MINEBK01132

• County: TOC
• Document: TOC
• Suffix: A

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MINE REPORT i
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Note-Please fill out this report carefully, write plainly and answer all questions folly. Be sere to
date the report and sign it. Fill out both aides of the sheet. / j
t%c~Colorado, /./~~ '~--------, 19~~ I.
BUREAU OF 11IINES, STATE OF COLORADO.
T. R. Iienahen, Commissioner of \Iinea,
Denver, Colorado.
Sir: In accordance with Section 4299, Revised Statutes, Colorado, 1908, I submit report as follows:
~G_ Si~~~ ---: , I
Nome of Company-The___ __ r
Incorporated i¢ the State of______7_______________-______ _______________ _ ~•.
~/~[.N-- -- --------
Prinmpnl office -------------------------- •----------- --=-/,(!='---------------; --..
a /"
Capital stock ----------------------- --- at --____--- per share. l~
If . Comyan),
eu out thi. Name II P.Q,hR~ress s f[6
ryane; omer.w !%
love It bunk
President -- ------- -- -- -"- -- '
SccretarY --------- -- ----- - ------~ ---- -- - ---------------
Treasurer
--- ----- --
I:lfanngcr --------------------------
Title of Partnership--------~ ------ -------"------------- -- --------------
Pnrtnerx' Vnnles Y. O. Address
11 . erm
or VartnmhlD, ____ _--.._______.... - i
ell not thb --------------~------ -------------- -----------
rPare: otbrr.l..
levy Il Llank
_ _ ___.._.._-__ - _.. ____..-_-_. -___. ____ _ I
.-- __ .- _. __ .._ ___- .. _ __. _.. _____- _. ___.. I I
~~Innngcr- -- _ --- ~ ~---- ---._ ._ _.__.- -._ -----
Names of Owners P. O. Addresses
It neltbrr I '
cumyan) oor
purtornhl -. _ ... _. _-..---____
ell out th
^Van
_
I -__.____.__-___- -._-__-._ .-_ _. ___.- -
'~RLlnugur_. - - _ _ _
Ktutc uumcs of cluimx:
1'utented l'nputenteti
__ -- ~i
_ ._ - --- -- --- r.
_. __ t
_._.- _ ..-._ III
---- -.- ---ucrex; uuputented__ - _. acres.
'fatal uereug~ patented_ _ .
Do you own or (case theca cluimai_----_-..._ _ ---- ---... -------_ _-...___ _ - -" - ,' i
~ If you lease them give mm~r, oP company or person Prom whom Icuacd_ - _ --- - i •.
(0 ver)