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/~ ~ , , <br />_. r ~ C / <br />3' <br />MINE REPORT <br />Note-Please Sll oat thla report carefully, write plainly and answer all gneationa folly. Be sore to <br />date the report and sign it. Fill oat both sides of the sheet. // / ~/ <br />---------,/!l'°~;-'-~, ~--- ~ --+ Colorado, --`=J_-~~-- (_~- /~~+ 19~--! <br />BUREAU OF bIINES, STATE OF COLORADO. <br />T. R. Henahen, Commissioner of Mines, <br />Denver, Colorado. <br />Sir: In accordance with Seetion 4299, Revieed Stntntes, C lorado, 1908, I suyb,.mit~rep~ort as follows: <br />i ~ <br />Nome of Company-The____~~~}~~~~ ~~ //f ! ~- <br />Incorporated in the State of_______ _~~ ~_`__~_°^_ _________ ____________ <br />Principal office ~ ~~ ~'_'~'' U' `~ <br />-------------- --- -- ------------------------------------------ <br />u.com Capital stock _____~~_~~~___________Shares, at $__l~'_____ per shore. <br />en one t. Nnmo ~ ~ // P. 0. Addressee <br />1•m It D4nk a '`CT G ~ G - P.~-L / <br />President ------~~-~-- j- ~ J - / y- ---=-xo~~~,._ ~--------- <br />~- --- -~~i--J-~-` <br />Secretary ----- ---- ` _~~ J ~__---------~------------------- <br />-------------------- <br />Treaearer " ' <br />Manager -°-------/-~ ` `> _~c, ~ ---------- ----------------------------- <br />-~`t =------------------ <br />of Partnanhip------------------- <br />PartneTa+ N8mC8 <br />If . erm <br />or p•rtnettllp <br />Ea oat thb <br />.p.ea; otber.W <br />Loa It bl•ol[ <br />---------------------------------------- <br />P. 0. Address <br />____________________________________________ <br />____________________________________________ <br />____________________________________________ <br />MBnager____________________________________ <br />------ Nnmea of Owners P. O. Addresses <br />-------------------------------------------- --------------------------------- <br />tt oe116R <br />_____ mmp•nr nor <br />Mryrtnmhlp <br />______ Cll oat t:tL ____________________________________________ _________________________________ <br />IwH <br />:• <br />~~ Dianaget-------------------------------•---- --------------------------------- <br />-' State names of elaims: <br />~- /' / Unpatented <br />in the ~~L~Pi~ ~G~.L L' °/ - _ <br />------ <br />~~~-u ---------------------------------------------- <br />-------------- <br />--------- - ------------- -- <br />------ <br />------ <br />Totnl acreage patented_________________________acres; Unpatented__________ acres. <br />Pan9• Dp yon own or lease these claimeT___~------------------~----------------------------_----- <br />______ If you lease them give name of company or person from whom leased-------------------------------- <br />------- ----------------------------- <br />----------------- <br />------ (Over) <br />I'I <br />