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sing com- <br />~~~ /~~.vy1~L <br />Z6'LB-- <br />nr shift. <br />nr shift. <br />nr shift. <br />nr shift. <br />r shift. <br />~r shift. <br />~r shift. <br />:r shift. <br />Ir shift. <br />tr shift. <br />tr shift. <br />~i <br />__l yt J ~ <br />I , <br />~,i >>~. :... ~. <br />;G•i % <br />M E REPORT <br />Note-Please ftll out tlris report carefully, write plainly and answer all questions folly. Be sure to <br />date the report and sign it. Fill out both sides of the sheet. <br />.. v <br />- ~ qq <br />:G% <br />~ -----------------------~---------. Colorado ~'C---- ----. 19/ri'. <br />BL'PF.AU OF EfINES, STATE OF COLORADO. <br />T. R. Henahen, Commissioner of _ilines, <br />Denver, Colorado. <br />Sir: Ia accordnnee with Section 4299, Revised Stnt/u~tes, Colorado, 1908, I suhmit report ns follows: <br />~~A'nme of Com nn ~~ 4 __~lilw.~ -t ~~~ <br />P Y-The---------------=- - ----- ---=~ - <br />lncorpornted in the State of_____~-~?'(~"Y?~°~ <br />- -- -------------------------------------- <br />I ,/, <br />Prineipnl ofSce ____________°~E!-!/_t1!rtz~?'_________- <br />Capital stock r~O O 0 0 U ° Sl - <br />---------e--------- -_ ---' Iures, at ~--- ~_ rr.--- Per share. <br />I! ~ Campper, <br />!11 vu[ tAi~ <br />rpre: utker.w - <Z r_-~--~ ~ P. O. Addresses <br />inv. It Limk <br />President ____ .aced- <br />---- <br />------ ------------------- <br />Secretary ---------------~~~-r .~~c-oo~....- <br />~ Treasurer ---------==~-~1~/-~--'~=' ---- :~^^-.. - <br />~\faaager ________ ' <br />Title of Partaerehip________ ___.__________________._ <br />Pnrtrtrs' Xamt's P. O. Address <br />m <br />- - <br />-- - <br />CII uurt (m61D' <br />gnrr: v:hrrvlu I - _ ... _ _ _ _ <br />i.n•-It Lltnk i <br />lHfanugcr <br />l_,~-~" <br />%7/L <br />iLL . :'!. <br />p-Ci <br />~__ <br />,~ r <br />0. <br />o the <br />~_ <br />Ia~r. <br />ATarnes oC Owners P. 0. Addresses <br />i' untLrr I _. ______ <br />wm.p.n. our <br />iarw.r.Ll{,, <br />..:l wt lid. ~ -. _________________..________....._ _ _._.. _____. .-_____ .-_. _. _.... <br />'I+re <br />~,Afunuger__. ._. ..-..-... _._ _._.. <br />^I,~I~~ names of claims <br />Patented ~ l'upntcnted <br />-- <br />- -----------------yy--------------- 7 <br />ncres. <br />'fol:a uercuge pntenb:d_..__ ~•~y.! ~ ---~ -- . -_..neres; unpu tented-- -.'l ~ ~/ <br />Do ~'ou own or lease these clnimst____ __ ~`'"`-`-=L --- - - <br />If you lease them give name of company or penoa from whom loused . <br />------------ (()rev) <br />~I, <br />