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_ 1 _ _ <br />~~, .~ ~ <br />~~-'~~ ~, <br />Boulder V v ~_'l ti j Subar Loaf, .~. <br />'MINE REPORT - <br />Note-Please fdl out this report carefully, write plainly and answer all gneatione folly. 8e sere to <br />date the report and sign it. Fill out both aides of the sheet. <br />_____S.ugar_S~a~S~__________ _____, Colorado, Tlovomber 17th,1914 ___ 19___ <br />BUREAU OF MINES, STATE OF COLORADO. <br />T. R, lieaahen, Commissioner oP Mines, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, RevisedS tatntes, Colorado, 1908, I submit report as follows: <br /> (Name of Company-The___ __ <br />-- <br />p~e `_ <br />--- - <br />-----------------------------------~--- <br /> Incorporated in the Stute o ----------------- <br /> Principnl office -------------------- ---------------------------------------------- <br />Ir. COm r, <br />°° <br />~' Cnpitnl stock --------------------- ------ Shores, nt $------_--_-- Per share. <br />°°` ` <br />! :~: <br />° <br />~`i ~ Nnme <br />P. O. Addresses <br />1 <br />ie <br />bl <br /> President ------------------------- -------------- <br />----------------------------- <br /> Secretary ____________________ <br />----- <br />-------------- ----------------------------- <br /> Treasurer _________________ <br />-------------- <br /> 3faanger ------------------------- -------------- ----------------------------- <br />a . etm <br />Or part0lLlbip, <br />°11 oot th4 <br />rylw; otherwlN <br />lava It blaOk <br />Titlo of Partnership______________________....__ <br />Partners' ":times <br />-------------------------------------------- <br />-------------------------------------------- <br />____________________________________________ <br />____________________________________________ <br />fUIIagCC____________________________________ <br />P. 0. Address <br />--------------------------------- <br />--------------------------------- <br />Names oP Owners P. O. Addresses <br />-_________J _,!_%ssolct~n, Su;;ar Loaf,Colo. <br />-------------------------------------------- ------------------------ <br />If Olltbv ____________________________________________ ________________________ <br />lOmWN not <br />artOlffhlp, <br />SIIOUL~ ____________________________________________ <br />________________________ <br />!p!n <br />ltannger------------------------------------ <br />State names oP claims: <br />Patented <br />,______- Alpine Horn Loda Clai.et. <br />-------------------- ---------- <br />---------------------- <br />Unpatented <br />------------------------------------------- ------------------------- <br />--------------------------------------------- ------------------------- <br />---------------------------------------------- ------------------------- <br />Total ncreage patented__________ `.>______________aorea; unpatented___________ <br />Do yon own or lease these claimaT______ Qr!n~_______________________________. <br />If you lease them give name of company or person from whom leased___________ <br />-------------------------------------------------------------------------- <br />----------------- <br />----------------- <br />____________aerea <br />----------------- <br />~~ <br />(Over) <br />