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<br /> <br /> <br />~ cam• <br />---- <br />=~! f_- ~ , <br />Shift. <br />shift. <br />thift. <br />shift. <br />shift. <br />hift. <br />hift. <br />hift. <br />hilt. <br />hift. <br />Gift. <br />f- <br />be <br />MINE REPORT 126 <br />Note-Please fill oat Ehia report carefnlly, write plainly and answer aII gnestiona fully, Be sere to <br />date the report and sign it. Fill~on~t both aides of the sheet. t,, p .. ' <br />-----------'-a-=-`=~=tr=----------~ Colorado,,! ' _ I St*, 19 ~!~- <br />BURF.AU OF 11fINES, STATE OF COLORADO. <br />T. R. Ifenahen, Commissioner of 1lfinea, <br />Deaver, Colorado. <br />$ir: In nccordnnee with Section 4299, Revised Statutes, Colorado, 1908, I submit report ne folio~ve: <br />Name of Company-The___~ _!-~~ _________________ _____ <br />Incorporated in the State of___________________~_________________ <br />Principal office ______________~_ ~ o.QQ ~r~ '~ _ <br />Capital stock ___________________________ Sllnres, at $____________ per share. <br />Ir .nomp.nr, <br />ell oat t6b Namo <br />.peeq otMdw P. O. Addresses <br />lens It Ol.nk \_ <br />President _ !!.~_- ~-•-------------------------- ~~o~Q ~na~'~1a`.'~ <br />----------------- -- <br />Secretnry --~1 -- ~ic..,~.4~r~..._~ --------- ~ .~~..fu <br />--- -------- ---- <br />Trenaurer __________~`~u_I_______ <br />6~- ------------- ----------------------------- <br />'.ifn~neg---'_-~-`--__f{'-~-~t-l.~-------- ~=~=o--_Lo--cr-Q-tr-t~a <br />u . etm <br />or- Wrtnen6ly~ <br />ea oue tme <br />le.re It hl.~k w <br />If neither <br />romMN nyt~x <br />S11 out~Wl. <br />.p.ro <br />Title of Partnership-------------------------------------------------------------- <br />Partncrs' Names P. 0. Address <br />-------------------------------------------- --------------------------------- <br />____________________________________________ _________________________________ <br />1lnnnger------------------------------------ --------------------------------- <br />• Names of Owners P. 0. Addressee <br />_ <br />l]Innager ------------------------------ ---- --------------------------------- <br />State names of claims: <br />Patented Unpatented <br />'t'otal acreage patented_________________________scree; unpatented_______.._____________-----_acrea <br />Do~you~own or lease these e]aimst___________ ~'~ ~'=~-L-v~-~------------------------ <br />If you Tense them give name of company or person from tvllom leased________________________________ <br />---------------------------------------------------------------------------------------------- <br />(Over) <br />:n <br /> <br />