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.r.
<br />Ii~rl
<br />~. If yon have gl4Cn a lease to others for all or part of the property, state the names of the leasing com•
<br />4 panies, partnerships or individuals:
<br />t Name .Manager P. O. Address
<br />J ` t
<br />~ l~ t ______________________________ _ .__._...______.____...__ ___..___ __________-_. _
<br />1 ~ ~ _______.__.______________ _
<br />t i ! t/Is property worked continuously?_______ ___ ___, ___ _ ___ _ _ _
<br />~If Lvorl: has been stopped, state when_1'v-r /_ ~~~ ~~-~ ~ Cl~ r'
<br />Name, title and address of person in ebarge of work for you_________________________________
<br />--- --- -------------------------------------------
<br />v , State the character of orr_..--- --------------- -----------------------------------------------
<br />t~r 1RWht~ State the value of the ore---------- -- -------------------------------------------------
<br />tl ~fEN EJIPLOTED
<br />~~
<br />No. Employed No. Employed
<br />__-_Jfnchine Drillmen, $_ __for____hourshift. _____Iinginrers, _ _ _ $______for__.._hourehift.
<br />,. ____.\Inchinc Helpers, :.._____for____hoursbift. _____Pumpmen. _ _ $____._for____hottrshift.
<br />i _____Jliners, _ _ $______for____hourshift. _____p'iremen, _ $_____ °or____hourshift.
<br />1 _____Timbermen, _ _ c._____for____hourshfft. _____I31aeI:Amitha, _ _ $______for____hourshift.
<br />__Trammers, _ _ _ c______{or____hourshift. _____Tenmsters, _ _ _ $______for___..hourshi[t.
<br />_____Ore Sorters. _ $______for__-_}wurshift. -.___J~oremen, _ _ _ $______for_-__hourshi[l.
<br />_____Topmrn, _ _ _ $______for____hourshfft. _____Supcriatendent, _ $______for____hourshi[t.
<br />___Laborers, _ _ _ $______for____hourshfft. __.__O(fice IIelp, _ _ S______for____hourshift.
<br />_. __:lssayers, _ - _ $______for____hourshift. _____~Iillmen,
<br />'~' _____l;lectricions, _ _ $______for____hour•Ahift. _..__\~-ntchmen, _ _ $______for___.bourshi[t.
<br />~ _ $---_--for---_hoursbifL ----------------
<br />. _ _ . ______for____hourshl t.
<br />~ ','i ~ ~ Average number of men employed this yenr_.________________
<br />'. , , . ~.
<br />/~s there a m1111_ h-~__-~ ~1~2~_/~_.~r
<br />,~((~ ~ - -..
<br />Name of mi11~Sl.L.C_2~__----~>~~.Q-L____----Locution of mill__~1,!_"(/_4/_~__~C~IX.F~-.
<br />1.. Charneter of mill-------------------- ------------------------------------------- -
<br />~' t ------- ----- ----------------- --- - - --- ------------------------------------------ __--
<br />~~ ~~ Capncitr of mill_________..__..____________-._______~\'hen was mill ereeted______________
<br />', ( t
<br />~' 1/G3VC list of buildings, tramways and other surface improvetents _________________________________.
<br />1 __________ ___________
<br />I 1 --------------____--_-___-----------'-------_°-___-__-___-_-_- ----'
<br />1 ., r
<br />t I Cost of surface improvements made in 191___ _ _ _ _ _ _ _ $_________________ _-__
<br />r
<br />i State amount and character of underground development
<br />fit, ~~
<br />Total Development Amount Done in 1913
<br />~•I ~ V~ShaftA _____________________________ft.
<br />i ----------__ft.; coat per ft., $----------
<br />i t"'R'inzes ----------------------------ft.
<br />~ ____________ft.; coat per ft., $_..______--
<br />~"Drifts ----------------------- ft. ft.; cost per ft., $----------
<br />fi ,/Crosscuts ~i.~ae~ ___~L11l1__ft. ____________ft.; coat per ft., $__
<br />~ ~, •~ I f $ave you reported to this department all fatal and non-fatal nccidente occurring to Lvorkmen in the
<br />''~ .
<br />twelve Iaonthe preceding the date of tbis report, as re aired by lulvi ______
<br />i ~ -----
<br />,.J I ~~/~ - -- - - -- -
<br />fn ~, C nA^ - - -----
<br />Y I ~ ,
<br />~` Ii I ~;` 1;~ ------------------------------------ - -~ --
<br />~,. ~ I, ~~
<br />'~ ~~;I~' ~~~~
<br />. 1, 1.j~'ya;6'(!~c .~~~ -
<br />~, ~ ~ Signed_ _ e1e~SufsreomPany.
<br />• ~I~I . i ,`,i ~ '~~:'~ `f By C!'./1~!_1_~ ~/~.f.'L~.sLC.~=~ -
<br />~ „~,
<br />• ' - --
<br />1 ~ ; ,''~ ~. Title--- /'~/; / ,
<br />Y .r---____ ~~_~_a______________
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