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nC com- <br />.c.~.i <br />~-,u~cc. <br />~-! <br />~ shift. <br />s shift. <br />r shift. <br />r shift. <br />r shift. <br />r shift. <br />r shift. <br />r shift. <br />r shift. <br />r shift. <br />r shift. <br />~_ ~~L ,,, <br />r the <br />~/~ <br />-- <br />L~ <br />~• <br />J ...: L~- 1-:. ~~ <br />MINE REPORT ~ ""~'t <br />3' <br />Note-Please 11ll out this report carefully, write 1 <br />dote the report and sign it. Fill out both sides of thelehe land answer all questions folly. Be sure to <br />J <br />t ---------------------------------~ Colorado, -------------------------,19--- <br />BtP.EAU OF i1'IIIdES, STATE OF COLORADO. <br />T. R. Henabea, Commissioner of .lfinea, <br />Deaver, Colorado. <br />Sir: In accordance with Section 4299, Revised Statutes, Colorado, 1908, I~u/b~~~m//////it report ea follows: <br />rName of Company-The_~__ ~__~ ~~ _ ry//~? ~- - <br />Incorporated is the State o~~rf;_~~__~_____ _ _ ~~~~jj ~~~~~~~~~~ ~~~~~ <br />Principal office ---------~!'vY_!~-- ~- -------C~O~t~YQaLO ____-------- <br />.t~ t------ -// o-Ei <br />u.comv.nr, Capital stock __rl_f1.A__ U?!~T~___________Sharea, at $1J_~____ per share. <br />ml uut Em. Name <br />.N.n:.ma.l.. ~ . 0. Addressee <br />Maw It bl.vk / - - _ ,,/ - - <br />,President __eeZ _ _ __~__ L~v~+!~~-p~~!.L <br />Secretary _ _ _ <br />, ,- - <br />!Treaaurer --- _-- _ _ ~p~ [/~ ci rt <br />g ---- - ------- ------------'` ---------n <br />c ---- <br />~1fa¢a er -------,~----------"------ ~~--------- -----~~---------------------- <br />(Title of Partnership---------------------------------------------- --------------- <br />' Partners' \vunes 1'. O. Address <br />c . n.~ <br />or ynrtumhly, <br />E1: ew qda <br />Naw: o;Mer.be <br />Isar. ft LIWo <br />e ~.~a,.. <br />v qnu! um <br />yerlpnaLUV. <br />EII uut : u <br />•Inw <br />IDfanuger------------ - ----------------- <br />Names of Owners <br />i <br />J~----------------------- - --- <br />~,]Tanager_________-. __ ._. -..___-__. _.____--_._ <br />~':!~ u+uues of claims: <br />P. 0. Addresses <br />Patented IJnputented <br />- _ ----------------- - ---- - - - - ---~r-~-=~-yn-xt~; is <br />--- -------------------------------- ~~~-.~ ~~rl.~._~-_~~u~ ~~. <br />'1~o!:J acreage pateated__ ~--~~~-..--acres; uaputeuted_--~~~-- - acres. <br />L° you own or lease these elaimst__---------- ~~~~~-------- ------ - - ---- <br />1f you lease them give name of company or person from whorn lcueed__- - ._ __-- - - - ----- <br />----------------- <br />(Over) <br />Y~' <br />~yl., <br />~. <br />.~ <br />j i <br />(I, <br />~~~ <br /> „ <br /> I <br />~~ <br />r <br /> <br /> <br /> ; ~ <br /> ! ~ <br />