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MINEBK01108
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1/12/2009 12:02:05 PM
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11/18/2007 12:27:39 PM
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7- ~- <br />- _. <br />J <br />MINE REPORT '' `~ <br />Fote-Please Sll out this report oarefnlly, write plainly and answer all questions fully. Be snTe to <br />date the report and sign it. Fill out both sideso ,of~tjhJe sheet. ~ /~ <br />"'- ' -"----~-=`(-1-- Colorado, __~7i(ti <br />- --~~" - -.191y <br />BL'RF.Ati OF AfINES, ST T OF COLOR11D0. <br />T. T:. Henahen, Commissioner of ,lIines, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299,/fRJev~is~ed~Statutes, C/oJlor/Jado, 1908, I suhmit report as Collows: <br />_ <br />(Name of Company-The_I2`^~~ __ rf-Ci1X <br />- '----- --- t3 <br />Y,, ~J -------- - <br />~ Incorporated in the State of__~_ ~¢U~r/-z~_c~_ <br />~/~ ~ -- - - <br />Principal ofilce _ _ ________~cZtiF /~// ~ ' t ~ _----- <br />- ~ l~ <br />n - - --- - <br />---- <br />~/_ S -- --- <br />,Capitnl stock _~.J _Ci Q_~____- cl,.,.,... ...., /,rte, <br />r ~. ~ ~ -' \,'=_-- _ per B tare. <br />eu out :b.. Name . <br />,r,a; o:b...w ~' ) ~ F. 0. Addresses <br />km It blank '`!j <br />President ____ _ 2-__ [5?iw <br />-'---- L`- --- <br />- --L <br />_ - -- <br />i <br />Secretary --- - -- -- ------ - - ~_Z , c r~(_ 'Q --~ <br />Treasurer _ <br />Title of <br />Partnl•rs' \rlnmv <br />I'. 0. Address <br />uie~ ~ --.. - - - - <br />at r.n~.~.blr' ~ _ _ <br />ea am a..' ---------'------ <br />l)fanuger <br />I 'ar of 0+'ner P. (l..ULIr~•sses <br />tQ~l~~r~-~~~ ~~~t=~-r-=-~-~-~ ~d <br />----------------------- - <br />~.,,r.~> ,~~. <br />v+rtivr.bly. <br />.,.~. ~ <br />i <br />---- __ <br />-STanager.f ~_~"",1 .Cr t ~'(~`J~~ 0. ~' C t'-r'-`'`." L~ <br />Patented I"npn(cnted <br />~/ . <br />---- - <br />'I'„t•d ::"+'"a Re patented-- _ ------- --~----- nt•rvrx; unpalcntrd_ - m•rre <br />--- <br />Iluyuu own or leaeo these cluimat__~-~ 1-_'`~_____ --- - Q o {/~ ~~ <br />1! •ou Icase them rve name of com any or perno^ fmra whom Ie:mcd_ / ~t~^ ~ °" ~ ~ ~ <br />S 8 p , <br />(0+•er) <br /> <br />i <br />
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