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%£.e-~t.-.~ <br />,. <br />,. ~yo - ~ <br />MINE REPORT ! ~" ~,_/ <br />Fote-Please 8I1 out this report carefully, terite piain]p and answer all questions fuLp. Be cure to <br />date the report and sign it. F211 out both side; of the sheet. <br />---- ; - Colorado,-- --- -- <br />-- <br />----Z~-.I9/ ~ <br />BCBE9i OF bIII`ES, STATE OF COLORADO. <br />7. i:. $enahen, Commissioner of 1lines, <br />Denrer, Co]orado. <br />Sir. In accordance xith Section 4299, R?risr•d Statu/t'es.~Colorado, 79ri5• I submit report as to!loe's: <br />~~ame of Company-The_Jy''~~-~ ~/--~r J~ - /~ n <br />- --- <br />'Incorporated in the State of_____ ,-~R . <br />-- <br />~a ---- <br />Principal office ______ - __ ___.- <br />-- --. <br />Capita] stock __ ° 0 0 0 0 o cbarr=. ut ~ O. ~O <br />------- <br />t.ca:ninm. ------ - ~ - - _ _ pra share. <br />f: vY. tn° Name <br />~. ~~~ ~ ~ I'. 0.:lddresses <br />~n L• Lank <br />,President ___ _ _____ _- ~.,~~ ~~ <br />Secretarc -----~-.---- _ ~ <br />Treasurer __ v <br />Manager __: <br />'Title of Parinerahip__.._ <br />. u•, <br />n, •~. - _ <br />..~. ~~V~,.~..... <br />~Iunut:r-r _ <br />~amis of O'.rncre <br />~ e•:c.. <br />~.iunager <br />,.. , <br />,. ~ _...•.`~s of claims: <br />1'atentxd <br />y~ u~ - - <br />~-•-~ --- <br />' i. - <br />- `~ ~ <br />P. O. ~,l,in.=s <br />_ --- _T ~~~_--- <br />•l~V`.LIa.rl' ll' P ~/7 {(/ \ giy'i~5: Ufltlati:Utkrj- <br />1)0 `'ou own or lease these claifnat__!~'`"` ~ ~ ~'~ <br />Lf Tic L;:,.• them giroe name of avmpuny or persuo f7uw ~r!:om l~:ascd <br />1' U. ,1,!~~~~...,~a <br />t'n~,:~t~~ut~~`t <br />acrce <br />-' <br /> <br /> <br />;Over) <br />