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,. . <br />MINE REPORT <br /> <br /> <br />Fote-Please fill oat lthisfirellp°rtt bothsides aftthe] sheetand ansvrer all questions fully. Be sure to <br />date the report and sign <br />---- --- ---------------•( 30, ---~--- <br />- ------ ~ <br />BL'RF.Ati OF itIINES, STATE OF COLOI:_1D0. <br />T. R. Henahen, Commissioner of Mines, <br />Denccr, Colorado. <br />:ir: In accordance kith Section 4293, Revised Statutes, Colorado, 1908, I submit report ns follows: <br />Name of Company-The------------------------- -------------------------------- <br />~Incorporated in tl:e State of--------------------- ------_--------- -------" "'-- <br />Principal ofSce ----- -- - --- - - -- -------------------------- <br />-------- <br />Capital stock ----------------------- - -- Shares, at $----------. _ per share. <br />(! a ComPncl. I Nnme P. O. Addresses <br />au vut ml. <br />ryan: o'.herwiae <br />larr It Llavk ' <br />'',President ________ - --- <br />~jSecretary ------- ----------------------------- <br />ITrensurer ------------------------------- <br />illanager -------- ---- ----------------------- <br />p-------------- ------- ---------- <br />rTitle of Partncrshi -- <br />Partr~ r,' \nnn,v 1 . O. Address <br />- --- - <br />-- <br />I <br />v. am I - <br />or lmm~rxhlP. J ___ _-.___. <br />E11 on: thls ---' -"--"-- -- <br />gnrc v:Lrrdae ~I _____- <br />Ira,.ItLLnk ~ ____.. _-.___-____________ <br />\~ J` <br />\(/~~~ <br />1 <br />~1 <br />.t <br />^1 <br />~j\~ <br />4J\. <br />t <br />t <br />~n-_.. a <br />'~` lfanager _ _ <br />Nunes of Owners <br />_- <br />------- <br />.-mrgnip' ver <br />portlrnlJ V. ' __________________. _-_-- <br />Llluuttula I - --~~~'~--~-- <br />•pacr i <br />I'. 0. Addresses <br /> <br />bt <br />- i <br />i _ <br />_- <br />~laIIager-- - _ __._.. <br />vt,~~l nnlnf•s of claims: <br />Cnp;denicfl <br />Patented _ - <br />------- uc res. <br />_-_.aeres; uupatented_- _.. <br />':'~ncl zen:uge patcuted__. ---- --------- _ _ <br />Lo you own or lease these clnimsT__- ._ - - --- - ----- _ _ <br />if you Lase. them give name of roarpuny or person frmrr wl:um leased- - <br />- - <br />- -- - <br />,_ (Oyer) <br /> <br />