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~_ eftL <br />~L/ ~""~.'J f°. ~"T ~^'~'~:-.`. \~I ~iTV ivv IN -`_ <br />l C t 1 •. L... <br />:)t) <br />MINE REPORT <br />Note-Please 8ll oat this report carefully, write plainly and answer all questions folly. Be sure to <br />date the report and sign it. Fill oat both aides of the sheet. <br />---------------------------------, Colorndor -------------------------~1'J--- <br />BURF.AU OP' itIINLS, STAT1; OF COLORADO. <br />T. R. Ffenahen, Commissioner of 11Iines, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, Roviecd Statut~~yyes__,~~Co//lorado, 1908, I submit report ne follows: <br />Nome oP Company-The_~)?? s'!-~_a_if!4GC___~j lz?~-t?~ <br />~~ po ~ ----------------- <br />Incorporated in the State oP______~!Y_tt ~ ~'f'_ <br />Principal otHce & 3 0__~ Gtic.tw~c. ~-(:--------------------------- <br />P ~a- c ~=---- ----------- U ~ pU <br />Cn itnl stock _~-_-_ U__________________ Shores, at $__-_____-_-_ per share. <br />Ir . Compeor, <br />ell nnl thl. Name P. 0. Addresses <br />tpene: atbenA.e // /~~ <br />One It blank - /~ ~ ~ J'~ ~~ "tN~--L LA <br />President ----- ------ ----- <br />-- ------------------------ <br />/1 /~~ ~it~.-.-..~ - <br />SecretnrY ~`--~----°------------ -f`-~~=~--- ----------------------------- <br />Trensurer ----------=~`~w.~~=------------ ----------------------------- <br />Dinnager - ----------------------------------- ----------------------------- <br />Title of Partnership-------------------------------------------------- <br />Partm:rs' ~'nmes P. O. Address <br />a . etm <br />nr o.nnet•bty, <br />nu not ua• --------------------------------------- ~------"-------------"-------- <br />ry.cr; othenrlee <br />Irw. It Glint - _ _ _ <br />~I6all gCC _____ <br />Names of Owners P. 0. Addressee <br />-------------- <br />n urltnrr ---------------------~--'--~ -.- <br />------------ <br />rmnp•er mr <br />p.nn.r.hl , <br />911 nut G,• __-__-.______________________________________ <br />rynro <br />1Canagcr------------------- <br />sttd~~ unmea of claims: <br />Patented / Unpntented <br />'1'uL•A acres e G[ ~~---_tp^~--- ---neres. <br />B Patented------------------- ---acres; unpntented__..___---------------- <br />Do you own or lease these claimst_______-- ------------"--------------------------------- <br />ltyou tense them givo anmc oY company or person Yroirvwhmn leased______- __ -------------~--------- <br />(Over) <br />