MINEBK01108

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

1
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1l~IINE REPORT ~ .:~' ~ ~:~ 1:~,;-)
Note-Please fill out this report careful `` ~
date the re ort and y~ write plain]
P sign~fti~.' fF~ill~ outb~otf~~des of the sheet and answer all questions fully, He sure to
- Colorado, _~.,(~ ~ i
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BCRE9ti OF hIINES, STATE OF C LORADO. -~ --- -- -~ 19 ~~
T. P.. Ilenaben, Commissioner of ]fines,
Denc~er, Co]orado.
Sir: In accordance Kith Section 4Y99, P,ecised Statutes, Colorado, 7905, I submit report ns follows:
(!game of Company-The_t~ ~l ~ ~'
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'Incorporated in the StgtG of_______-_ C~ _ - --y~~/
Cam' r ,-°~-~_ -- _ ----- li
Principal office __--___ ~4 ~~ -------------
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c.~~r. Capital stock _ .O~~p-Q------~ -clines, at ~_~~
eem ~ ---___-_ per share.
ar: olx+>« - ~~ ~ me P. 0.:lddresses
~ Y. bhnt
President __/__ _
~ _ --_.Lz'w7/.t--S~_ ~/
~.___- - _. f___ _-____~___{-_~
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~Secretary t ~ ~, J ~~ --- --
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Trenenrer l -----
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bfanager -------- --==-~- - --
(Title of Partnerahip_________-
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Partnrr~' Xnnns - _ --
I'. O. .1dl: ress
cans ---------._.. -
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m ro^.NnhID. _ - _
•C w: :hu _ _____-___ _______ _ _ _
*~~~ 1: blink - - -
.lfanugcr - --------
IQurnes of Owners 1'. O. .lddrrss;a
r wWN -
;+numniy,
:I'. w: Wu
. ___-__-_ ____-. 1
blunager__--_---- __
>I°I" unm~., of claims:
~ P sated I'upnl~~ntcn ~
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'futul ucr~~l, .. ., ~ -acres. ~
- 6~ patented_-~? . •~~~~ arses; unpateuted__ ___. .-.-
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~You own or lease these chtimsf__1__----~ '=- 1--J------- ------- - _
PfOp 1"use them give name of company or person from whom leased__-___ --- -
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