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<br />MINE REPORT -- <br />Note-Phase fill out this report carefully, write pL~inly and answer ell questions fully. Be sure to <br />data the report and sign it. Fill out both sides of the sheet. <br />;-, <br />__~-~c•_at i..= ~__~f ________, Colorado, __-__~ li~____~_~__, 19!_3 <br />BLIItFAU OF DANES, STATE OF COLORADO. <br />T. I:. Aenahen, Commissioner of :dines, <br />Denser, Colorado. <br />Lir: In accordance with Section 4299, Resised Statutes, Colorado, 1908, I submit report ns follows: <br />(Name of Company-The__~.' =rfe_=`_='elL¢c'~~.t_-~~---------------------- <br />~Incorporated in the State of___________________--4_------------------------____-- <br />~Principal ofsce -°---------------------------------- --------------------------.. <br />^apitnl stock ------------------------ --Shares, at $____________ Per share. <br />e ~ rAmr'"'' Nnme P. 0. Addresses <br />eu om tel. <br />.qn: o:ncr*Le <br />hpe It elauk <br />iPresident -------------------------------------- <br />Secretary --------------------------------------- <br />!Treasurer -------------------------------------- <br />I`Sinnager --------------------------------------- <br />c ~ ems <br />m Vmu.rxhly. <br />7I: au: thl. <br />Rao-; se.r.rbe <br />. n Lluik <br />Title of Partnership--------------------- ------------------------------------- <br />I Partntas .':nuts P. O. Address <br />I <br />I---- ------------------ -- - - - - <br />--------------------------------------- <br />_____ ~ <br />`Dlnaagcr---- ---- - --- - <br />----- <br />~ A`umes of Owners I'. 0. Addresses <br />-- /,// ,/f/~ C~/ <br />I V/,// ._ ,// / <br />_ _ _ /~(.f.~.;: `j L~ ~~ like- ~ 2 - _ _ 4 ~~ _ - _ " _ - <br />r <br />:t~.:,...:,.,, --- -- <br />Ash <br />- ____. <br />.-_.. <br />)Iunuger __ ~ r __ <br />_ :II,1, nt:uus of claims: <br />l'nputenled <br />Patented <br />------------ <br />in the ,, ~ wvy_t.-vSr-. - --- ---- ~---- - - <br />i~y/ • .. -- - -------------------------- ----- -- --~-~- - _..-.~- acres. <br />TuL,; ________ _ _.__acres; uaputanted_- - - <br />~:creuge putented____------- <br />- - - - - <br />tpany. llu cuu own or lease these claims9_______----~'~- <br />._____ Jlpou ll,usa them give Hume of compuny or Person froru w6oru lensud_-- - -- <br />•----- ------!Over) <br />i. ` : <br />I I <br />)~ <br />~~ ~i <br />I~ <br />