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iw )~ ;~V <br />30'7 <br />MINE REPORT <br />Note-Please 811 oat this report carefal2y, write phtinly and answer all gaeations folly. Be ears to <br />date the report and sign it. Fill oat both sides of the sheet. <br />----------- ~~-----------~ Colorado, --~----,19_~ <br />BUREAU OF 11IINE5, STATE OF COLORADO. <br />T. R. 13enahen, Commissioner of DIines, <br />Deaver, Colorado. <br />Sir: In accordance with Section 4299, Revised Statntea, Co~~lj/o~~ra~dyo~, 1908; I anbmit report ea follows: <br />Name oP Compaay-The__~pr°~_°_~_'t! ~!~`__~~~____~__~~• __________ a <br />Incorporated in the State of_____` <br />-------------------=---------------------- <br />Prineipal ofl'iee _ ~~~~ ~~ `~ `~~ ~"'r' • ~° <br />Ir. C°m ur, Capital stock ___ ~DO,000_ - _Shares, at $__ ~.51_____ per share. <br />G" °°t °~" Nnmc r , P. 0. Addressee <br />rprre; oNerw4• <br />President ---`-'[-1---VV---~-/-r/-I-------- =------------ JG1 <br />Q ----------------------------- <br />Secretary --rte"--~ ~?~,`-a'/------------- -----°------P • <br />Treasurer r <br />-----------Q-r-/-_--_--------------------- ----------------------------- <br />Title of Pnrtnerehip-------------------------------------------------------------- <br />Partncrs' \ames P. O. Address ' <br />-------------------------------------------- ------------------------- <br />rr .ern -------- <br />cr pnrtnmklp, <br />Gil out thb ____________._____________________ <br />___________ _________________________________ <br />rp.re: o[herdw <br />Iene It blot <br />i <br />,1[aaager-------------- <br />Names of Owners <br />P. 0. Addresses <br />--------------------------------- <br />Ir velther I ____________________________________________ <br />mmpm7 vor <br />p.nnenEly, _ <br />Gil out WI. ___________________________________________ <br />rPa <br />1lnnnger-------------- <br />State names of claims: <br />q' Patented Un ntented <br />---- -------- ~ O O i' ------------------- P------------------------- <br />a,~: ~-4----------- ~`d`-~----- <br />- ---------------------------------------------- <br />~~~-~,-- <br />--------------------------------------------- ---------------------------------------------- <br />----------------------------------=----------- ----------------------------------------------- <br />Totnl noreage patented_________________________acrea; unpatented______ <br />_____ ______acrea <br />Do yon own or lease these alaimst___ _ fo t~ ~ S~ <br />If you lease them give name oP company or person Prom whom lensed________________________________ <br />------------------------------------------------------------------=--------------------------- <br />(06er) ' <br />,~~~' <br />