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i <br />!~i~ I <br />k i~~ <br />i <br />II <br />I, <br />If yon have given a ]ease to others for all or part of the property, state the names of the leasing com- <br />panies, partnerships or individuals: <br />Name 3lanager P. 0. Address <br />Ie property worked continuouslyl___2i0_____________ <br />-------------------------------------------- <br />If work has been stopped,state when______________________________ <br />------------------------------- <br />Name, title and address of person in charge of work for you_________________________________ <br />----------------- <br />State the character of ore__________.~.111,phjdf~_________________________________________________ <br />State the value of the ore----------X25.99--65S2~9Q_?24T__'sQI}------------------------------ <br /> ~ LfEN E3fYL0YED <br />No. Employed No. Employed <br />Machine Drillmen, $______for____hourshift. _____Eagineers, _ _ _ $______for____honrshift <br /> <br />_____!lfacliine IIelpers, <br />$______for____hourshift. _____Pumpmen, _ . <br />_ $______for____hourshift <br /> <br />_____Dfinera, _ _ _ <br />$______for____hourehift. _____Firemen, _ _ . <br /> <br />_ $_______or____honrehift <br /> <br />_____Timbermen, _ _ <br />$______for____hourehift. _____T31acl:smiths, _ . <br />_ $______for____hoarshift. <br />_____Trammers, _ _ _ $______for____hourahift. _____Teamstere, _ _ $______for____honrshift <br /> <br />_____Ore Sorters, _ _ <br />$______for____hourahift. _____Foremen, . <br />_ $______for____hourshitt <br /> <br />_____Topmen, _ _ _ <br />$______for____hourahift. _____Superinteadent, . <br />_ $______for____honrshift <br /> <br />_____Laborers, _ _ _ <br />$______for____hourahift. _____Office Ilelp, <br />_ . <br /> <br />_ $______for____hourehift. <br /> <br />Assayers, _ _ _ <br />----- <br />$______for____hourahift. _____Afillmen, <br />_ _ <br /> <br />_ $______for____houraf~ift <br /> <br />_____Elcetriciane, _ _ <br />$______for____hour-shift. . ____R'ntchmen, <br />_ . <br /> <br />_ $______for____hourshift. <br />---------------- - $------far----hourshift' ---------------- <br />_ <br />_ $______for____hourshift. <br />Average numher of men employed this ycar______One_;.:an___ _____ <br />______ <br /> <br />Is there a mi114_____ 2io <br />---------------- _ <br />-------------------- <br /> <br /> <br /> <br />me of mill---------- ---------------- <br />--------------- <br /> <br />-------------------------T.ocation of mi]1---- <br />-------------- <br />---------- <br /> <br /> <br />hnracter of mill------- ---- <br /> <br />------------------------------------------------ <br />------- ----------------------- <br />-- <br />----------- ------------- <br /> <br />----------- <br /> <br />Cnpncity of mi]I-------- ----------------------------- <br />------------------------------- <br />----------------- <br />-------------------------R'hen was mill erected ------------------------ <br /> <br />------------------------ <br />--- <br />Oive list of buildings, tramways and other surface improvements ____ ------------------------ <br />______ <br />('ab _ <br />------------------'-- in ~_ 3lacks~ith_shop-------------------- <br />------------------------ <br />---------------- <br />------------------------- <br />------------- <br />------------------------ <br />Coat of surface improvements mode in 191 <br /> <br />----------------------- <br /> <br />State amount and charac ___ _ _ _ _ _ <br />ter of underground development: <br />$ <br />Total Development <br />Shafts -- ------=--------------------ft. <br />Winzes - -----~~ ~------------------ft. <br />Drifts -- -----G.CO! ----------------ft. <br />Crosscuts --------------------------ft. <br />Amount Doae is 19yy <br />------------ft.; coat per ft., $---------- <br />------___:__ft.; coat per ft., $-..--____-- <br />____ u,aC_ft.; cost per ft. $ <br />_________ ft •coet ft <br />Signed----------------------------------------Company. <br />By---------}--~-//-- ------- <br />----------- <br />--- •~ Per ., $---------- <br />$ave you reported to this department all Patal and non-fatal accidents occurring to workmen in the <br />twelve moatha preceding the date of this report, as required by ]awT ____FIBSI_Iv_QAy~________________ <br />Iiemarke:_____________ <br />-------------------------------------- ---------------- <br />