MINEBK00029

• County: Park
• Document: Manager
• Suffix: A

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~ : .."t`ALl'E h'J.'~ 41yr. ~.+sJ' 7.arOS•_1^ YIIt)i ^'r
tin^. ,! surfa:>a _~yrirements .::are in ]51 R- - ~ ----------------
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/:thtY. h.LV'Ir;t hn: r'arYJ,'SYr rf 1lnder)gowd de: ~lOpIIeIIt:
Total Lerelrip)nent Amonat Done in 1913
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------ / ----------------fi ---~ ~_.,._ -ft; east per ft-.8--! ]:_
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llriftE ----- -~'$~--------------it ~~~'___ft;cost -
Per it-. 8-°
_ _ _ _ _ _ _ _ _ _ __ft ; Coat per fir $1_b,:~~
><farY yr>t) reportad to this department all fatal and non-fatal aCCldeIItd oeenrring t0 workmen III the
lwrlre rnnnths yrv~.di))g the date of this report, a• required h9 lawt ~1_~;' ~ _ '
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Bigned_ ~ --~"
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