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<br />If you have given a lease to others for all or part of tho property, state the names of the lensing com~
<br />panics, partnerships or individuals:
<br />Name 11lannger P. O. Address
<br />Lt property worked continuouslyt_____ ~______________________________________
<br />----------
<br />If work has been etopped,stnte w}ten___ ~_________________________________________________
<br />-------
<br />Name, title and address of person fn cltnrge of tivorl: for you_____________
<br />--------------------------
<br />/ --------------
<br />State the character of orc~_a:REYS-a.~J~Gdr-~^e-r~i=~,~_ ~__~,~
<br />1~
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<br />State the value of the
<br />.v- ~,
<br />orc____r%~_ ~y.~_y~,_ ~Q_~_~-,,,_ _
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<br /> I<fEN E~f YLOYED
<br />iVo. Employed No. Employed
<br />____ilinchine Drillmc n, $______for____hourehift. _____Engincers, _ _ _ $______for____hoarshift.
<br />_____Diachine IIclpers , $___
<br />Ofor____hourshift. _____Pumpmen, _ _ $______for____hourahift
<br />
<br />_~3_Bfiners, _ _ S
<br />_ $~_°_for_$~ltoureltift.
<br />_____Firemen, _ _ .
<br />_ $______for____Itourshift.
<br />_____Timbermen, _ _ $______for____ltouraltift. _____I31acl:smiths, _ $______for____Itoursltift.
<br />_____Trammere, _ _ _ $______for____ltourahift. _____Tcamsters, _ _ _ $______for____Iroursltift.
<br />_____Grc Sorters, _ _ $______for____hourshift. _____Poremen, _ _ _ $______for____honrshift.
<br />_____Topmen, _ _ _ $______for____hourshift. _____Superintendent, _ $______for____hourshitt.
<br />_____Lnborera, _ _ _ $______for____Itourahift. _____OfHce IIelp, _ _ $______for____Itourslti[t.
<br />--___,tssnyers, _ _ _ $______for____hourahift. _____lllillmen, _ $______for____honrshi[t.
<br />_____Electricinns, _ _ $______for____hour•shift. _____~~ntchmen, _ _ $______for____hourshift.
<br />----- _ _ $______far____ltoursltift. ________________ _ $______for____houralti[t.
<br />Arcrage cumber of men employed this ycar_ __ ~~
<br />Is there n mill4___-----.~~---------------------
<br />ATnme of mill-----------------------------------Location of mill-------------------------________
<br />Character of mill___________________________
<br />------------------ ---------
<br />-------------------------------------------------
<br />Capacity of mill_________________________________~phen was mill erected________________________._
<br />Give list of buildings, tramways and outer surface improvements _________________
<br />--------------------------------- _
<br />- ------------ ------------------------ -------- --
<br />Cost of surface improvements made in 191_ _ "'
<br />State amount and cltnractcr of underground development:
<br />Total Development Amouat Donc in 1913
<br />Shafts ______
<br />-~----------------ft. / t•
<br />_1_QD-----ft.; cost per ft., $«-------
<br />R'inzes ------~°--".=L-------------ft. -- ------- ft.; coat per ft., $----------
<br />rtfte ---~p- ~------------------ft. __3 ~ U . .
<br />____ft.; coat per ft
<br />$
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<br />--- A-------------------ft. _______-
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<br />--~-~--- b=
<br />- __ft.; coat per ft., $~________
<br />have you reported to this department all fatal and non-fatal accidents occurring to workmen in the
<br />twelve months preceding the dote of this report, as required by law}
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<br />iBemarka:------------------------------------ _~
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<br />____
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<br />--------------------------
<br />Signed~..1.4 ~/ -e~s~~~ ==ff==- p y'
<br />By----------------------
<br />Title----------------
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