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w <br />.\v. <br />~• <br />+. ~ ~ ~f/ <br />3 <br />1~~1 I ICI E .REPORT ~ <br />r pia„r dvrc teMrt• <br />Give nvme of ro ~ EMPLOSFD*o Comnanr or croon. <br />FlII In nrrlu$-• to aide and ai¢n report. <br />Fill out hlanl- ao oppod <br />___________________________, Colo., <br />B>;JREAII OF bffNES, STATE OF COLORADO. <br />T. I3. Henahen, Commissioner of alines, <br />Denver, Colorado. <br />Sir: In accordance with the above section, I'submit report as follows: <br />name yf,claim or claims------------------------------------------------ <br />s-+fif -- ~`=~-~---------------------------- <br />---------------------------------------------------------------------- <br />Location <br />bfining S <br />Owner o: <br />2'79 <br />19I--_ <br />Name of Company------------------------------------------------------------------------------ <br />(!( Incorporated) <br />Capital Sto~k---__--- ------------ shares. at $_°---------------Pcr ehnro. <br />r______________________ ~ (P_O. Addreeel_ v d- <br />-----__Secretary, G,r 0' T ----N ---------------------------- <br />~~(. -- Q ~ ~ ~ - - `~ --~'----~ .<r. _ ~'_e-ate -- <br />Superinten ent -----------------------°--------- <br />----- f -------- „ <br />-----------~J°------°------ /~ <br />t~._. /~.__ . _----------------- <br />Leased to __[1e <br />ti4ork in charge <br />Js property worked <br />Commenced work _1 <br />Chopped work __ <br /> <br />~ __, 191_ <br />-- -- '---~ - t` °--°------ <br />bi1:N p;D1I'f.OYED <br />1:0. Employed. A'o. J;oiploycd, r, <br />t•9a_Machina DrilJmen, $--~~_for_~ Lourrhift. _..~ _I:ngineerr, _ _ _ $ ~~ -for.lf -hourrhift. <br />~ ~ i _Diacbine Iielperr, $-J'16~for.lF.6ourrhift. ~' Pwnprnen, . _ _ . $------for...-hourrhift. <br />----- <br />JJ , _ $._-__.for___-flour rbift. <br />~h$-bfinen, ... _ . $-~~~--for_G__bourrhift. .C__.Firemen, _ _ - <br />~,,, , __`= 131nekrtuitlir, _ . _ $.-----for.___Ilnur rliift. <br />__.__flmbermeD, . _ . $------for___-hourrhift. <br />.~Tenmrterr, - $------for-.._bourrbift. <br />. ~_:frammerr, .... $--3--for-$.ltourrlnlt. <br />~~0.~__Ore fiorterr, . _ - $3~73~for_~.hourrhift, _~'_.horemen, - _ - _ $-----_for_._.hourrhUt. <br />/ s3~.for-~ .hourrhift. .___.F:upnriuteudnnt, _ $.-_--.for....hourrblft. <br />'~ !ur_...hourrhift. Ofllca ltelll, .. - $------for.._.hourrll(ft. <br />1_- $...__.fur_.._lwurrliift. Dlilltnen, _ _ - - - <br />Arrayerr, ... - foa...bour rhllt. <br />_ - ------ <br />for.._.hourrllift. -•------- $"--""- <br />$...... A .Y.- . <br />. ................ <br />. ... <br />Avrrrgr ntunbrr of men ewployed fur thr err 1`11.-. •+rh- ~ - - <br />y r~s'° .. <br />1 rater and/value of ore..: 0!/--na..~~'~ ~t!'r. ~-r~~~. r•-~--= ~'"~°(MC~.~~. <br />...:4 <br />~~ <br />'~ ~: <br />~i~rrxty <br />~CC7~~ <br />lil~!' 14~~8 <br /> <br /> <br />