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MINEBK00029
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MINEBK00029
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1/9/2009 12:38:59 PM
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11/18/2007 11:51:59 AM
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. j ;. <br />thers for all or Part of the property, elate the <br />names of the leasing com- <br />If yon'have gives n lease to o <br />panics, partnerships or individuals: p, p, Address <br />Name DIanager <br /> <br />L property worked continuouslyi___ _ _- ~ i <br />~ <br />-'-" _ <br />_--._---- <br />If work has been ~topped,stnte when___:___ <br /> <br />- <br />Name, title and address of person in charge of work for you_ _ _ <br />------------------------ <br />-- <br />- ------ - <br />---------------------- ~r <br />----- <br />Jj d <br />=~~r!~t``-- <br />O[ <br />- _ _ <br /> <br />- <br />~~ <br />- <br />------- <br /> <br />_- --- <br />--- <br />State the character of ore_ _ <br />y- <br />--o'~-U- - <br />----1-~-- <br />~ <br />-s =- <br />~ <br />J ~ <br />6 <br />r~ <br />f----- <br />-- ~--------i <br />--- <br />' <br />-t--- <br />j <br />C.--- <br />State the value of the ore--- <br />DiEN EMYLOYF.D <br />No, );rnployed No. Employed <br />.___Dfachine Drillmen, $____--for____hourshift. _____Engineers, _ _ _ $_-_---for____honrahift. <br />- <br />~ '~ <br />_____Dfnchino Ilclpers, $------for____hourshift. _____Pumpmen, _ for____honrshift. <br />_ $____-_ <br />_____Dfinera, _ _ _ $______for____houralrift. _____Firemen, _ _ _ $______`_or____honrahift. <br />_____Timbermen, _ _ $______for____hourshift. _____139acl:amiths, _ _ $______for____hourehift. <br />_____Trammere, _ _ _ $______for____hourshift. _____Tenmsters, _ _ _ $______for____honrahift. <br />_____Ore Sorters, _ _ $______for____haurehift. _____I~'oremen, _ _ _ $______for____hourshift. <br />_____Topmen, _ _ _ $______for____hourahift. _____Superintendeat, _ $______for____hourahift. <br />_____Lnborera, _ _ _ $______for____hourahift. _____Ofiice Help, _ $______for____hourshift, <br />_____Assayera, _ _ _ $______for____hourahift. _____Dfillmen, _ _ _ $______for____hourahift. <br />_____l,lectricians, _ _ $______for____hour-shift. -.____~Pntchmen, _ _ $______for____hourehift. <br />---------------- - - $--_°-for----hour shift. ---------------- - - $------for----hour slritt. <br /> <br />Average number of men employed this year____~_____________________ ___.--_------------------- <br />Is there a mi11Y----?rJ~-------------------- --°---------------^- ---'---------------------- <br />Name of mill-----------------------------------Location of mill------__ =- _--'------------- <br />Character of mill-----------------------°----------------------------------------- ------------• <br />Capacity of mill________________When was mill a/rected____!7~_________________ <br />Give list of buildings, trnm~vnys rand other surface improvements < --~_=~~_-~- <br />Cost of surface improvements made in 191_'C ~E'Ir`-?~' _ _ $________________ <br />c- <br />St to ount an rac er of underground development: ~ - ~»~~ <br />Tatra I~evclopment ~?~- onnt Done in 1913 <br />Shafts ` .G~t ~ <br />L~6 _Q~Ciyf,~GCUrep~~--ft. ------------ft.; coat per ft., $---------- <br />Winzes -°-------------------------ft. ------------ft.; coat per ft., $---------- <br />Drifta s~--~~-------------------------ft. ----------_-ft.; coat per ft., $---------- <br />Crosacuta ---°---------_--°--_____ft. ----_------_ft.; Coat per ft., $---------- <br />13ave you reported to this department all fatal and non-fatal accidents occurring to workmen in the <br />twelve months`` receding the date of this report, as required by lnwf __~__________ _ ~ -- <br />__ c~~L~'~`~~r-r_'-------------------(T - -------- <br />---------------------------------- ------------- ---------- ---------------------- --------------- <br />Signed_ ~f_1---J-~-~---~1~~!_'~!tJ_'~---`---C'°~1+~ <br />By--- <br />
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