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MINE REPORT X454 <br />Note-Please fill oat Shia report carefully, write plainly and answer all questions fully. Be sere to <br />date the report and sign it. Fill oat both aides o-f thess-/heat. <br />^---~>~~ ~-e cam.-- ` L ~-_ / <br />- i~2""_!__r'---------------------, Colorado ---. 19,~ <br />BURPAU OP DIINLS, STAT1; OP COLORADO. <br />T. R. licnnhen, Commissioner of 1[ines, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, Revised Statutes, Colorado, 1908, I submit report na follows: <br />Name of Company-The______~"°-T____-_t'_'- ______ ___________________ _ <br />-------- <br />Incorporated in the.Stato of____ ~!_Y_ ~'~~-'•~_ S_____________________________ <br />Principal ot£icc __~`_'~~~~^_-~_~_-S~__~_.~._ <br />Capital stock _'j0 ~ ~_~ ~?cs2____ __.__ Shares, nt . 2 YZ er share. <br />If a Campaor. $_______~`_'!wp <br />en oae tbl. Name <br />.p.ao; otberwb. P. 0. AddreSS <br />kue It btaak _ 0 ~, <br />President __ ~ __~"~`"~ _!"~`~_. _ ___ ~_: <br />- - - ---- - -- -- - <br />Secretary ---y-/J__YGLO _.~--~- ----------- ---------------a- <br />------------ <br />Trenaurer --------~~- -----~f----------- ~, <br />~~~c, Q ~~ Q ~-- ------- ----------------------------- <br />If a Erm <br />ar pertaenhlp, <br />GII oul lhla <br />eWn; o[herwW <br />Iene It blink <br />Title of PnrtuershiP-------------------------------------------------------------- <br />Partncrs' Vnmes P. 0. 1lddress <br />~Innnger----------------------------------- <br />Names of Owners <br />--- --------- <br />-- <br />If neither ------------ - - ------------------------- <br />mmpan7 nor <br />-' p.rtneM1lllp. J <br />Il ll oat tub ______________ _ ___ _ -_______________ <br />_ _ Pen <br />P. O.:~ddresses <br />M1[onager-----------------------------° ---- --------------------------------- <br />State names of elnims: <br />Patented '! ,' -~ Unpatented <br />--------------- --- ---------------------------------- <br />-- -- -------- <br />_~--~---~``x- --- ~----------------------------------------- <br />--- -- ---------------- ---- <br />K __ __-___ ~ _ ____________________________________._ <br />- _ _ --- <br />~w ~ ~ _acres. <br />Total acreage patented___ ~~~ -------------acres; unpatented______ / - <br />Do you own or lease these elnimst___~~`-~`-~~-----------------------------------'----------' <br />------- <br />If you lease them give name of company or person Prom whom lease _________________________ <br />(Over) <br />