'2"^-~ - ---------~ ------------------ <br />Dinnagcr ------------------------------- ----------------------------- <br />Ir . Orm <br />or prnnrnhip, <br />III out lhb <br />rpae; othrrwtw <br />Irrrr It bLok <br />It nrllher <br />renqunr nor <br />ryncrnhlpp, <br />All out l~l. <br />rPrn <br />Title oP Partnership-------------------------------------------------------------- <br />Partncrs' Nnmos P. 0. Address <br />---- --------------------------------------- --------------------------------- <br />1lnmmgcr----------------------------------- <br />Nnmea of Owners <br />----------------------- <br />- P O. Addressee <br />--------------------------------- <br />titat r, names of claims: <br />Patented Unpntented <br />_____ _ _____________________ ______________________ <br />_______________ <br />_____ ___acres. <br />'total ncrengo patented-------------------------acres; unpntented__---------------- <br />-- <br />Do you own or leaeo these claimat-----------------°------"--- ------------------------------ <br />It you lease them give name of company or Person from whom leased----------------------------'-- <br />-- ------------------------------------------------------ <br />(Over) <br />~ ~ , . <br />~ ~, II, ~~~' I I <br />I ~I t;~ ~'~', <br />~t. <br />~~ ~~ f t <br />~~ :. <br />~I~ <br />i,'I~ I ;~ <br />1 'i ~ <br />•I <br />- <br />~I <br />~n <br />i <br />i <br />1~~' I <br />1I, <br />I <br />II, <br />~ ~ ~ <br />II i~ <br />7 <br />i ;' <br />I <br />I <br />~r <br />.II I I <br />