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f.Y':TT' .. ~~ <br />^''~l~~ INE REPORT 216 <br />,, 15 Nota-Pleafe fill oat this report carefully, write plainly and answer all gneatlona fn11,y. Be anre to <br />VVV~"'d~at~e the report'an'de~ign/it~. Fill oat bath aides of the sheet. /~ <br />;. ~E!!'~G~i~%~G~C~--"--~ ------------------------~ Colorado, ---`-`-Q ~~ ~~--, 19~'~ f <br />BUREAU OF 11IINE5, STATE OF COLORADO. <br />T. R. 73enahen, Commissioner of \finea, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, Revie~atntea, Colorado, 1908, I submit report as follows: <br />Name of Company-The_________ ~ ~ ___~~~.- __~ _(iJi/~ <br />Incorporated in the State of______________ _ _____________________________________ <br />Principal office ------------------------- -- ------------------------------------- <br />u.c.o,pv.~. Capital stock ---------------------- ----She e, at $------____-- pcr share. <br />ell oat WV NQIDe <br />.ptn; otb..rr.. P. 0. Addressee <br />lme It blunt <br />President ---------------------- ----------- ---- ----------------------------- <br />Secretary ---------° -------------- <br />----- ------- ----------------------------- <br />'Crenanrer ------------------- <br />Manager -------------------------- <br />u .arm <br />.. ptrmantip <br />all out tbV <br />tp.et: othmlw <br />bne It bIW[ <br />Ir odlber <br />nmP.o7 not <br />p.rtvent~lp. <br />ell Ont lbi <br />.p.n <br />State names of clarme: <br />Pate ted ~ J Unpntented <br />----- <br />'---------------- ------------------------ ~~1~1G_~~--- --'---------- <br />---------------------------------------------- ---------------------------------------------- <br />--------------------------------------c------- <br />--------------------------------------------- <br />---------------------------------------------- --j-----------~-~?~~---- <br />Total acreago patented______~ _____________acres• unpatented~pQ_f~._-~~ 0-~--sores <br />Do you own or lease theso claimef__________~~t~L=--------------------------------------- <br />It you lease them gice name of company or person from whom leased________ _ --- ----------- <br />(Over) <br />Title of Partnerahip________ _________________ <br />Partnelx' Names <br />-------------------------------- ---- ------ <br />~fannger------------------------------------ <br />P. 0. Address <br />--------------------------------- <br />--------------------------------- <br />_________________________________ <br />`~ Names~f Owner / Is 0. Addreaee~v,L~~ . <br />-------------------------------------------- --------------------------------- <br />____________________________________________ _________________________________ <br />~f - - <br />w <br />