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:om- <br />i <br />V ~~ <br />i3Ift. <br />tuft. <br />hift. <br />hift. <br />hilt. <br />drift. <br />hilt. <br />shift. <br />shift. <br />Ihift. <br />shift. <br />/Se c <br />s the q <br />~-/!- <br />i~EIGv, <br />Pang <br />;~~>!~ <br />MINE REPORT <br />Note-Please fill ont lthisEre~porttcar~ a ofttLe ah et~d answer all gnesttona folly. Be sere to <br />date the report and sign <br />--° -----------------------------~ Colorado, -------------------------,19--- <br />BURE-~U OF D>aIES, STATE OF COLORADO. <br />T. R. }3enahen, Commissioner of 1lfines, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, R~~et~lvi~s!e~'^d!S~t~atntes, Colorado, 190(8/l, I submit report as follows: <br />Name of Company-The_-~ / ~ ~ -r ----- - - ---- ------ <br />Incorporated in the State of---------------------------------------------- ------ <br />Prineipal of0ee ---------------------------------------------------------- ------- <br />Capital stock --------------------------- Shnrea, at $___________- per shar <br />a . cnmy.D1. p. 0. Addressee <br />nl oot I. Name <br />ntLm.IM <br />~'It Llank <br />President ----------------------------- ----------------------------- <br />Secretary ----------------------------- <br />Treasni.er ----------------------------- <br />~?\fanager ----------------------------- <br />(Title of Partnership----------------- <br />Partners' \ames <br />h~t-=~--~--- -- <br />~- <br />e . krm - <br />or partn.nklD. I ~~ ~._ ~~ ________ <br />en out ud. -- -- ------ <br />.y¢e: n:Lrr~lw - <br />le.r. It Ll.nk _ _ _ _ _ _ _ <br />i <br />___-____ <br />_ ~/~~L~Ll --_ <br />r Nnmes oY Owners <br />-- <br />--- <br />--------------- <br />P. O. ddreas <br />~~,. ~ - _~i1!~ <br />--------- - - -r - - -- , <br />--------- - ---{1-------'r--- -----------tK <br />P. 0. Addresses <br />~~ ~ Il, <br />~~.. ~,. <br />i ~ <br />~' <br />'.I <br />i -- <br />I! LntL.r <br />romP.u. nm <br />ymu.reLly, __-.__-_____.. <br />011 out wu ___._______________________.._ <br />.p.ve l <br />_____. <br />______ <br />~~Dtanagcr ----- ---- ------------- <br />51st ~~ moues of claims: <br />_- tullutcuted 7 <br />--- -- Patented ~~ _ ~-_ /~,- - <br />iT~-~_~_` -- <br />--- --------------------------------------- <br />--- - <br />--- -------------- <br />..---------------------- ~-;C--~Q_ -.. ucres. <br />7btul acreage patented------------------------acres; unputcnled~ <br />___ <br />______ <br />_- <br />llo you own or lease these claimsl__-- f - - -"--""----- - <br />!f you louse them give name of company or person from whom lenses <br />---- <br />------- <br />(Over) <br />Ili <br />II <br />4 <br />i <br />I I <br />rf <br />I <br />r' <br />