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i' , <br />i <br />the lensing cam• <br />Address <br />for____hour shift. <br />Cor____hour shift. <br />[or____llour shift. <br />For__ __Ilour shift. <br />For____haur shift. <br />for___ hour shift. <br />for~hour shift. <br />for____hour shift. <br />'or____hour shift. <br />'or____hour shift. <br />Cor____hour shift. <br />MINE REPORT "''' <br />Note-Please ftll oat this report carefully, write plainly and answer all questions folly. Be sere to <br />date the report and sign it. oat both sides of the sheet. ~ <br />~r ~ ~ . ,. f / .,r <br />-------~--~ ;ZC! ~'R~%---------, ~olao~rtn-doh-~ / `i^ / -----~ 19f_ a~ <br />I3URF.AU OF MIN1;S, STATIJ OF.COLOR~ 0~'~~ ~ ~~ <br />T. R. Iienahen, Commissioner of blinea, <br />Denver, Colorado. <br />Sir: In accordance with Section 429~Rsviaed Statutes, Colorado, 1908, I submit report na follows: <br />~cus J ~f'/~ ~e <br />Name of Company-The-~~=t--- «~-------------- ------------------- <br />--- <br />Incorporated in the State-of_____ _____It~ '~r?.u.,~'~s____________________________ <br />Principal office --------`~------------ -----------= t------------------------.. <br />u•wnr Capital atock _____,~C_Q.O__c_!~_G'_f1_____Shnrea, at :~____________ Per share. <br />an not 1. ~ Na i~ ~ . P. O Ad resaes <br />epttt; otbtr+W y G .~ 7 ~ <br />tr.a a bLnk ~'lb ~1~,~`y~~~~ ~j. !~~'.,IICF ~.tv /.7/~~ /(~/~tz~.~lCElf <br />President ------------'--`-" ="=`r--•---- ~ ---- ---- /-' -- <br />~ yy~ , Q ~~-- - L <br />Secretary --~~ ~J /// - Cif/T,~/ ...------ ---""V"=-`----- ~r/~- _--- <br />------ -- - ---- <br />~ -~ <br />~ -~Z -----------~------- Uv Gl~% <br />Trenaurer ___ w ____ 'f (,~~2.~/J!~ __ /L~!~~ <br />-- <br />Title of Pnrtnerahip--------------------------------------•~----------------------- <br />Partncrs' \nmes P. O, Address <br />u .eon <br />or yrtnmhfp, <br />tll oul thb ___________..___________~~_____..________ ___________ __ ________________ <br />goer, otherwlN / <br />Inve It bhvk ~ / <br />- linnagcr------------------------------------ -------------------- ------------ <br />--------------- ~ Names of Owners P. 0. Addressee <br />-------/---- ,/ <br />~CB.cL~______ <br />workmen in the <br />_~_Comp~ny <br />1^ <br />ndtber J ________________________________________..__ <br />' <br />mnl vor /~/ <br />_ <br />pertnenhlyy~~ l <br />!II out thL ! <br />---- <br />.rat <br />I -----'----------------- -------------. <br /> <br />~1lnnngcr___..----.-...------------------~---- -----------------~----- ------ <br />date names of claims: <br />Patented Unpatented <br />i <br />7btu1 acreage pntented_ ~~~~-- 3~-- ---acres; uupatented___ ~----'-~--- - -acres. <br />---------------- <br />Do you own or lease these claimst_________ _ ''~ '- <br />If you lease them give name of company or person Yrom whom lcased____ <br />!~- <br />(0~'er) <br />4 <br />I <br />