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.~_= <br />~~~~ <br />~~"` MINE REPORT 5 <br />,. ~ V , -,^ f,,. <br />..~, , <br />~! -I Not Please fill out this report carefully, write plainly and aaswer all questions folly. Be sure to <br />' date the report and sign it. Fill o~ut,~bot`h-ayi-des of the sheet. ,/,, <br />---•-~~'~!!/l -------------, Colorado, --..!!_r_iG--fZ-~ ------, 19LJ~ <br />BUREAU OF lfINES, STATE OF COLORADO. <br />T. R. Iienahen, Commissioner of Mines, <br />Denver, Colorado. <br />Sir: Ia accordance with Section 4299, Roviaed Statutes, Colorado,//1//9~~0~~8jj I submit report as follows: <br />Name of Company-The____~____G'_C:/_~C~ <br />------------------- <br />Incorporated in the State oP______________________________________________________ <br />Principal oH'ice ------------------------------------------------------------------ <br />Capital etoek ___________________________ Shares, at $____________ per share. <br />If . fbm ar, <br />°a O11'g'• Name P. 0. Addresses <br />mK.; OtbRRW <br />Irne it blurt <br />Ir . et>e <br />or rMrtaenbflA <br />EII out thb <br />ry.ee: ethetwlw <br />leoe It blur[ <br />If oeleher <br />rnmpN tai <br />a'rto t.hlp, <br />.v.n lW. <br />President --------------------------------------- <br />----------------------------- <br />Secretary -------------------------------------- <br />----------------------------- <br />Treasurer -------------------------------------- <br />----------------------------- <br />lfanager --------------------------------------- ----------------------------- <br />Pitle of Partnership____________________________ <br />Partners' Names <br />-------------------------------------------- <br />____________________________________________ <br />____________________________________________ <br />lianagcr------------------------------------ <br />P. 0. Address <br />--------------------------------- <br />--------------------------------- <br />_________________________________ <br />_________________________________ <br />Names of Owners P. 0. Addresses <br />-- -- -- - - --- ~=-------- -~~~Z~-- - <br />-------------------------------------------- -~`-9-~-'°-~--~ ~~ <br />------------- -Q' ---- <br />Dlnnnger____ _`-Gt~_!-~~- __--- ~9/3.5'_-~13_L~'-~~`)~~---- <br />Stnte names of clnima: <br />Patented Unpatented <br />•- ---//---- ---tt------LL------''------ --- - ---------------------------------------------- <br />Totn ac ge put to ________ ______-acres; unpntented________- ~:1Q -----------acres- <br />Do yon own or lease these claimst_________-------------- - -- -------------------- <br />If you lease them give name of company or person from whom leased__ _.__ __ ___ _______ <br />------------------------------- <br />----------------------- <br />(Over) <br /> <br />I~^ <br />~i ~ ~ <br />1 <br />~I <br />