Laserfiche WebLink
~r---r- J ~ -` ~K~~~Vr/wr~ ~/~~~° ".~ <br />ea of the leasing `°m. MINE REPORT <br />.; r <br />'. O. Address i <br />Note-Please fill out this report carefully, write plainly and answer all questions fitllg!Be sere to <br />-'------------ date the report and sign it. Fill out both aides of the sheet. <br />- ---------- --------------------------------~ Colorado, ---------------------..__,19--- <br />_________________ L'GI{F.AU OF 11IINES, STATE OF COLORADO. <br />____ T. R. Henahen, Commissioner of \[ines, <br />-----'"-- - - Denveq Colorado. <br />--- Sir: In accordance with Seetion 4299, Revised Statutes, Colorado, 1908, I submit report na follows: <br />Name of Company-The_____________ <br />-------_-__._-__. (Incorporated in the Stutc of______________._..____.._ <br />------------------------------- <br />I'rincipal oQicc --- ---------------- ----- _.... -- ---.. ..---------- -_-------.__.. <br />Capitol stock ____________._.________ _. _Shnres, nt ~_____.__-_._ per shnro. <br />Ir ~ ~m .nr. P. 0. Addresses <br />ml nm tel. Name <br />_for__ _hourxhift. •wrr:um.e+t.. ~ <br />Iro. It Ll.nk <br />.__for_---hour shift. President --------_-.- _ -- - ----------------------- --- <br />L <br />__for____hourshift, Secretary _ / ~!~~_ -- -~ -_. _. .. _____ _ __ <br />------------------ <br />~`.~~ ~ 1 <br />_-for_---hour shift. ,'frcuauror ______-_--- rf---- - jr ~1--f- -------. .. ---- <br />__(or__ _hourshift. I:lfnnager _.____-- - ----'--....-- ......... ..... <br />__for_. _h°urshifL -------- <br />__for___Jlourxhift. Title of Purtnership____._ -__..__. -__-___...__-.. .._____- ___._ <br />- tor____hourshih, Parln~•r.;' :~nnu~s I'. 0. Address <br />_for_ _hourshifL -- <br />for__- hour shift. ~ /! • ~ 1 -fit -C i)~ /-l r .~1•./ /? i r it r i ( i <br />. - -t ~.- ~ ~ 1.. __ . u- ~ __ ~~ _ _ o <br />Ir . Erm <br />_for__. fwurxhlfl. .,, p.rtnrnhlo, ~ 1 ~ r ~ ! f ~ 11 A ~- /(Y r... <br />Fll out lLl+ I- _ -. _ ___ -_. .. _ .- <br />rl.r•' othrrwb. ~~ <br />_ _-_ , ~, <br />-------- - - ~ Nrnucs of Ownrru 1'. 0, Addresseu <br />---~--- ~ / G 'I-- ----~--- _- -- ^-' <br />~IJ9;._ V-TI!a I ~ (~~ /, / /rl / ~ _ %~, t / ~l rr r t' •, t ~, <br />II U.•IWrr -____._. ___.____._._._- _ _ _ <br />__________._. - ~.,ngnnY nos <br />b.rturnLly , -__.._._ <br />- _..-_ rll out lL - ---~--- <br />_- - ~WCa <br />Ia ---- _ _ _ .. - --- --- - - - - <br />ffi----- - - -- -- - -- - ---- __ _._ - ----- <br />~Ltnnger._.. _.. - _._ .-._- <br />'b-------~ - - _. - -- ~- -.. . <br />~------ -- slate uuwcs of claims: <br />~----__---- Patented lOtpntentrd <br />workmen in thu <br />_ II2_ slll=1_'~g <br />-------------- - --g'-f---------------- <br />'fnWl acrcn t. >utcuted___---_-~ __eerea; unputculod_-_-_.-----. -... _ncroa. <br />;~____Compeny. llo you own or leaen theen elaitnet_____ _-- ----_---..__ . _- . - _____ <br />______________ 1t you lease them give Hume of company ar person Prom whom leuuod______-__ - --- ----- -- <br />.T r v. _._ - -- --- - <br />---------------------- <br />- (Over) <br />