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„.,~1`~ <br />~, <br />1 ~ ~~ <br />1 ~, L pon have given a lease to others for all or part of the property, elate the nnmes of the ]easing com- <br />1 parries, partnerships or individual=: <br />Dame 1\I¢n¢ger I'. 0.9ddreea <br />li~z/ <br />Is prvyerty ccvrked continuously°-_-~--_ .------------- - --------------------------------- <br />]f xorl: I:as Leon stopped. state e'Lrr:--- ___ _-. -. ------_-- - <br />' 'carne. title and address of yerson in cLurtte of w'urk for }~ou___ _ __ ~'~-l '~ <br />yy- ~---- <br />--- --- <br />State the eLuructer of urr_- ~~""~ "~~'?u!•"'~ ~~ -------------------_----_--- -- <br />-- <br />6tute the yuluN of thu ur~____. - r -~~ Dy /ti -_ <br />?'"3tlL LONG` - - -4 --- ~_._--- --'-----~------------------------- -- - <br />.vT'4 • <br />_ DSEI~ ED7YL0)"liD <br />_ ?~o. l:rlylo}'r•d '.~o. Einplu}•ed <br />~.llachiue Drillmen. >L _ _for- .huurshift. - _. Engineers, _ _ R_ _ _ _fur_ - Lour shift. <br />_~ \luchiue Ileipers, R. _ _ .fur- - Lour shift. - _ _ _Yumpmen, _ >$__ tor_ _. _hour shift. <br />~?._\iiners; _ _ f,'3s~fur_ hoursi;ift. _-.. _F'iremen, _ _ _ &----_for_- ..hour shift. <br />~ 'I'ituLeruusi. F ~~/.fvr _ _huurshift. - _..Itlaclamiths, _ _ >};______fur_ ._huurshift. <br />'v 'frumu\:rr... _ <~~~-for hour shift. __._ 'fcunsLers, _ - _ $______for_ huw•shift. <br />.Ore $urU•rs. ~. _fur Luur shift. Pvrauurn. _ >$. . f _tor.. huurshift. <br />'fopulcn. g for.!,ourshift.Supr•rintmdenl, IF__ ~__tor_- .huurshift. <br />Laborers, g _. .fur i•ournhift. OfiicclLap, a fur_..hourshift. <br />' Assayers. :;- -fur Lvurshif:. ~ VilLuen, _ _ >J;_G-._fur_- hoursliil't. <br />^.Icctriciaus. <_ for. Lour-shift. 1CuU1uw•u. afur__ hour shill. <br />~~.~ '. --_----.. - _ _ &- ._fvr LuursLif;. ----. _. -- _ A:_ _ __fur_ hourshifl. <br />, A\•Crit t!(' till!^bl'I' p~ IL In RIII yIV\'e~ tl'IF yRiV' /~ <br />'. ifi tai '. .: r^:!~' /~j~~~'~] - .... _ - __ -_ _ __ _ <br />1` w mill / //~~,,'r /~~/ ~ L, , t ~~•: ,~I n J v` ~ ~-i „/~i - ~~~.~~ <br />Ciur ~.u!'I:.ill_J ~ ~J~'^~ 1/CS-D/~,,,,~,14~....~...;i~(onCu+//f~~+.ri, <br />' / _... <br />I~ .;:. i r"' _\1'hcu a'ar; mill r.rectcd __. _ - <br />-~ ~ Gic\ L,; u1' Lui;diny^r L'um\cups uud other surfaur• impt•uyetur•nts ~ ~!"~j_~ ~`.~'~'""~- <br />,r .:~ ~_ s. ~ ~/1..--- Li~i,.y_w...wr~/ ~ .~r: .. ~~..`w 7--~f~bC ---'P <br />-- Yf_/,y_L/ <br />1 <br />' Cuat d'sw'!hra: irupruv~unslts wndc in ]:q3 _ _ ~;-- fl/-era0,~. _ <br />fitutc u:m,,un; uur~ rLuructrr v!' um.'cr'gruuud dceelvymeul: <br />1 <br /> <br />~, 9'otul Lecrdoptu"nt lunount Done in ]31.3 <br />~- <br />St:afts ft. _.__ft.; cost per ft., ff_-___ <br />~ '. N'iuus - ft. -----____ft.; cost per ft., ~_ .__----. <br />I'~ I Drifts 2 00 - - - - ~ ~~ <br />7e , ~,~_ - _ft. __///-'- .ft.; cost per ft., fl'----.____ <br />~~ G+eeecets ~„~--- ~ -- - _It. - _ ~!_~ __ft.; coat yer ft., $_..--_ _.._ <br />' ~ - - <br />' ~ I !' Hu eivrt!v? tv tLis department ell fatal end non•1:utu1 urcidenls occurring to workmen in the <br />.I twelve months preredirrK the dutc of thin report, its required Ly luwt ____ ~~~ -~ -- <br />I Remurkn:-___-__-- <br />If ; _ - _ _- <br />~. ~,,, I ___. _.. ...-___ _____________.. _____ _._-...__________________________________.-. ___-______ <br />Y~ <br />1• pl <br />11 '•• <br />Signed_ ____ __________ _Company <br />, ; .i '~ <br />_._I T__/v/j~ _ l_~~~_ <br />~i i ~ <br />Title_-G_~~!!`_'___~!_4!!f--'--` ------- <br />