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~~_ <br />%~ <br />V~/ <br />MINE REPORT ass <br />Note-Please fill oat this report carefully, write phunly and answer all gnestions inlly. Be sere to <br />date the report and sign it. Fill oat both sides of the sheet. <br />~~j~~~ ___, Colorado ~~~ vp ~~ /_ <br />----------- ~--------- , -------------------------~ 19---~ <br />BUREAU OF bIINES, STATE OF COLORADO. <br />T. R. liennhen, Commissioner of Mince, <br />Denver, Colorado. <br />Sir: In accordance with Seetion 4299, Revised Statutes, Colorado, 1908, I submit report na follows: <br />ATame of Company-The___~___ '~-' O~-~__{~ _____ <br />------------- -- -- <br />--------- - <br />..a <br />Incorporated in the State of________ --~!~-~'+~-- --+ <br />------------------------------------- <br />Principnl ofTice ___~~^~ --"~ <br />-------- n-----~.. ------------------------- <br />~. o <br />Capital stack ___'?~~~ -ri _ Shares, at ~ ° ~ <br />n . com .or. - -------------- ~------------ Per share. <br />ml out tgr Name <br />.D.r.: otha+t.. P. 0. addressee <br />le..e It blot (V y ~ . •~/:~- ~ ~ _ < <br />President ---n-------~-~---~-~-----------~_°= ~~ -.,- •!d.o_ ----r-,-•-•-Y-~ <br />v Qi . 1r~.L~-~'~ ~ ------- -- - <br />C7 <br />Seeretary --- ~------------- ------------_--~-- ---~---- - •. <br />Treasurer ________ __ ^ <br />tit t/~~ ~(~~./ ----- ----- ~ <br />of Partnerahip____________ <br />Partners' \nmes <br />If .arm <br />or D.rtDmWp, <br />all out tbb <br />ry.ee: otherr<4. <br />lens It bl.nk <br />------------------------------- <br />P. 0..lddreas <br />-- <br />Dlnnagcr______ ~ -~~- <br />-------------- --------------------------------- <br />Names of Owners <br />It Delther <br />eomD.tV Dor <br />p.Knen6lp' <br />E11 cut [;tL <br />T.to <br />Manager --------- ---------------------•---- <br />State names of claims: <br />Patented <br />-------------- <br />~~"-m=i'-- ----------------- <br />P. O. Addressee <br />,- _ <br />Unpatented <br />------------------- <br />Total acreage patented_______~- --acres; unpntented___________________________acres <br />Do you own or leaso these claime4____________ -'--'-- <br />------------------------- <br />• ------- <br />If you lease them give name of compnuy or person from whom lensed--------- -------------- <br />-------------------------------------------------------- <br />(Over) <br />~ ~ <br />p~', <br />,.,iii <br />•~ <br />`.~, ;I <br />~ ~i i <br />~, <br />~,~~ <br />if <br />i , <br />~. ''L"Y <br />