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<br />1~11I1~T~ 'REPORT
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<br />7d01'E~Plmeda~,rcDOet •. `' r -5.: :~. .~_ - ~_, ~~.~ .5' ..t ~ :.. A/_ .\~. ~
<br />^„~-~i+~*csoiof~ uefi dddbalon¢fna eo,Comv+oY or trou~..,• ~ ~\~ _ _ f \ ~ ~\ '
<br />Fnl In evc[vnY-.MEN HMPLOYED- ",\ `• '
<br />rdl oui blank on oDporiee dde end d(n reDan. ., ;_., _?__._1 ~,
<br />` '1 ~ \: `;. J .. -.._~_~:A_'~~-` `,=S/_ [ Se/~.~, Colo., .~" "-_•~;-/~ ~., 191%~i __
<br />BUREAU , OF `bJ]IVES, STATE OR~ COLplZA,DO. . - .. :i _,?~ \ >:~.~ .
<br />1 _ T R',Hrare~rr, CoxurssloxEa oF~riurrs,,. ~_ _.
<br />~' , ~-. _. ~,. "~ Dsxvr~, COLORADO. _.. ~ ,~ ,
<br />-_ Snc In"accordance wit /~/h~above s/eJ$~ion, I fiubmft report ns Bows. '_J
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<br />t,*sme claim or claims --L~'[_¢1----//!~l'Q'~'?'y~rYY~~ ~F!~t-S-` . _ _ - -
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<br />' - ._ ._. .. .- . ai'c.a__'
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<br />Location> _.i___. _ '
<br />Dlining Dist • t _._. _. _ _ ~ County ~ --- ~_ /
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<br />Owner or o ers addrer,e - ~ ~ __.__ __
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<br />..... ~.
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<br />-_ ~ ~'~
<br />Name of ~Compan
<br />/'~ It Iuooryoroted)
<br />i 1 Stock ._._yv% ,~-_ ._ ..... ...._ ahnres,Aad • ~`~ ........../........_ p rei
<br />• .ri.~f~f'rLPreardent, ~!~ / x.:/f ~:_- ..1_......_../'(?... ~~... / raYJ~„<_.e`/
<br />... _4.. ,
<br />_ ... ,
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<br />rr -
<br />.,. (l apcrintenrlrrrt ..__........_ ...................._:.._........_..............._...... •
<br />(r U Addr
<br />.•},• ~ nn)~ ....
<br />Work iri oha of ~. - ~~
<br />_.._..
<br />_... ..._
<br />.rY4.-)
<br />_.. .
<br />!/iL ,
<br />Js,property worked contlnuouNlyt '°'
<br />Commenced work ..-.~rs.*s~• _~•~ a'
<br />_, ~ `~~Q.L~ ~_.t-' ~~ ~~-snc l S' 197.0..
<br />c+ o ......•- .~.... .. .............
<br />Htopped work .ld~.~/....._ .
<br />_. ~_ •~,, MRN 1;MPLOYhfI. ,.: , '
<br />No 1;are.oYru No ]sq•urvr.D. L
<br />' ~...I:nglnrorro, .".:.•.. $'-~6..._for....'_.Irmrrxhift.
<br />bfachlneArilLuen, $..._...... for,........bourNDlft.
<br />"'~'Nungnnon, • .. • ... ~! . r.:.for....,.,....,hnur ehllt.
<br />,.. ......_..Machlne IJelpenr, . $...:....•.•--.for..........houreh)ft. .....-,
<br />r% . -,.r--6(rernrn, ........ $....._....fnr......,....lrmo~a6ltt.
<br />,...~..:•.1Ninen, .:, .',•.... $e3-.-for•-.•--.hourN4lft.
<br />foc.........lumrrhift„ .....,. BluckwndthN, ,.. •. $--::, -,for. ^-.Irnurphllt.
<br />.'1'lurberrnen, ...... $..__......_.
<br />-~Toarnr(urN, ....... $.._..........Pm•....__...bnurwblft•
<br />" .....for ... .bourrfh)ft• ....
<br />..:_..'1'rarmnerM, .,..... $• ~•. m•..,......bnilrxblft.
<br />.4re~fSorlerN, ..... $......... for .... lunrr Nh)fl, L...P'nremrn, .....,.. $~/ w.i-
<br />__.'J'o mru $ .................foc_...hourNhlft, -~..,Huprrintrndant, •`-+b.:?
<br />-3...LalwrerN, ........ $,3~or...... hnurrhlft, ~ Olllrar lfrlp, .....~ ~/u
<br />-unrrN6lf(, --.blflbn,•r ........ $... fna..._, .DourNblft.
<br />. $ 6~-~~for...... 1wurN)dit. I ~r~*~'~ vn~~t'. $'~~~for"_.......6nurNhlft,
<br />i
<br />Avrr r nunilier of nu+n rrn rlo rNJ fnr the yrar 1 ~` ~r
<br />CuaruLlrr anri `value of ora ~~ "~'^~i / - ~ /' '
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<br />.. (Ova(.)
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