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<br />'~ ~ i ~~ ,, If pon have given a lease to others for all or part of the property, elate the names of the leeain c
<br />g om
<br />j.', N paaies, partnerships or individuals:
<br />f~ ~'~ ~' ~ Name Dianager P. O. Address
<br />.:
<br />,,,.
<br />r. a , ; i~
<br />,.
<br />. -----
<br />,;. - .,
<br />------------
<br />~,: { ~ L
<br />____
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<br />IB property worked continuously i___--_-____5;ge_ ~y~'IlC4i ns~],]-~ ------------------------
<br />------
<br />If work has been stopped,stnte when___________________________
<br />Name, title and address of person in charge of work for you_______lirsnltL~nd2i~'r4- ____
<br />------------------------------------------------------~-ais~_~a ~iL11u7_~!~~~~tiII19_~t._
<br />State the character of ore____~pst:delite____________________________
<br />-- ------------------------
<br />. - ~ ~ State the value of the ore------I"L`x~e~:-.Lij;i1_:]a2'i;Ej;__=ux_ QII21Fid3,uII1.--------------------
<br />~:TME.ODnO~.
<br />~°°`~'~ 3IEN E3IYLOYED
<br />No. Employed No.'EmPloyed
<br />.,5.__)+fachine Drillmen, S~'.___for_1i_hourshift. _____Engiaeera, _ _ _ $______for____hourehift.
<br />^~, .~__3fachine IIelpere, $i..?,Jfor_~l_hourahift. Z:A__Pumpmen, _ _ $______far____hourahift.
<br />_~_ 3finera _ _ _ $~.___for_E_hourehift. _~__Firemen, _ $_~_'-_•_50orB___hourahift.
<br />~:~_Timbennen, _ _ $______for____hourahift. _~__Blaeksmiths, _ $_bi__for_B__hourshift.
<br />.1 _~_Trammere, _ _ _ $~____for_13_hourshift. _ ~__Teamsters, _ _ _ $_.'~.xSQor_a__houral~ift.
<br />_l13_Ore Sorters, _ _ $______for____hourshift. _~__Foremen, _ $_b+__for_f3__hourehift.
<br />~a_Topmen, _ _ _ $______for____hourahift. _.~__SuperiateadeM, _ $_SP~.t'fGnZ___hourehift.
<br />' _~___Lnborers, _ _ _ $J ____for_~_hourahift. _ 1__Oflice Ilelp, _ $_Salt~~g___hourshift.
<br />~; -~_-AaenYere, - - _ $-Z~IIIAIJ~____hourshift. ~; __Dlillmea, _ _ _ $_$xb~~p~jourehift.
<br />' _~ __Electricians, _ _ $L.___for_.f3_hour-shift. li0__WateLmen, _ _ $______for_•__hourahift.
<br />---------------- - - $___---for----hourahift. ___-------____-- _ S____--for----honrshlft.
<br />~ Average number of men employed this year_____9;^>_'tp_ ~gp_ ____________, _
<br />is ---------------------
<br />Is there amilli------- :0.S------------------------------------------------------------
<br />--------
<br />Name of mill _~'ilns~i~t1II~_ j~_11_______________Locntion of mill____lT_a_naditLn Colo._______
<br />Character of mill__F?a~j: _P1id T,9&oii___
<br />i ----------------------------------------------------
<br />~' : ij ---'------------ ---
<br />~~ • ~ ~ Capacity of mi11_ ~ ~0_ tone ,nex_ day-------------------------------!,bout 32 years---- o.
<br />____~~'hen wns mill erected________________________~
<br />I ,
<br />~~ ~
<br />~ Give list of buildings, tramways and other surface improvements _2_~o~prseHOr_~2ti.683~_.1J1'9 B:ns,
<br />', ,,' ki..~l__ol~~_i?~PJ~i.~..~bo~~'~9i~+Z_~?~sl.'~~~>5;~~~,Rn~i_ :'?~~<<8_ 2~..e8~--------
<br />.;
<br />--------------------- ---------
<br />'' I~ Coat of surface improvements made is 191__ _ _ _ _ _ _ _ O 6
<br />State amount and character of underground deve]opment:
<br />i;
<br />,~;..•; Total Development Amount Done in 1313
<br />i ~ Shafts __ Tlglle --------------------ft. ------------ft.; coat per ft., $----------
<br />j 'r ,/ Winzea __nollF3--------------------ft. ------------ft.; coat per ft., $----------
<br />j 7051
<br />~p; Dnfts -----------------------------ft. 210t3__--__ft.; coat per ft., $_12.1]0.-
<br />, ~ , I..~` ~~I Crosscuts ---110219-----------------ft. ------------ft.; coat per Pt., $----------
<br />~.
<br />~ '. i ~a) '~ $ave you reported to this department all fatal and nos-fatal accidents ocenrring to workmen in the
<br />jl ' -
<br />~ I ' j twelve months preceding the date of this report, u required by L~wt ______YHR..____________________
<br />~ L~ .!1
<br />li
<br />mar .--------------------------------------------------------------------------
<br />~'
<br />.; ij -------------
<br />4 ~
<br />I ~ ---------------------------------------------° -----
<br />-------------------------------
<br />------------------------------------
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<br />1 8igned_$T~111Q _4 Q6.a._S~0 _______Co°paW
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<br />i - ;~ BT - ------------------- ---------
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