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„~'//i'i. ~-vv .. c/ <br />MINE REPORT r ~ <br />Note-Please fill ont this report carefully, write plainly and answer all gnestiona folly. Be sVVV~e to <br />date the report and sign it. Fill o~nt bJoth aides of the sheet. <br />---'-~=~!~P?- -----. Colorado, _~-[~t~c__LQ~ti 19~~ <br />F. SEINER 5TATE O' COL' ~ ,/ <br />T hen, Commissioner of .ilia <br />ver, Colorado. ~ ~ J <br />4 <br />Sir: In accordance with Section 4299, ItevisedStntutes, Colora.t..-.~8, I subm~ .•eport as f/ol~lot s: <br />Name of Company-The_~~ __/yA~~-~_+~_'icr~__z~!_~111 ~~e~=,/1~.,__~?~.__ <br />Incorporated in the State of_________L~t-2~c2z~~m_______ <br />Principal office ~~,~/.~G~,es..v~v_i--s7~.rmi~_a~.%`P~i`ttt`r.~. <br />Capital stock ~_QO ..D_-11_-:!>_________~Shares, at $___I_~__ per share. <br />• Comp~ur. <br />ee ~c lthenriN Nome ~-' P. 0. Addressee /) <br />e It blot / ~/~/,~/,,~, // / ~i' <br />President~•f~~r-y71t-~~~=~-'°~- --- -- -- --- ~----v-------`-"J-"~-°-~--=%LO' <br />Seeretnry _~_5.-.,-G`.~~/x~-Gli------------- ~c~s!*~sss/~_..~iZi!~ef~ <br />ITrensurer~-----------------~ ----------- ----='---/--~_~ ----~-(/---- <br />i ~---- ~ - <br />~Sfnnngcr ~,Gvrr~.e~_!~,.a~rt~v~!~-rr~------ ---t~t~~l-icn~.o_.__~i <br />/% <br />Title of PnrtnershiP------------------------------------------------ <br />I Partners' X:ulms P. 0. Address <br />If . Grm <br />or p~rtomhlp. <br />OII out tbb <br />np¢r other~W <br />lem It blink <br />~lonager--------------------------------.-... <br />Names oP Owners <br />If neltbec <br />•.Vmp~nr nor <br />Inrtnmhlyy, <br />1111 nut tthl~ <br />.pew <br />Afanagur ----~------------~------------ ~ ---- <br />State nalnee oP claims: <br />Patented <br />P. 0. Addresses <br />Unputentcd <br />, <br />o ~ .. 3 <br />V,v=_=_~~~ J _C a J__l ~ t <br />---------------•-------_-=---1 --------------- <br />'Total acreage patented_______a~_____________acres; unpntcate.~90_oluma~lP~crca <br />Do yon own or lease these clnimef_____-__~-¢-~-1'----°---------------------------------'----- <br />1f you !seas them give name of company or person from whom leased________________________________ <br />(Over) <br />