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.., <br />MINE REPORT <br />Note-Please 8ll ont this report earefnlly, write pIs{nly and answer all gneetiona folly. 8e em~e to <br />date the report and sign/~it. lRFill ont both sides of the sheet. / <br />_`_`.~eCt'~=----------------------+ Colorado, -----`~~ ---+ 19 ~J\ <br />BUREAU OF MINES, STATE OF COLORADO. <br />T. R. Henahen, Commissioner oP Mines, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299,~IevieedStatnt lor ---_08, I eab ;'t re rt a awe: <br />Name of Compaay-The-'_ _/~---(-~--~--~-- ~ ~ ~~~~-------- <br />Incorporated in the Stnte of ______________`_'_______________________ <br />Principal ot8ce ---~-!`a---e~- -- - --- - - -- - ------- ------- ------------- <br />uaaompW Capital stock °~~~..~~_________Sharee, at $__f________ per shore. <br />ea out a 1h i ' ~ ~NamyY~ <br />k~Din It bl~iok ~ ` L~l J // - ~ <br />~0. <br />1Q irlge <br />~p <br />l0 <br />n . ertu <br />or wrtnn+bip, <br />011 out tblu <br />la~ire It btl~okAw <br />It odtba <br />~ww epo,r <br />SI",'uut t"tbalu <br />ryas <br />__LJ ______ ________________________ <br />Secretary _-- ---- -- -------------- <br />J T'Y--- <br />Treasnrer ~/ -- <br />- - ------------ <br />1laaager _ _ _ __ <br />J <br />Title of Partnership-------------------------- <br />Partncrs' .Fames <br />-------------------------------------------- <br />-------------------------------------------- <br />____________________________________________ <br />____________________________________________ <br />MaaagCr____________________________________ <br />Names of Owners <br />-------------------------------------------- <br />-------------------------------------------- <br />-------------------------------------------- <br />lbianagar------------------------------•---- <br />State names of claims: <br />--------------------------------- <br />P. 0. Address <br />--------------------------------- <br />--------------------------------- <br />_________________________________ <br />_________________________________ <br />_________________________________ <br />P. O. Addressee <br />------------------------- <br />------------------------=-------- <br />--------------------------------- <br />--------------------------------- <br />atente Unpatented <br />____ ________~+__ ____ ,~ ___ _ ____ ~ ~~P_ <br />_ __ <br />,- <br />-------------------- t~ ----~ -- ---_-- -------------------- ~-------------- <br />Total acreage patentet~_ ___~ ___~_~l!_acree; unpatented_______~ ~_____________acrea <br />Do yon own or lease these alaimst_____---------------------------------------------- <br />If you lease them give name of company or person from whom leased________________________________ <br />---------------------------------------------------------------------------------------------- <br />(Over) <br />:_,~-- <br />,^ <br /> <br />