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1/12/2009 12:20:50 PM
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11/18/2007 12:28:47 PM
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., <br />MINE REPORT ~~ <br />Note-Please 8ll out this report carefully, write p]ainly and answer all Questions fully. Be sure to <br />date the report and sign it. Fill out both aides of the sheet. <br />---~~~_ __, Colorado _`_r ____ __, 191_? <br />BUREAII OF bIINES, STATE OF LORADO. <br />T. R. lieaahen, Commissioner of Mines, <br />Denver, Colamdo. <br />Sir: In accordance with Section 4299, Ij~vise Statutes, Colorado, 19`0~8',~I submit report as follows: <br />Name oP Company-The_______________ __ ______! ~ ~(.iu,~___~_____ <br />Incorporated in the State oP_ /`/~~ 9________________________________________________ <br />Principal oRice ~_~ 8 ____%`Xc~!J~Y_?____ _____.___ <br />---------- <br />------------- <br />11 ~ ~m Capital stock ______~_,4-v=si__tis_ a_--_ Shares, nt $____l _'__ per share. <br />°1 °°` `~ Name ~ P. 0. Addresses <br />ott.t.w <br />le~ It bl.nt <br />President ---------------------------------- <br />----------------------------- <br />Treasurer -------------------------------------- <br />----------------------------- <br />llianager --------------------------------------- <br />----------------------------- <br />If . arm <br />or D.ttnrnhlR <br />ell one Nb <br />rp.n: otttnrW <br />lease it D4nt <br />If ndther <br />mmpup nor <br />eu` o~°eti~: <br />rD•n <br />15t1e of Pnrtnership-------------------------------------------------------------- <br />Partncls' Nnmcs P. 0. Address <br />-------------------------------------------- --------------------------------- <br />binnngcr------------------------------------ --------------------------------- <br />Names of Owners <br />-------------------------------------------- <br />P. O. Addresses <br />-------------------------------------------- <br />-------------------------------------------- <br />blannaer ------------------------------------ <br />State names of claims: <br />Patented <br />Unpntented <br />---------------------------------------------- -------------------------------------- - <br />--------------------------------------------- ------------------------------------- <br />---------------------------------------------- ----------------------------------- <br />Total acreago patented____________________-----scree; unpatented____________---------------acres <br />----------------------------------- <br />Do yon.own or lease these elaimst_____________________ - <br />IL you ]ease them give name o4 compsay or person from whom leased-------------------------------- <br />----------------------------------------------------------------------------- <br />(Over) <br />
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