MINEBK01108

• County: Teller
• Document: Manager
• Suffix: B

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. MINE REPORT `~
Note-Please flB out this report carefully, write plainly and answer all questions fully. Be sure to
date the report and sign it. Fill out both sides of the sheet.
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Colorndo ~_-_
BtRF.~1ti OF COLOR ' - -
T, R. Hena If Dlines,
Denver,
Sir: In accordance with Section 499, Rev77~~isJJed~~. .ales, Colorado~jtavo, tt snuLmit report as follo~cs:
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r:~'ame of Company-The__ ~%`:vw~ _ - ~"~-~ ~~~-4~ _ ®/
Ilncorporated in the late o[~__ 'I!.~l~I~YL-,QED ---------------- ~~ ~ ~.
(Principal olEee ---/ ------------`-- ~--- ~-- - - ------ - ~ ----- --
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Ca ital sto ~ 0 0
p ~ _Q~t_~d_~__ _ _Slmres. at ~_J_ ~~ per shore.
-- -
I! . Comp.cr.
eu oo: u~~. _ I~aIDC . 0. _lddrrsses ^
quo-: a:Lerrbe l /v,}~Jv_ `/-~.'C//a
Mn t Llenk
President _ ~ _____ _____
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Secretary -- r -- -•-- ------------- - - - --
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Treasurer ~_r-- ---- _ '/s-_C~,----- ®""'~-~-~-o
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~, itfana er - - - --~'-!(l~u'L--~-- --~~~`'°""`'S.:~t
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Title of Partnership-------------- - -- -- - ---- --- - ----- -- . _.
Partners' .`~:uncs 1'. 0..lddnss
c.n.m. I -..- -
a• v.no..ddp. _ _ -
an~mwt• ~ ------ --'-- -------~
ruo-: o•. e~~nrl.•
ko. r Llu~t
lDfanager--------- - - ---
A'ames of Owners
1'. O. Addresses
c ~~.~n,.. --------------- - - - - -
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r.nu...Lh` ---
n'.maew ------------'--_
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~~~ ltunager__ -_ _.
~I;:I~- unw;~s of cluima:
~~~ ~ ~~ Patented
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`yr~ --(!(-~-- ~ ------ -- - ~~
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7bt::~ :aaeaKe patented--- _ ~j_ ~- area; unputented_ ~"
!Ju you own or lease these clnimai_-__- ~~~J ~ - ~ --- - " -- -
1t you I~,ase them give name of company or person Prow wl~ow leused_ ..
_- - (Over)
lAtpnt~•ntcd
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