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COm- <br />lift. <br />lift. <br />rift. <br />lift. <br />lift. <br />ift. <br />ift. <br />ift. <br />ift. <br />ift. <br />ift. <br />'SCE / i <br />~~/ <br />CiVGr~~~ ~' , ~~ " ~ - ~~!.2ti~r .~. J <br />~V 'J ...: tJ v' . 1~ G <br />MINE REPORT 35 <br />Note-Please fill out this report carefully, wrl pte lainly and answer all yneationa inlly, Be sure to <br />date the report and alga it. Fill out both aides of the sheet. q ~~ ~ <br />----~ ------------ ---------- Colorado ~~w!/ / O <br />BUREAU OF bIINES, STATE OF COLORADO. <br />T, R. IIenahen, Commissioner oP DCines, <br />Deaver, Colorado. <br />Sir: Ia accordance with Section 4299, Revised Statut/e~s, Colorado, 1908, I submit report as follows: <br />Name of Compsay-The~J= ~?CS%S~ _ u~~w /~- ~_ // <br />- ------------ -- ~-G <br />------ <br />Incorporated in the State of____~~t7 <br />-- ------------------- <br />---------------------- <br />Principal office ___________ <br />---------------------- <br />--------------- <br />------------------ <br />le a wm Capital stock ___ ~Q ~-"'O-"tom Shares, nt :~_____ ~_____ <br />:Da.Dnn~om i.. N me----------------- per share. <br />kan le blurt ~/ ,, P. O. Addreases <br />President ~_ _____~='!' f- ~ ~c n An <br />------------ ------- L1K- X Y~ <br />- - ---- <br />Secretary _ ` ~~ ~ - -__~ - <br />----------- -- <br />Treasurer ~ ~ - - ----~ - ---~-- - <br />Mans a ____ - - - - <br />- --------- - _ <br />-- - - ---~ir~'--~--~;i,--- <br />--- ~-t~ <br />Title oP Pa tnerahip___ ~y ~ ~/ <br />------t--------------------------- <br />------------------------- <br />Partncrs' Names P. O. Address <br />---------------------- --------------------------------- <br />ira °'m --------------------------------- <br />or Da+toeeahip, <br />011 oat 1h4 ___________..________________________________ <br />rpacn: o[henrLa ---°---------------------------- <br />l~an It 64nk <br />________________________ _________________________________ <br />__________________ ___________________________ <br />_____. <br />Afanager------------------------------------ <br />------------------------------ <br />Names oP Owners <br />--------------------- <br />_ - P. O. Addreasea <br />--------------------------------- <br />_________________________________ <br />_________________________________ <br />It nallha ____________________________________________ <br />_ MmDaq nFor <br />SI1 aartnut ~Itcln ____________________________________________ <br />__ span <br />'rJ/ DCanagor-------------------------------•---- <br />1 State names of claims: <br />Patented <br />to - ------ ------- ----------- <br />-------------- --------- <br />0~~ ,.., .1~u,.,.__ <br />- --- - ~ ' <br />Unpatented <br />_ // - ~/ <br />- - --------- - -------- -- -- -- - <br />--------------------------- <br />Total acreage patents _________________________acres; unpateated___________________________aores. <br />Do you own or lease theao claimsl_____________ <br />-------------------------------------------------- <br />It you ]ease them give aemo oP company or person Prom whom leaeed___________ <br />--------------------- <br />--------------------------------------------------------------------------------------------- <br />(Over) <br />., <br />~1 <br />i• <br />II <br />~I <br />