MINEBK01037

• County: Gunnison
• Document: Manager
• Suffix: A

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MINE REPORT
Note-Please fill out this report carefully, write plainly and answer all questions fully. Be sure to
date the report and stgn it' Fill out both sides of the sheet.
---------------------------------- Colorado.---------------------~ - -: 19---
BL'RE9ti OF' ?MINES, STATE OF COLORADO.
T. R. Hcnnhen, Commissioner oflfines,
Denser, Colorado.
Eir: In accordance with Section 4?99, Resised Stat(u'te~s, Colora^do,,'1'9,08/, Isubmit report as follows:
(Nome of Company-The----~~--'--Z"---~~y`~`~`~'~-------------------------
~lncorporated in the State of_______C~~O.~----------------------------------'-
~Principa] office -_----- -------------------------..
-----
~Capita] stock ------------------------ --Shares, at $__________-- Per shore.
c.coml~==~. i P. 0. Addresses
en ~1 ,1~;. Name
la.e It L:uuk ~--
l'Prestdent ------- ------------- -------------------- - --
jSecretnry -----~--'
------------------------
!Treasurer '---'-
-------------------------------
---------------------------- -------- ------------------
".+fanager -~- -- -
~'['itle of Partnershi
P -- P. 0. Address
Partnarn' \:uurs ,~. `
i_f~a.~-=t - - -
--- _ _---
--
- ---
-- -- _ --
c~n~ ~ - - - ---- - -_
ec o~: :1..;. -----~ ----- ----
,1~,~.: oa~...l.e ".
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~~ lfanugcr_____________ ________-
Names of Owners
:I~:n
1lunager . - - - - - _
~'.,~~~ ~.nulrs vl' eluima:
Pu~t~ented
I'. 0. Addr sses
I!apld.•ntcd
:recce
't'„t,,: vv --__ _-.acres; uoputeuted-
:r:~age pntented____.p - --
Uo you vwn or lease these elaimsi_--- ~~~K _- . ._. ----- - - - _ /.
if S„~: l:,xu. them give nuu~~ canpuny or person Prom »'hau leused_ ~~-
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(Over)
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