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~- <br />:em- ~~~ <br />MINE REPORT 2s <br />Note-PIease fill oat this report carefully, write plainly and answer all gneationa folly. Be ears to <br />date the report and alga it. Fill oat both aides of the sheet. <br />------ - <br />------------------ ----• Colorado ------------~lsl_"/ <br />BURF,AU OF MINES, STATE OF COLORADO. <br />T. R. Henahcn, Commissioner of Mines, <br />Denver, Colorado. <br />Sir: Ia accordaaoe with Section 4299, visedStatntes, Colorado, 1908, I submit report ns follows: <br />Namo of Company-The_~ ~ t <br />ti,. ~- --- ~~,.~------ <br />------------------ <br />'rl Incorporated in the State of_______________ <br />-----------------------------=- <br />------ <br />Principal office __..____________________ <br />------------- <br />n ~ ~m Cnpitnl stock ' <br />pwr. ------------------------- -Shares at <br />-------------er share. <br />en ooe rhl. ~ ' ------------ p <br />1 w ~n i~ bt ~rkw Name <br />.~ <br />rr .arm <br />ar D~rtomhlp, <br />GII out t66 <br />rD.Ce: Oth<A1N <br />leare It blink <br /> <br />If nelthn <br />eomPrN nor <br />Nrtnenh~lp~ <br />nn nut lIW <br />~.n <br />President ------------------------------------- <br />-- <br />Secretnry --------------------------------------- <br />Trensure= --------------------------- <br />----------- <br />ifnnager ____________ <br />of Partnership------------------------- <br />Partners' Names <br />------------------------- <br />P. O. Address <br />linnngcr______________ , <br />-------------------- -------------------------------- <br />Nnmea of Ow re <br />State names of elaime: <br />Patented <br />------------------------------------------- <br />Unpntenteti <br />Total acreage patented_________________________acrea; unpntented_______________- <br />Do'you own or ]ease these claimet________________ <br />-------------------------------- <br />IP you lease them give name of company or person from whom leased________________. <br />(Over) <br />P. O. Addresses <br />P. O. Addresses-~r(J <br />------------------ N" <br />- -- <br />------/-- ----~ =----1--~11~---~,t~ <br />--T , ~ r <br />tt'C-+-----~ <br />~- <br />------~~~?f'--------------- <br />----L`--y_ '~'~------------------- <br />-------------- <br />_____.___ncres. <br /> <br />r ~,.~ <br />.f <br />