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lm- <br /> <br />Teller Cripple Creek 4 )1 <br />MINE REPORT <br />Note-Please flll out this report carefully, write plainly and answer all Questions fully. Be sure to <br />date tfie report and sign it. Fill out both sides of the sheet, <br />--~eG~._?.i2T51.,__~414._______, Colorado, _ Cpl nr~~Q_ iDS17L°S_, 19___ <br />BUREAU OF DANES, STATE OF COLORADO. <br />T. R. 13ennhen, Commissioner of Dlines, <br />Denver, Colorado. <br />$ir: In accordance with Section 4299, ReviecdStntutes, Colorado, 1908, I submit report as follows: <br />Name of Company-The__J~L_:_I_S'z0?.L_?'SiII?L^z_.C.OL~F~`~ ___________________ <br />Incorporated ip the State of_______L•UI,O~iD9.___________________________________ <br />Principal otRce ___~f5J~9_.~Fi~~?i:.;r;_JI.'.~i!I~_3~?,ttr,__C9J_OT_ny3Q_ip:~.ti~;s__.. <br />Capital stock __2.,.;50, Q4_Q,___________ Shares at . 1_. 0 <br />n a c,m $__ 4______ per share. <br />all nne ~' Nnme <br />.pate; ntherwW P. 0. Addresses <br />Irne It blank f . <br />President __J~._1,_._P.,IT~;i,______zI10? 0_First_~Tat!1_3astx,__DQ.^.:~_e: _ <br />Secretary __!~,_ D.__~it;cena__________________ _ Colgrndo Sprin~,e _ <br />--- <br />Treasurer _ :?~9a_A_Dinfa__________--~~___-- -J)enir~.r,__C_ol.n..______--- <br />1\innnger __~+~._a._nl~t'Jl------------------- ----------------------------- <br />If .arm <br />ar DannmWp, <br />eil nut ehl• <br />spate; otherwW <br />lease It bl•ok <br />Dlnnnger---------------------------------- -------------------------------- <br />If neither <br />rompanr nor <br />n•nnern6lp, <br />E11 out tiW <br />rD•tr <br />P. 0. Addresses <br />--------------------------------- <br />Patented Unpatented <br />._ ine_~~~i e_I.od.e----------------------- ---------------------------------- <br />---------------------------------------------- ---------------------------------------------- <br />Total nereage patented__10____________________ncrea; unpntented_______________------------acres. <br />Do you own or lease these claima9----------------------~~-----------------"-----"------_----- <br />14 you lease them gice name of company or person from w}lom leased-------------------------------- <br />--------------------------------------------------------------------------- <br />(Over) <br />Title of Pnrtnerehip_______________________________________________ <br />--------------- <br />Partners' Xnnua P. O. Address <br />-------------------------------------------- --------------------------------- <br />Names of Owners <br />I,1lanager -------------------------------~---- <br />State names of claims: <br />