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<br />_ ~~~: <br />MINE REPORT ~~ s' <br />Note-Please fill out this report carefully, write platnly and answer all gnestiona fully. Be sure to <br />date the report and ~igl/n7it/Fill out both'siodes of~the sheet. <br />-r~f~~~~=`~!!'-------_, Colorado, ---~6~~ 13~.~ <br />BUREAU OF 11IINI;S, STAT1; OF COLORADO. <br />T. R. Flenahen, Commissioner of Mines, <br />Denver, Colorado. <br />Sir: In accordnnee with Section 4299, Revisec,$ tutee, Colorado, 1908, I submit report ne follows: <br />Nnme oP Company-The____________ __ _____ _ <br />------------------------------ <br />' Incorporated in the Stntc of___________________________________ <br />------- <br />Principal office --------------------------•-------__-- <br />Capital stock _________________________,-_ Shares, at $____________ <br />u • ComWnr per share. <br />en oue t Ih r ' <br />;p. ~ ie ti ~ ., Nnme P. O. Addressee <br />President ---------------------------------- <br />----- ----------------------------- <br />Secretnry --------------------------------------- <br />----------------------------- <br />Tronsurer -------------------------------------- <br />----------------------------- <br />llIannger --------------------------------------- <br />u.am <br />ar prtnmhlp, <br />GII out tbb <br />rprea: ofhmrlra <br />lace It blink <br />'Title of Partnership------------------------------------------------------------ <br />Partners' \anus P. 0. Address <br />------------------------------------ --------------------------------- <br />___________________________________________ _________________________________ <br />___-. <br />llanngcr------------------------------------ <br />--------------------------------- <br />N ea f Owners P. O. Addresses <br />-- ~~~`~-~- ~------------- - --` -- -~-z~~ <br />II neltber _______________________________________ <br />_____ _________________________________ <br />mmp~nl nor <br />rrtnen6lP, <br />Slloutaf. ____________________________________________ <br />woe _..__________________________ <br />'' nn ________________ _..______________________-________ <br />1Canagerll~ _ ~~ `_ <br />~/ / --- --------------------------------- <br />Stnte names of claims: ~J' lT1.(/~L <br />Patented Unpntented <br />----------------------------------- <br />---------------------------------------------- ---------------------------------------------- <br />--------------------------------------------- ---------------------------------------------- <br />Total acreage patented_~'.~I/j1-'e~____________acres; unlatented___________________________ncres. <br />Do you own or leans these claimet____~Y1!~xC_ ~~~¢.Q______________________________ <br />If ou leans themoogiv//e namo of company or person Prom ~vllept,lesaed____________ __ _ _ _____ <br />~~~--~7 -~!Z-ltl~t/!!1.~-------------saV(lI~JE'/ljll~lj~_ <br />(Over) <br />1 <br />i! <br />~~ <br />;I <br />it <br />i <br /> <br />