University of Nevada, Las Vegas

Forward Mining Development Company Prospectus subscription

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SUBSCRIPTION BLANK_____________________________190I HEREBY SUBSCRIBE for__________________________shares of the Treasury Stock ofThe Forward Mining Development Companyfull paid and non-assessable, at Thirty Cents per share (Par Value $1.00), and enclose herewith-------------------------------Dollars in payment for same.Issue certificate in name of----------------------------------------------------------------The Forward Mining Development Co. P. °. Box or Street----------------------19 TOLTEC BLOCKDenver, colo. City-------------------StateTHE APP CO.., DENVER.




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