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ea_°,f ~,~ G~ t <br />MINE REPORT 'I <br />Note-Please fill out this report carefully, write plainly and answer all questions folly. Be sure to <br />dale the report and sign it. Fill out both aides of the sheet. ~ • <br />PITKIH, COIaO. -----. Colorado, --__ NOV_ 1___ ~8~3-- -. 19___ <br />BURF.e>U OF iIIINES, STATE OF COLOR.IDO. <br />` - ~ - am <br />E ii A ~~ r ..,~; :,,: <br />- <br />. r. 1 ~ ~ <br />~~ , ".. ; •~ T BHAHT Il{D~P~DFJ9~-~~ilil~'i6. ~ ~ ~ "~ i ~ '~ <br />Anmo o~Compnny-The______.,~___ ~' ~ <br />Iacorpornted in the State of_______ _______ II <br />Principal office ______________F1TKI_gc_ DLO..____ II <br />_ -----• <br />O <br />Il ecump.nr, Capital stock __~~~a_Q~y_________ Shores, at $ ~ ~ per share. <br />An out thb Name <br />.pure: atber.lu I P. 0..lddress e <br />love It bivnk I <br />President ~ ~ ~/~_____________ ~~i~~e,. <br />~7 p{~ r -------------"~j-Ze. <br />Secretary ~ • CC_•_~'~c~i~---.--- ,~4 __----- -------- <br />nn <br />Stnnager _ ~_~_~~~-fc?-~~ _O<_%~f~.-. ~--fro <br />Pitle of Partnership------------------------------------------------------- ------ <br />Pnrtm-rs' ~-Imes---_--_----= P. 0. Address <br />----------- --------- <br />u.Arm -- ----------- <br />cr pvrtnrnhipr <br />All out thb __._________. _.___ __ ____..___________ <br />ryv<r: athmiu <br />levrr It Llank <br />Hlnnnger____________...___..______________.__. <br />Nnrnes oP Owners <br />_ _ <br />~.. <br />P. O. Addresses <br /> <br />~ampvnYnor J _____._.. .. _.._.. _ _.___ <br />u urlA'rt I---------------- -------- .._.---- ---~------------ <br />I.rl crnhl <br />------------------- <br />•p.rc <br />1 ___ _______________________________..___ -.________________. - ..______. . <br />anLLBCC_ ________ __________ ___________ ___ _______..-. <br />St;lt~~ manes of clnima: <br />Patented lJnpntentrd <br />.IM1jCl~1C2 ~~~___ _ CumU Ilird OrauP-rf rhdmx Iti11 <br />/f/ _ __ ____ _________ <br />.! ~~-6-~-l~C:LV~ o I[nunuvelt I7 ruuP-X chtlwx and n mlll xlla Xu .. <br />6~ I. X. 1. (:rvwU-i clufnm ;n <br />i/ `//. ,,/ ~ Z / Lnvoy htury I:rouD--X clnlmx Xu .. <br />~ Cued ItlAKU Cruup-1. clnOnx uud n frnrCuu npp. ;u •. <br />• - ~y -_~ _~'-~-------------------- -- <br />,q ~/ 1'uonlu Cruup-a clulwn... _._. .. Ju <br />7s__ M!-fJ__ _ ~ ~ Now York gruup__.i clnlmx-npp :In <br />,_,__. ~D- ~Le hluhuwk Croup-= clulmx 41 " <br />_____________________ __________ Alounluln IIOY (:nmP-fi ciulmn fill •• <br />_____ <br />---acre JumLo Croup-= clnlmn su •. <br />7•ulsl 71C7Ca C ___..___ ThuuXnud Lollar I:rvmp-U clnlmx 9u •• <br />B Patented------_-_-- ~- opuml <: rouu-s clulwn NIA n truce inn npp :Ix •• <br />DO }'On OWp Or 1C68C theaC Clalmet__-___~~'-r ~~_.' Conoy Ixlund <:nwp-W cluhux uud n frurlluu <br />app. ~ WX •• <br />!t You lease them ive Hume of com an or lereon Yror bfnnhuuun Cruup-I I taulnlx 1 ul ;; <br />B P Y I 1 lacer Clulmx tar dwn and flume Ihu• app Nn <br />(Over) <br />' •111 <br />IR <br />I I ', <br />' I <br />r <br />f' <br />