Laserfiche WebLink
-'d-4~ <br />v <br />MINE REPORT ~ ~~~~ <br />Note-Please fill oat thin report carefully, write plainly and answer all gneatioas folly. Be sore to <br />date the report and sign it/. Fill oat both~a/ides of the sheet. ~ `~ <br />---C~+~l_fl!~ .-----, Colorado, --_,/~.~d~___~ lgC~~ - <br />BUREAU Ob' i<IINES, STATE OP COLORADO. <br />T. R. Heanhen, Commissioner of it[inca, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, Revised Statutes, Co]orado, 10 8 ~F,submit report ae follows: <br />Name oP Company-The_~~~! r~ _~ _ o~~~,~~ , D~ y,__~ ~ <br />Incorporated in the Stnto of____ __ v~,~~-~~-~Q~FiG~ ""`^"`~' <br />Principal office ------------------------------------ - ------------------- <br />------------------------ i <br />-----.. <br />It aCAm ,or, Cnpitnl stock ___________________________ Shnrea, 8t $____________ Per share. <br />eu oot e81. <br />.prco: othenrW Nome P. 0. Addresses <br />love It bluk <br />If . erm <br />or partnenWp, <br />en not tnl. <br />rprce; other~lr. <br />Inre It blink <br />President -------------------------------- <br />------- ----------------------------- <br />SecretnrY --------------------------------- <br />------ ----------------------------- <br />Treaeurer -------------------------------------- <br />----------------------------- <br />1Inanger --------------------------------------= <br />----------------------------- <br />Titlo of Partnership________________________ <br />------------------------- <br />------------- <br />Partnera' \'nmes P. O. Address <br />------------------------------------ --------------------------------- <br />------------------------------ --------------------------------- <br />Olnnnger------------------------------------ <br />--------------------------------- <br />Namca oP Owners P. 0. Addressee <br />It orither <br />mmprnl nor <br />rrtnrn.blyy, <br />SII nut tali <br />rP.M <br />State names oP claims: <br />Patented <br />i <br />,____i____ _~7-Q-~~~-~ <br />------~~? =yc ~z~===- <br />Unpntented <br />---------------------------------------------- ---------------------------------------------- <br />Totnl acreage patented_________________________neree; nnpntented________ ___..___acrea. <br />Do you own or lease these claimst_____~~~?11i~ _`_~`___C~~~~12__ _ <br />It you neelJ'~1em ,g, i/ve some of company or person from whom lenaed_ _ _ ~'eG.,f~.~,.` <br />- ll-L.~e~l~.~----~ ~ - - ~ .._~Y- ------ ---=~~ =e5---=--------- <br />. (Over) <br />