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com- <br />MINE REPORT ~so ,. ' <br />Note-Please 8ll oat this report carefnBy, wrlta plainly ~d »awer all gnestiona folly. Be ears to <br />date the report and sign it. Fill oat both sides of the sheet. <br />----- ~j ~- -/ <br />--°--'--"~--~=a-~__, Colorado, ---- --- ---- `y' - <br />----- BUREAU OF iSfINE5, STATE OF COLORADO. V ~--"-----~ 19 ~_ SC <br />T. R. IIeaahea, Commissioner of 1lfinea, <br />~yA Deaver, Colorado. <br />. o~.~ Sir: In accordance with Section 4299, R.evisedStatntes, Colorado, 1908, I enbmit repo as follows: <br />'-'•~-- Name oP Cam an ~ _ ~L(~ -i~~~t7 <br />~-(/~t. P y-The_____ ---_- e <br />__ ------ <br />- ---------- <br />----------- <br />- Incorporated in the State of_____________~ _~.~~ ~Q~ <br />--- ----------------------- <br />------ <br />Principnl offico _______ ___Q_cL~_oQ~y ~j <br />------ <br />Ir . Comy.or, Capital stock ___~ _ O d, O U U__ ._ ghnrea, at . o tJ <br />shift. en oat tbl. $--- --__---- <br />--------' per share. <br />•wt*: othetwW Nnme ~ P. 0. Addresses <br />le.rv It bl.nk <br />shift. President ____ ~___G[f~ ___~ /~ ~~~iy <br />- - -~4= ~~ !_! <br />hift. ~ ~ -- --- ------------ <br />Secretary __ __ .,~_ _.~~Q <br />hift. > ~ - ----- - --------- .. <br />l~JC` 7~' ~ -----------'-------- <br />Treasurer ___ _ ~__,/~__y~~ <br />------------------ <br />Jlannger _____ _~_f~,~__~'~ <br />hilt. - - - .. <br />---- -- ----------------------------- <br />Itift. Titlo of Pnrtnerehi <br />hift. P-------------------- <br />----------------------- <br />Pnrtners' Names ------------------- <br />hilt. P. 0. Address <br />hilt. ---- <br />--------------------------------- <br />--------------- <br />Ir. eon ------------------------- <br />rft. ---- ----------- <br />or prtnrnbl0. ______________________ <br />Oll out tAl. ____________.________________________________ <br />nP.ee: othrrw6. __________________________ <br />.___ Ie.~e It blank -----__ <br />--• Slaangcr----------------- <br />--- Names oP Owners P. 0. Addressee <br />C ' --------------------------------- <br />----------------------- <br />---------- <br />If nelebn _________________________ <br />__ ________________ <br />mm1uM um _._. _________________________________ <br />putnenhl <br />__ Ell out t:iL ____________________________________ <br />~Pnn ________ <br />_________________________________ <br />____________________ <br />~'- Slanager __________-_ <br />State names oP claims: <br />~~ ~ ~ Patented Unpntented <br />he ~-ac_K-z__/_~~?____.~ ------------ <br />---~ <br />---------------------------------------------- <br />-- --- -~-~.~~~_ _Co_- --~---------------------------------------------- <br />-- --- <br />-- ~o-~~-!+---~-~ ~----------------- <br />---------------------- <br />Total acreage patented_________________________acrea; unpate d__________~ <br />`.-•~ ------------acres. i <br />Y• Do yon own or lease these elaima9____________~/w %Gc_ec,c,~ <br />--------------------------------------------- <br />----- <br />_ IP yon lease them give name of company or person Prom whom leased________ <br />r ----------------------------------------- <br />(Over) i <br />1 <br />