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<br />i <br />i <br />C <br />MINE REPORT (~ <br />Note--Please ffll oat this report carefully, write plainly and answer all questions folly. 8e sure to <br />flats the report and saga it. Fill oat both sides of the sheet. <br />---_-_~~2c~~~Colorado, ___~1.1~~~~9«_ <br />BUREAII OF hIINES, STATE OF COLORADO. <br />T. R. Iienahen, Commissioner of 1lfines, <br />Denver, Colorado. <br />Sir: In accordance with Section 4299, Revfae Statutat~etorado, 1908, I submit report as follows: <br />Name of Company-The_______ ~`/~~Lbl-',-~('-~ 4%G4~'~ <br />Incorporated is the State of________________________.~-------------------------- <br />Principnl ofricc -----------------------------------------------------------------.. <br />Capital stock ___________________________ Shnrea, at $____________ per share. <br />If a fbm <br />eu we ter' Nwmw P. O. Addresses <br />otMnW <br />lama ie blaaY <br />u . nem <br />or flartaeMlp, <br />en wwt wI. <br />mass; otMnW <br />leoe It bloat <br />If a.ilbv <br />mmpanr oM <br />yyartnenYlyy. <br />Eil out Wla <br />map <br />Unpatented <br />--------------------------------------------- -------------- <br />--------------- <br />------------------------- -------------------- <br />--~~ ~ i <br />' ~_ ____acres; atented----- ---- ----------------acres. <br />Total acreage patented__a.[isL~ <----- <br />Do you own or lease these claimsl__~__li~~-+=~---~~~-'- ~------------------ <br />kf you lease them give name of company or person from whom leased-------------------------------- <br />------ <br />------------------------------------ <br />---------- (Over) <br />President --------------------------------------- ---------------------------° <br />Secretary --------------------------------------- ----------------------------- <br />Tt'easurer -------------------------------------- ----------------------------- <br />~fanager ----------------------------- <br />--------------------------------------- <br />IStle of Pnrtnenhip-------------------------------------------------------------- <br />Partnere' Names P. 0. Address <br />-------------------------------------------- --------------------------------- <br />3fan¢ger------------------------------------ --------------------------------- <br />Names of Owne 7 P. 0. Addresses <br />/J /~ ~ ~ ~ `~/ //,/~~ / ,, `y~1 ~+,c <br />---- -------- <br />- - -~"~- - -.~:i- ------ --------------------------------- <br />-.~_ 11~~.~---~1- " -~ ~---- --------------------------------- <br />- <br />_J1f~LJ1.LL~ ~ ~ - -' ..__________________________. <br />1 ~ ~~ <br />~~ i <br />3fnanger__1'-U...~.~ CK.GIC_7~'~LLL~~ ---------------------------°---- <br />State names of claims: <br />- ~ Patented <br />---~- ~-- <br />,~ . <br />1~~ <br />I <br />~' <br />n', <br />~I i <br />. ~ <br /> <br />