MINEBK01057

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

3yL/, :;y
s of the leasing nom. MINE REPORT
'\
0. Address
Note-Please fill out this report carefully, write plainly and answer all gnestiona fttlly. Be anre to
~(i/-t/J__.,; date the report and sign it. Fill out both sides of the sheet.
---•_-- ___--, Colorado, _-- --____-, 19/_
__ L'URF.Ali OF AfIA'ES, STATE OF COLORADO.
----- T. R. $enahen, Commissioner of lfines,
--"------------ Denver, Colorado.
-------~---"-"' Sir: In accordance with Section 4299, Revieed Statates, Colorado, 1908, I submit report ae follows:
- fame of Compaay-The_1'1 _.__________--~~G~vLl/rl,~-'~----------------
------------
------------ - Incorporated in the Stute of________________________________________-----_-____--
~Principal o1Gce -- -- --------------------------- ----------- --- -------------
Capital stock _____________________ ___ Shares, nt 4________.___ pcr shurc.
u . com~r,
EII ovt r 1. Name P. 0. Addresses
. _for. _ . _ hour Whiff. ''"`°~ ot11°"t" '
,.... Ir m.at I i
;!'resident ________... _ ___
-;
_- - -
for _. hour shift. -- r ""- ~ _
---- ~ /'//
_ `or_ __hourshift. (Secretary __/- ~_-L~_,~~~U___ f'1'f;_~j'~La!r!~~-
~~ _~ITLL ~' -~i - ~'L~
_for_.._hourhhitL I'freusurer ______ ____ -_ -_-- --J-_ ~~~ ~ ~ / G
._for_ hmlrnhilt. ~~lfanugcr _.__---..---.------__..-.-- / _ ~.,__ r1/CC.L.I / '
__
- --
or. _ hour nhifl. ~ ~ ~ ~ yL1 '-~ (,.
...for.- _ hour a.ift. ~Titlc of Partnereht ____ .-_-.-.--
P----------- -- --- - --- -_ _ ---
.for__. _hourchilt. I, Partners' .^auu;s 1'. O. Addretltl
for---hour shift. ---- -- ------ --- - - ---
for__ hourfhift. ._ _-- /_ _ .... .._ _._ __. _~ ,__._ _
~~
_for---hourshifr. •„ mu..adv ~ _l~~ . ~'d %YG~I..- ___ _ 2'!'Z. ~'~~~. ... ~ -
I.~.. ~11 LI~oY ' ~
- - _ ~ Afanxgur _
- -- ------- ~ t
- -- - r A9unes of Owners P. O. Addnetlxes
I _
-_.._.. .-_ I _ -.
_._ _____. I - _. .. ____.'-.. -. _. _
~nWn ~ .. ____-.. _. _. - ..
_ - _ _ - ..rnpnq nW
.m~mtl1 .. ... .... ._____-_-_. _..
t I VYI ~ -
_ .DEG
--
t] 3
,Po--- -
workmen in the
'- ---Company.
ez:~s1~1'_G!!
i -----
i
~,Altlnager- __ _ ____... ----- _. _.. ..
~`t et L' ntllnetl Of elalms:
Putented I)npuUartcd
't'otal acreage patented-------~------- -_.._w:rrs; unpntented_..__....-.--_-- --__ -_ .ucrea.
Do you own or lease these claimsl--_-----__ _.. -------------....._.. ---
Jfyou lease them give name of company or person from w)wrn lenued______- -.__- __-- ------------
(Over)