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1/5/2009 2:08:54 PM
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11/18/2007 12:23:25 PM
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,~° I ,~~ <br />3 .~ 323 <br />'~ . , t ~' , <br />~~1I1~ E REPORT •° <br />NOl'E.-Piece dam report. ' <br />Give nvme o/ cosh Balm hclon¢In¢ [o Company or croon. <br />FIII in e¢relully-NEN EW LOYED. <br />Fill out hlmlc o0 oppm,i[c side ,nJ •I¢n report. ~ ~~ ~ ~( <br />___L~~_______ <br />BUREAl7 Ob' 11fINES, STATE OF COLORADO. <br />T. R. Ilenahen, Commissioner of Dlines, <br />Denver, Colorado. <br />Sir: In accordance with the above <br />~, I sabmit repot ae folly ~.r Q_ _ - <br />of <br />Location __%p) <br />Tuning District <br />Otivner or owners and i <br />County <br />% / <br />i <br />_~_' <br />rLLL~ <br />~~ <br />I <br />:~, <br />~:.i <br />r,,y <br />°:i, <br />ii <br /> <br />--- ---- = ------- <br />b'ame oP Com ny___ ~~ ---------- <br />(I[ I>7coryo~d) <br />,S ____ shares, at ~_~ _~ -----__---- er chore. <br />Ca rtn Stoo 1~ ---9G__QD~----- -------- <br />---------- (P. O. Address) <br />_ President -----'------------°----- <br />- -=- --° ----------------------- ~ ------~-Q-~-----~ -i- u <br />-------- <br />_~ ~~/'~" Secretary, _`~~ "' --~-/ -y__ti?i+~? b ------ <br />---- - „ <br />- ---- ----- <br />DJanager, ---------------------°------- ---------- --- <br />„ <br />-- ---- -- ------- <br />-- ----- <br />------ <br />/ ~ ` ~} '`~ _Su erintendent __ --' <br />Leased to ------------------------------- ! ----- ----~---'°.-N----------'----- -, <br />\Porlc in chargo oP_j~~ - - - <br />..~vs/ Z,..~.~ ~. /~~ -------------- <br />---------------------- <br />Js property ticorked c ntinuoue yT______ _________________ <br />-- --------°------~ 191--- <br /> <br />--------------- <br />Cmamencod work -------------------------------"--"--- <br />------ --------°------~ 191__. <br /> <br />----------------- <br />Stopped work -------------°-------------------- <br />AfEN EDIPLOYED. <br />A'o. Employed. IQo. Employed. <br /> <br />for____tloureliift. _____Enbinucra, _ _ - <br />Afachina Drillmen, ~------ <br />b------for____Iiourslllft. <br />-____ <br />for_.__hourehift. _----Pumpmcn,-- -- <br />Afuclline Ilclpcrs, ¢___._- <br />~--°--for____hourrhlft. <br />_____ <br />for-__-lloursli3ft. _-_--I~ireluen, . - _ _ <br />_ _ _ _ . ~------ <br />Dlincre <br />qI____-_Jor__._Iloursliift. <br />, <br />_____ <br />' qc__-__-for-___hourshift. _____131acksmithe, _ _ _ <br />:I'iulbermon, _ _ _ ~S______for____hournhift. <br />____ <br />for___-6ourehift. ____:1'eamrtcrs, _ - $___.--for_.-_Iwurshift. <br /> <br />for____hourshitt. _-_--h'orumen, .. _ _ <br />Ora Sorters, _ _ _ 9~-.---- <br />gs._____for____hourshift. <br />.___. <br />_Topmen, _ _ _ _ k------for.___hourshift. ___--Supnriuteudent, _ ~------/or____hourshlft. <br />___. <br />Laborerll, _ _ _ _ ~k------for____hourrllift. _____Ollleu llelll, _ _ _ &------for.___hoursllift. <br />__._. <br />_.far____1loursllift. _____blilllneu, _ _ _ . _ <br />9~ b------fot_.__Iloursldit. <br />---- <br />-____Assoynrll, _ _ _ _ ---for-.--hour~llift. <br />M <br />tor.___Iloursliilt. -------------------•- --- <br />Avnrntte number of men eulllloynd fur tlls year J1___, <br />Character and value of orn_____________________________________ <br /> <br /> <br />_ <br /> <br />,,. <br />~i„y <br />. •..4 <br />
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