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~'~' i~ f <br />I 1 <br />i <br />~i~ <br />f' <br />i~ <br />,, <br />il,. <br />,~ <br />f 11 <br />l <br />i~ <br />I~'i <br />~~ <br />11 yon have given a lease to others for all or part of the property, state the aamea of the leasing eom. <br />' panies, partnerships or individuals: <br />Name bfanager P. O. Address <br />__ __ <br />L <br />l <br />d <br />i <br />l <br />~s~ <br />------ <br />-_ <br />_-- <br />- <br />- <br />property vvor <br />:e <br />cont <br />nuous <br />y}____ <br />_ <br />___ <br />~ <br />t <br />_ <br />__________________________- <br />--- <br />-- <br />p <br />If wort: lms been sto d state when_____ ~[ X ~~ <br />PPe - ---f------~ -- <br />---------------------- <br />Name, title nnci address of person in e}mrg of work for you____________ __~_________;____________ <br /> <br />State the elmrneter of orc-------------------------------------------- ---------------------- <br /> <br />Stnte the value of the ore-------------------------------------------- ----- <br />--------------------------- <br />i1fEN E1<IYLOYED <br />No. Employed No. Employed <br />llfnchiae Drillmen, $---___for____hourshift. _____Engineers, _ _ _ $______for____hourshift. <br />____ llfnchinc IIclpers, $______for____hourehift. _____Pumpmen, _ $______for___ <br />hourehitt <br /> <br />-fincrs, _ _ ~ <br />- _ $~~for_.~_hourehift. _____Firemen, _ _ _ <br />. <br />_ $______for____hourehift. <br />_____Timbermen, _ _ $______for____hourshitt. _____f3lacksmiths, <br />_ <br />_ $______for____hourshift <br /> <br />_____'1'rnmmers, _ _ _ $______for____hourehift. _____Tenmatera, _ . <br />_ $______for___.-l~onrshift <br /> <br />_____Ore Sorters, _ _ $______for____hourshift. _____Foremen, <br />_ _ . <br /> <br />_ $______for____hourshift <br /> <br />Topmen, _ _ _ $______for____hourshift. _____Superintendent, . <br />_ $______for____honrshift <br /> <br />_____Lnborers, _ _ _ $______for____hourshift. _____Office help, <br />_ . <br /> <br />_ $______for____hourabift <br /> <br />_____Aasnyere, _ _ _ $______for____hourehift. _____hlillmen, <br />- _ . <br /> <br />_ $______for____hourehift <br /> <br />_____Electrieians, _ _ $______for____hour-shift. _____~Vntchmen, <br />_ . <br /> <br />_ $______for____hourahift <br /> <br />---------------- - $------for----hour shift. ---------------- <br />- . <br /> <br />_ $______for____hourshift. <br />Average number of men employed this year_______________ <br />______ - <br />Is there n mi114___---_~/D <br />-----= -------- <br />--------------------- <br />------------------- <br />----------- <br />Nnme of mi]1 <br />------------------------- <br />-----------------------------------Loention of mill <br />-------- <br />Charneter of mil]__________________ ------------------------- <br />Capacity of mill_ -- <br />- <br />- <br />- <br />_ <br />- <br />- <br />___________ ____________________`men was mill erceted__ <br />Give list of buildin <br />s <br />t ________ _______ <br />_ <br />_ <br />_ <br />_ <br />_ <br />_ <br />g <br />, <br />ramways and other surface improvements __________ ________ ___ ___ <br />--------------------------------------------- <br />Coat of surface improvements made in 191___ ___________ <br />------- <br />_ _ _ _ <br />State amount and chnrneter of underground development: $ <br />Total Development <br />Shnfta -----------------------------ft. Amouat Done is 191~?'~ <br />------------ft.; cost per ft., $---------- <br />S~'inzes ---------------- <br />--__________ft. ft.; cost cr ft. <br />------------ <br />Drifts --------210 P , $-..----,D <br />-----------------ft. ---~Q---ft.; cost per ft.. $ <br />Crosscuts --------------------------ft. ---~- <br />$nvo you reported to this department all fatal and aon•fntal nccideata a curring ft ,workmen in the <br />twelve months preceding the date of this report, as required by lnwi ____ <br />Remarks:---_--_-- ~~(---.~- <br />----------------- <br />---------------------~nY. <br />Signed---~~ __`~ <br />By---- - 1_-`aYrz`~-~p~p-yy._ <br />. /~e_~ - - ~ ----- <br />