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AA~-- <br />~~ ^,ounty ~~ Dot 1A~ <br />MINE REPORT ~, j .'~ <br />Note-Please fill oat this report carefully, write plainly and answer all questions folly. Be sore to <br />date the report and sign it.Fi~ll ]o~nt both aides of the sheet. <br />------t~ts'`-=~----------------~ Colorado, -~~~-r--- ~~---------~ 19!t'~ <br />BUREAU OF MINES, STATE OF COLORADO. <br />T. R. ]Ienahen, Commissioner of 1lfines, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, ReviaedStntutes, Colorado, 1908, I submit report sa follows: <br />It • Camp~n), <br />All out this <br />,pve; othetnrW <br />love It blink <br />II . ern, <br />or Dtrtnrnbip, <br />All aut thh <br />gore; othrtwW <br />leore Il blink <br />_________________ <br />--- ------------------- <br />. Address <br />.o ~--~ ---------- <br />-- <br />--~ ~--- - <br />--- Names aP Owaers P. 0. Addresses <br />I n<ther _______________________________________ <br />------------------ <br />----- --------------- <br />-- rnniptn7 oar <br />- yarinmhl . <br />_____________ <br />all aut tb ________________________________ <br />nitre <br />Managar------------------------------------ --------------------------------- <br />Rintc names oP elnima: <br />,/~ Patented irnpatentrrt <br />Total ncrenge patented___________ _--------acres; unpatented---------------------- ----acres. <br />-L-- <br />A3r• Do You own or lease these claimsT_ -.f~s~~------------------------------------------------- <br />If yolt lease them give name of company or Person from whom lensed________________________________ <br />r ~ _ --------------- <br />-- - - - ------------------------ <br />-- ~------- - - ------- --- (Over <br />Secretory ________________ <br />Treasurer _______________ <br />btnnnger ________________ <br />'Name of Company-The---------------------------------------------------------- <br />Incorporated in tits State of______________________________________________________ <br />Principal oR'ico -------------------------------------•---------------------------.. <br />Capitol stock _______________________-.___ Sllnres, nt .^D____________ per shore. <br />Name P. 0. Addresses <br />President --------------------------------------- ------------------------ <br />Partners' \ames <br />r~ <br />il~' 1 <br />~dl:l <br />