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~ 1 <br />1 1f j I <br />om- MINE REPORT ~ i ~.v~ • ,I,; ..' , i <br />Note-Please fill out this report carefully, write plainly and answer all gneations folly. Be sere to III ,I ~ I. <br />data the report and sign it. Fill out both sides of the sheet. ~ <br />__ <br />;3 <br />- ~~ <br />_ ---- =%"~~~=----------------, Colorado, _GJL-4•rG_uz-t.~--=^'-~. 19~s[ .I • <br />BUItI~.AU OF DANES, STATE OF COLORADO. ~, <br />~-- T. R. HenalteII, Commieaioner of Dlines, <br />--- Denver, Colorado. ~ <br />~" Sir: In accordance with Section 4299, Revised Statutes, Colorado, 1908, I submit report as follows: ~ <br />~-- C /~ ! ~1f ~ ; i~ <br />Name of Company-Tho_~a-4•e~`--evr>~+.Sv~,~ -•~--~G.U-~~ =~=--`.=-OL-_~sr-,~:. r ~~~'~..,' ~, <br />~~ /f ~r Incorporated in the Stnto oP_____________.._____ ' _I <br />I ~ li , i <br />Principal office ------------------- ---- -- •-----' --~ ~•~`--------------------. ' <br />Capital stock ___Jj_,v_~1~____ Shares nt $~________ per share. <br />It .Camyear, S - ~r ~ ~ - <br />en nne thl. Name ~ - / P. 0--~ddresaes --~.-- =r_ <br />I1ft, ,Wre: uwa.r6. /' 1 t. ~ <br />lift. President __~'~~ `- !]-l <br />late It blank ~ __ ~M• J-- 1 _____________________________ <br />lift. Secretary -_-- ~ ~tx ~ • ..'t ~ -~V ~~ <br />lift. Treasurer ___.~1't_!~lz.ts!' ~ <br />------ ~ ffAt--f-----~ ~~ ------------------- <br />lift. l:lfannger -----1 ,-- ,/i-~~.--,r'--(',^.. <br />lift. , <br />lift. Title of Pnrtnerehip___~, _ --.+x!~~5 ~'-'~=-rE~=-.~-k-------------- <br />lift. Partners' Nnutes P. 0. Address 'I. <br />lift. ------- -------------------------------- , <br />lift. <br />Ilft. ^ .arm <br />ar DertnrnAip, <br />/ all nut thle ___________..________________________________ _________________________________ <br />a tDare; otherwW ~ ,, <br />_ _ lertr It blank <br />Ii <br />__- ______._________________________________..____ .._______________________________. I ~' <br />--_ <br />___ Dfamtgcr_____________..______________________ _________________________________ <br />___ <br />Nnmea oP Owners P. O. Addressee <br />~ ~ ? I I 1. <br />~~'t'. c a-'7t.t p~--Oi{-Eaa~.~..•re: -"~--,--- ----------1/1-s~~"------------- <br />___ y C/I <br />-_ If nellher ~__ tlw.L~.+~-2~= _______~.~G~ J______________ I i <br />--fJe^~9-a~ ~. <br />campan7 nor ______________ ~ <br />--- Iiarinonhip. - ------------------- <br />Alloutthe ___________________________________________ <br />[eve I I, <br />___________________________. I <br />hfanngor_______________________________.____ <br />1IafC iltlm Ca OP C1AIInB: ~ ~ .. <br />leafed Unpatented ~ <br />the -~'~-~C-." zr_iry.-r__!~t_~ <br />~9 -~ (/V/1/ -IO~1C_w~---------- / ~~yy <br />/U1---------- ----~6~-'-A'- <br />- .. -N-~~a/--`---o~ - <br />' ,~ ------------------------------- I <br />r r~ n ---------------~--------------------- <br />C ---- ------- -------------- <br />-------------------- <br />• ar-res; unpntented----------- ----~-~- , <br />' ~' 'total acres a ___ncres. <br />g Patented------~------------- <br />tnY• Do you owe or lease these elaimet------------~`-X~-~-------------------------------------- <br />or eraon Prom whmn lensed______________________-.- I <br />=` If you lease them give anma.of company P ________ + ~' •I'' i, <br />--- -------------------------- -----~o~eri-- <br />~~h ~~~~ <br />