MINEBK01108

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

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MANE REPORT ~ -
Note-Please fill out this report carefully, tcrite plainlc and answer al] questions fulls. Be sure to
date the report and sign it. Fill out both sides of the sheet.
7) _
g[$Fdl; OF' AiItiES, STATE OF COLORADO.
T. I',. Hennhen, Commissioner of \iines,
Denser, Colorado.
Sir: In nccordnnce with Section 4239~Re/vis~ed SQt~a~tu~te~s, ('clorado, 1905, 1 submit n~l~~nrt :~s fnlln•.cs:
OXame of Company-The_~•~`!`_:~"~l ~"1a-v-.a~ ~
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~Incorporated in the State of_ _____.__ -r _
Principal office --- ~-~ t'__--- ~ ~_~_ b-~-.Tl ,~ c,,2o ---
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!Capital stock _---~~-~.'?Q_-'- ~hsn:s.:It ~+ ~.li..-1
c.ra-,l.w. ~ nrr share.
e;: o,: u... ?Come ~ I'. 0. _lddres;es
ym: o:l.rnriN .
um. I: blu.k ~I ~w1 ^ ' ' n
i'resident --w' _'-`__ '/'Y/-../-!./Y,/','~/'^„~ y_0.
~Jecretnr ____ -
Treusurer -------------------- --
Ca-'ro
' Manager - --------- -- - - -
f'1'itle of Purtnerehip____ ____-
i Partin r.' :~:uu~.
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o IL.rFl~t
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`1Junagcr _
A:nnes of Oicm:ra
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nL!p,
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of clnima:
Puteuted
i in the ~~ay/~L a ~. _ ~~
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'P1ia~l' i1utL'nt4'd- ~_ ~ llrl'r5; ^ll~ralrutc.f_
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~`/ y '~'~ You nwn or lease them clnimnl__ _~~~
""l"-- It>~~,~: Ir~:~sl~ tLvm give came of cwnpuny or p~:rsnu Iruw ~e!.:.:u L~:I,:~d
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