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If yon have given n lease to others for all or part of the property, state the names of the leeaiag com- <br />panies, partnerships or individuals: /J/~'p' • G, A~dd~r/@//~_J,'/ ~ ~ ~ <br />n 11IannBer (~n4%~~YL~'r~__-W-L~`!~T"T~-0 <br />----- <br />~ ~-.-1~° ---~-- ------ ---~~--'-------- ----- ~~ <br />------- ----------------------- ~ J <br />----------- ------------------------------ - <br />-------- <br />---------- <br />---- - ------ <br />Is property worked continvouslyf_-___ ~----------- /-- , ~ ~~, <br />If work has been stopped, state when__L~ ----- ~ _ / <br />Name, title and address of person rn charge of work for you____ ~!!__~!! =!~- /~'~=`-~------- <br />______.____r_____.___ <br />__ __ <br />~~iJ~y---- _____ _ _ _ ____ ______________________ <br />--- - <br />State the character of arc__ ____-- -~ -------r- <br />State the value of the ora_______U_v2u_i.--- -- <br />No. Employed <br />____1lfnchine Drillmen, $______for____hourehift. <br />____ilfnchinc IIclpera, $------for__-_hourehift. <br />_____D[incrs, _ _ _ $___---for____hourahift. <br />_____Timhermen, _ _ $______for____hourslrift. <br />_____Trnmmers, _ _ _ $______for____hoursliift. <br />_____Engineers, _ _ _ $__-_-_for____hourshift. <br />_____Pumpmen, _ _ $_-----for____honrahift. <br />_____I`iremen, _ _ _ $______`_or____honrahift. <br />_____I31nel:smiths, _ _ $______for____honrahift. <br />_____Tenmstera, _ _ _ $______for____honrahift. <br />_____Orc Sorters, _ _ $______for____hourehift. _____Poremen, _ _ _ $____--for____hourehitt. <br />_____Topmen, _ _ _ $______for____haurshift, _____Superintenden t, _ $______for____hourahift. <br />_____Lahorcrs, _ _ _ $______for____trourahift. _____Gfflce Help, _ _ $____--for-___hourslrift. <br />_____Assayera, _ _ _ $------for____hourshift. _____7<fillmen, _ _ _ $------for____hourahift. <br />_____Electricinns, _ _ $______for____hour•slrift. ..____Wntchmen, _ _ $______for____hourahift. <br />---------------- - - $--_---for----hoursh~~i//ft. -_-------------- <br />Average number of men employed this ycnr_rt_V __~'~e_-4-e5--~~- - --~$-~-j---for----hourshift.~~., <br />~'~!~!"~ --~=~ -~~~'~-~~'-~/ - ' <br />Ia there nmilli----~~-~-t---------------------- ------------------- --------°-----------------' <br />Name of mill _______________________ <br />Character of mill______- _ <br />hfEN EItifYLGYED 'J~-~~. <br />No. Employed <br />..._~ <br />_____Locntion o[ mill-----------------------^-°----__ <br />Capacity of mill_________________________________~Vhen was mill erected____~_ ______---___--- <br />Giv , iet of buildings, tramways nn other surfs improvemeata _ ~ ~_4-!%y'-~y ~1" ,~ <br />,~ -~/~~,7~~~y~ p ~-- i~.yf~__,_~_+J_~ _l~_= ~'°-__ ~.kr_- 0?_9t_v~-- Ocl-- ~v?~s~ iV ~//~~ <br />Coat of surface improvements made in 191_._ `~Y~r--~! !y+-~~-F~-~ ~__ r%_______ _-- - ff'h-L~ .. <br />State amount and character of undcrgronnd developmant:~+rs/~ c.rGY G <br />Total Develo meat - Amonnt Done in 191 <br />P `~ <br />Shnfte _~~___ _______ _____ft. _____ __ft.; coat per ft., $________-_ <br />--^--- - <br />R'inxea -- ~?~77-_ -~ - ---------------ft. _______---__ft.; coat per ft., $-.-_--__--- <br />Drifts __________ `-0yy __ __________ft. ____________ft.; coat per ft., $________-- <br />Crossenta _________ _ _ __ft. ____________ft.; coat per ft., $____-___-- <br />$ave you reported to th~ department all fatal and aon•fatal accident~ryo earring to worl®en in the <br />twelve months preceding the date,pf this report, ae regnired by lawf _Psl ~ /_ ~3=~!!`l~- ~=~~`G~ <br />Remarks:-----~~-~-'li-P=Cr=r-yi-~9~-G7~1~---~i~d--E~,~~~f~J /iYr> /g/!~ <br />~a~~ ~J~ ` ~ ~ --v------ <br />Siceed__ / 1 <br /> <br />