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Ji / l ~ / <br />MINE REPORT i5 <br />Note-Piease fill oat this report carefully, wri Pte laialy and answer all gnesttons inIly. Be sere to <br />date the report and sign it. Fill~~ont both aides of the sheet. <br />"'~~~"'-~' --'-'~ Colorado, _ ~ _ ___ <br />BUREAU OF MINES, STATE OF COLORADO. ~ ~~ '---~ 191_~~ <br />T. R. 13enahen, Commissioner of Mines, ` <br />Deaver, Colorado. <br />Sir: In accordance with Seetion 4299, Revlaed$tatutes, Colorado, 1908, I submit report ns PoIIowe: <br />Name of Company-The___~~~ _ ~ 'f <br />Incorporated in the St~o of___ <br />- ~9-=--_---------- <br />--- -------------- <br />Principal office ____c__::r~,z~~,~~~~?`-_ ---~! ~ _--- <br />u ~ a~ Capital stock _,.(_! _,~~+~.------------- Shares, at $ ~~"~___ Per share. <br />en oue ~' <br />In :'ii bI~ (Name P. 0. ~ddressea <br />President _• ,!~__ ~~/~ <br />v~ r.~.----------------- ~j <br />Secrete fS:J~~,,~__~'~/' e> - <br />__,. <br />Treasurer ___!.,,_~_ __,~ -~ ~'-' <br />Cd-~r~ <br />Manager _ _. <br />- -• - <br />(Title oP Partaership__________ ~ <br />---------------- <br />Partners' Names ----------'-- <br />P. O. Address <br />~o <br />~Lo <br />s . etm <br />en pe ee~ :°m' <br />m.ea: etAer~he <br />Iene !t bley: <br />If oelNer <br />rottPe hlopor <br />SII out till. <br />ry.a <br />----- --------------------------------- <br />----------------------------------- ------- <br />---- --------------------------------- <br />--------------------- <br />Manager_____________ <br />-------- --------------------------------- <br />Names of uwaers <br />P. O. Addresses <br />------- --------------------------------- <br />-- --------------------------------- <br />___________________________ ______________ <br />___________________________ ______________ <br />___________________ <br />4innager-------------- <br />State names oP claims: <br />Patented <br />Un~patente/~d <br />------------- -~• --~r~ -~`'~'-~--1 ----------------- <br />------------------- <br />----- <br />otnl acreage patented________________ ____acres; nnpatoated________ ~/ <br />----- ~/~i -----------acres <br />Do: yon own or lease these claim¢i___~7~~.a1_______'________ _ _-_ <br />---------------------- <br />IP you lease them give name of comp¢ny or person from whom lensed__________________ <br />-------------- <br />(Over) <br />~~ ~ <br />~!i <br />i~ i <br />