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.-, ~ _ ,_ , - ~~u-y3~~~-- ~~ C~,.~. ,~, ,~ ,I <br />the leasing eo>n- MINE REPORT ' <br />lddrp°a Note-Please fill out this report carefully, write plainly and answer all gnestions folly. B e to <br />__________. _ date the report and sign it. Fill out both sides of the sheet. <br />- ------- <br />__------------- -------, Colorado, -_ / ~"~-~---~ ~c _--_-, 19J_ <br />BCF;F, AU OF htINE$, STATE OF COLORADO. <br />-----'-'---'--- T. R. Henahen, Commissioner of 1lines, <br />-------___-__ Deaver, Colorado. <br />'--------------- Sir: Ia accordance with Section 4299, Revised Statutes, Colorado, 1908, I submit report ne follows: <br />,u. .~ ..-...... .......... .. _.__.... ~. <br />--------------- Name of Company The-------- q ----------------------------------------------- <br />Ineorporated in the State of__--------------------------------------------------- <br />---------- - <br />---- Principal office _~l_}f _?~- (~_4----- a~-~Friv--(-~------ <br />00 <br />Capital stock ___ Jr0~0 O O__________ Shares, at $___~__ ___ Per share. <br />mi w t~°r' Name P. O. Addresses <br />or_~honrs}lift. 'u"`~°`bQ'I" <br />hoe Il Gluk ~f~,, <br />or____hourshift. IPresideat _~-`~'`_'-'°==~-~-------- ~l_'if~ ~O'~~==-T- ~"' <br />-----r,-,c-~-------- <br />or----hour shift. Secretary --~°-~-`=`-=~~1' -t.CY~~=`-'Qa~r- ^------ - ~n_a'y_~<..~.~-.l_p _`(~6-Eo. <br />or___-hourshift. Treasurer _~`-^~~"=°-_~'~~~~------- ----~`'----------- <br />-- Y?~, -- <br />~r____hourshift. I~9fanager -~---- --~~~~~~~~~" <br />~r_ _ _ _ h our sh i il. <br />~r____hourshitY. (Title of Partnerehip----------------------------------------'--'------------------ <br />>r____hourshiit. Partnt•rs' Xanles P. O. Address <br />~r----hourshitt. ----- -------------------------------- <br />~r--- hourshift. ------------------- ------------- <br />e .arm <br />~r----hourshltt, crpannmmv ------------------------------ <br />G!1 out thL _____. _____________ ___ _ <br />gnrr: othrrd~° <br />Le••It Llmk _________________________________ <br />.______________ i <br />- lBfanugcr-----------'------------------- <br />----------- - <br />---------- -- r Names of Owners P. O. Addresses <br />----------- - I <br />- - <br />~•t.rlwrr - ------------------------ <br />------------~ .,~~,~.°r°°. -------------- <br />- :urtivnhl~ .__ __________________ <br />~ .. out th• ________________ <br />~d ____. __ ...,tt <br />____. __ <br />I ________________________.___-_. ...___ <br />_.________ l_Stanuger__._._. - ________.._.-______ <br />'---------- <lat~• Humes of claims: <br />`----~~~-- Patented y,~~~~~_ Unpatented <br />vorkmen in the •~{-' _--~-----~----- -------"---- <br />----- <br />- - - -------'-------------- G..aXo 2, <br />__________ _____________________ <br />--- <br />:- <br />-------------- i Y~~ <-!'~-- - _ ~`„- .,.~,-r. dL._ 'T'om w - - <br />----------- a acres. <br />_acres; uaputented__---_~__-- --- - <br />_-- '1'otul ucteage patented_____5~--- <br />7.~ (G A -~--- <br />fTi__Company Uo you owa or lease these claimxt____~1_-_4~6~-" --=I---- --°- ~~-----------~-~---- <br />'- <br />[s{!~'________ if you lease them give Hume of company or person Yrom whtnn ease ___ . _. . <br />- -- - - <br />_Qf ~`--- (Over) <br /> <br />