MINEBK01057

• County: Summit
• Document: Manager
• Suffix: A

a of the leasing Com-
o. Aaaress
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_ _for_ _ _ _hour shift.
__for____hourshift.
_ _for_ _ _ _hour shift.
__for__ _ _hour shift.
__for___. hour shift.
_for____hour shift.
_for____hour shift.
. _for_ _ _ Jrour shift.
_for____IwurshiR.
_for_ __ _hour shift.
_for____Lour sl(ilt.
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workmen in the
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MINE REPORT -~ : Y
Note-Please fill out this report carefully, write plsiniy and answer all questions folly. Be sere to
date the report and sign it. Fill out both sides of the sheet. ~~
- ------`=- - '------------+ Colorado, u..~!~---°i !111__---~ 1~.~
BUREAU OF AfINES, STATE OF COLORADO.
T. R. Hennhen, Commissioner of Alines, ~ ~ ~ '~ 'V
Denver, Colorado.
Sir: In accordance with Section 4299,~jRevi~sed Statutes,'Col~orad~o~, 1908, I su/b~mit report as f/oll~ows:
Nome of Company-Tlte_~:'.~i~~mt~_-~~~rlJ1+/~•tF_%..G__-:"!_'[_~_ ~i_~!~_
Incorporated in the State of________Lt~rryrtie-~pL.Q_____________________________
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Principal office --------(!`-1~'C?3~{~`.--~''~'-=`=~------------------.
Cn rtal stock ~~~ _QOfl ~/ ~
p' __ _ _ ___________ Shares, at $__f -~'__ pcr share.
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°1~!D~„y~ Arame~" P. 0. Addressee
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President _~,.e~~ },_-~c_+.r_~~~i-e~/ ____ ~~s_-~v_rr_at ~,
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Secretary~_S./'isf~•ae~E.+rC--~--~_.,tlLdlrlCi..!_- ----~ii~.fr~r_~~!i:~eCC•t,/
Treasurerl-------------/-------- - -----------------------------
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of Pnrtnerahip------------------------ -------------------------------------
Pnrtn:~rs' Xumcs I'. 0. Address
Afanngcr------------ -----------------------
Names of Owners
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state names of claims:
~ Patented
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P. O. Addresses
lJnpntented
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___acres; uupntented___~_~Q ._.._-- -~- _ncres.
--------------- 'fatal ucrea e
g Patented--__--~ ------------
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,_ __Company. Do you own or lease these claimat______-_- ------------------------- --"'-'-
~- if you lease them give name of eompnny or person Yrom a•Iwm leased___..___________________...._______
---------------- (Over)