MINEBK01108

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

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MINE REPORT
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Note-Please SII out this report carefully, wtjto plyinly and ans\rer all gnestions'fnlly.
drte the report and sign it. Fill out bath side;_of the sheet.
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gCT;E.1L OF' 9ILNES, STS OF COLOR,IDO.
7. I:. IL•nnhers, Commissioner oC 3Iines, J
Denrer, Colorado.
fir: In accordance a-ith Section 4°_99. ..~]c;ntv'~•s. r~,la ,~ Inp.
~ `• ~, i_ suLmit-report us iojl.~-„s:
C1ame of Company-The_ ____ ___ ~ ; - t/
',Incorporated in the Stute nf____~~ ~i
!Principal office --- ---__-- _- ~~i - '~
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Cnpita] stock ~_>SQd_fJ00 ~ _/ ~ ` ,+!
r. co-u.:.. ~ - - .:,lr:~s. to >_.oh'%tp p.a shnrc. `,y
co::m. _ lame /-
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President __ __ 1~._ - --_ - ~ -~
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Secretary .,~
.Treasurer __ _ ~
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~f anager ~fiLQ't?_"~ ~ .' 4 ~. 'r/t~yy~~.
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r'1'itlc of Yurtnerahip___
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