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1/12/2009 11:23:22 AM
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11/18/2007 12:26:04 PM
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r ,~v Li _ ~ '/ J ~ _~ . i.. ~ ~:~lllL/'TSCd/~Civ "i-(i~t. /'/7~'G <br />a of the leasing com- <br />MINE REPORT ~~ -l";~ ~,, ~ <br />O. Address 1.,,/ a (~ „{ <br />Note-Please fill out this report carefully, write plainly and answer all questions fully. Be sure to <br />date the report and sign it. Fill out both aides of the sheet. <br />__for____hourshift. <br />_ _ for_ _ _ _ h our sfl ift. <br />__!or____hourehift. <br />__for____hourshift. <br />-_for____Ilaur shift. <br />. _for____hour shift. <br />._for____Ilour shift. <br />_for_ __ _hour s}lift. <br />_for___ _llour sflift. <br />_for____hourshift. <br />_for____hour shin. <br />_----~=~!L_fiZ_1~t~YY_r~2 -----. Colorado, -~~~--1~iti 19~!~ <br />BliRF. 1[INER STATE O' COL• ~ <br />T hen, Commissioner of \Iin <br />ver, Colorado. JYJ ~ o <br />Sir: In accordance with Section 4299, IteviaedStatutes, Colora..t, _.~tl, I subm~ sport as~follot s: <br />Name of Company-Tho_~_m_,~ _`~ ~~P_<-,/~~_-~? __ <br />Incorporated in ~~th"~~e''State of_______~1_~~sxrc-rr~_______ _______________/~ ~ <br />Principal ofiiee 11~,~~L~~.e?.r»v_r--s7~~_et / fi~txe,c~.i:~i~ <br />u.com ~r Capital stock ~_Q~.~l1_-:U_________Shares, at $___~_~__ per share. <br />°~~tr•tomla..w Name ~ P.~/0. Addresses ///~~/ <br />Iran It blank ~-%~yyL .~/~ J _L ~;I GO <br />Presidentr~•P~rj'~~_~--°~- -- --- -------------- ' <br />Secretary .-- -~--- ------------ -- -- - -''- - <br />ITrenaurer~---------------- -------------- ---- ~-- -;_~ ---"-------- <br />_ -- -- <br />llanuger ~~GV,-r~_!~,.a~E-t~.~u~!r_is...----- ---r/h~~_~~~eczsso_,.__~> <br />/% <br />Title of Partnership---------------------------------------------- ----- -- ------ <br />~ Partners' \ames P. O. Address <br />a . erm -------------------------------------------- <br />ar partvenblp, 11 <br />Illl uut tbl. _____.__._.________________________________ <br />rparq othrnrlN ~ <br />knr It Llavk I <br />lfnnager------------------------------- _... <br />Names of Otvnere <br />13 <br />workmen in the <br />If vdther __________________________________. __. __-_... <br />^omfnvr vor <br />p.nnmhlyy, _ <br />qnw <br />CII out lain I -----_--~-___-__-- -"°-- -------------. -.'-- <br />~R[onager------------------------------ ---- <br />State nntnee of claims: <br />Patented <br />P. 0. Addresses <br />Unputented <br />e :. . .. 3 <br />-- '- -fi/t clp~----!~~ --e_._ ~_.__~_r <br />_~'~_ ~y_ ~O v ~i_llrt__~..._ ~~y__ete!~ <br />---------------'--------°---r --------------- <br />--------°---° -----------g -P ------------------------------ q <br />Total acres a atented_______~L ________y__.__acree; unpatented J9 O_alu.ntr~ 2P~cres. <br />______Company. Do you own or lease these claimaf___________N-2-c'1_ <br />-______________ If you lease them give name of company or_pe/non from whom leaeed_______________--_--------____-- <br />------------------------------------ <br />•-------------- (Over) <br />
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