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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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----~ - -I I~---- <br />p ~~ ~ <br />~ ~ <br />MINE REPORT ~' ~~~ir, <br />Note-Plesae 8II out this report carefully, write plai>ily and answer all questions fully. Be sure to <br />date the report end sign it. Fill out both aides of the sheet. <br />--------------------- <br />-------- Colorado,---_---___-- <br />----...-----, 19--- <br />BUREAU OF MINES, STATE OF COLOF~DO. <br />T. R. lienahen, Commissioner of .llincs, <br />Denver, Colorado. <br />:ir: In accordance with Section 4299, $c~-ised St¢tutes, Co]orado, 190E, I submit report ¢s follotice: <br />Name of Company-The______~ ~'J J <br />------------------------------- <br />Incorporated in the Stnte of____________________ <br />----------------- <br />Principal office -------------------------- <br />-------. <br />u.COm w, Capital stock __________ _ $h¢res, nt <br />pp -------- -- ~---------- Pcr sh¢re. <br />EII cut thb <br />m,n:.m<rww Nnme P.0. .lddresses <br />Imr I[ b4nk <br />President _______________ <br />_ _---- <br />------------------------- -- <br />Secretary ------------------------ - - <br />Treasurer __________ <br />-- - ------------ ------- <br />-- ----- <br />bfanager ----------- ----------- <br />II + prm <br />or ponnrnhly, <br />OII cw thin <br />!wm; e:Lerdu <br />' +~~ rt Link <br />'Title of Partnership______ ___ <br />. -___.._ <br />Dfunugcr _--- . _ _. <br />Nu[¢es of Owaers 1'. O. _lddresscs <br />r.dw.r I----------------------.. - . _. -- <br />wmp+cY um J <br />Nnumlil i, <br />.~~ ~„t tel. __ -- -- <br />.~,+rr ---- -- - <br />_. _ - __ <br />I <br />i .-__.___._ <br />,ISlunager__-...__ _ _ - -- - <br />~I+'i" uuutes of claims: ~ <br />Patented Cupntt~nted <br />Tutul :,creuge patented---------_._-- - acres; unputented_. .acres. <br />---- <br />o S'ou own or lease these cluimsf_______ - - -' - <br />If yuu Luse them give name of company or person Yrum wLum leuacd_-. _-- _ _... _ .. _ - _ - . _ _.. - _ <br />------ ------ <br />IOcer) <br /> <br />
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